If your health care organization is typical, you were successful in getting your electronic medical record (EMR) system installed on time and within budget. You declared victory and collected some money from meaningful use. But very quickly, you realized you were not getting the expected return on your investment. So you started the "optimization" process to make refinements, do some stuff over, and get it right this time.
The Journey Never Ends: Technology's Role in Helping Perfect Health Care Outcomes is dedicated to helping you derive value from your investment in the software and the people in your organization. It describes some of the major initiatives, post EMR implementation, which most health care organizations now face. Most of these are transformational in nature, and instead of being IT projects, they are business or clinical initiatives with an IT component. If you or your board thought you were done spending large amounts of money on IT after implementing your EMR, you’re dead wrong. Welcome to the new reality!
Table of Contents
LEVERAGING YOUR EMR TO DERIVE VALUE
The User Experience: An Underexploited Opportunity
Doug Eastman, PhD
Ongoing Change: Developing Sustainment
Ronnie D. Bower, Jr., MA
EMR Benefits Don’t Come in a Box: Why Structured Innovation Is Necessary to Realize Strategic EMR Value
Douglas Ivan Thompson, MBA
Using EMR Data to Improve Clinical Protocols, Outcomes, and Patient Safety
H. Lester Reed, MD
Using the EMR to Achieve Operational Excellence through "Lean" Thinking
James Hereford, MS
Platform for Innovation, Part I—Maximizing the EMR
Michael Blum, MD
EMR Adoption Model Stage 7 Lessons
John Hoyt, MHA
OTHER IT INFRASTRUCTURE REQUIREMENTS FOR FUTURE INITIATIVES
Interoperability: Enabling Health Care Data Sharing
Business Intelligence Reporting and Analytics: Tools, Resources, and Governance
Richard F. Gibson, MD, PhD, MBA
The Future of Information Security in Health Care
David S. Finn, CISA, CISM, CRISC
Staffing IT for a Post-Live EMR World
J. Scott Joslyn, PharmD, MBA, and Brian T. Malec, PhD
SPENDING MORE ON IT: GOING BEYOND THE SCOPE OF YOUR EMR
The Brave New World of Fee-for-Value Reimbursement
Michael W. Davis, MS, MBA
Health Information Exchange Case Study: Implementing a Multicommunity Hospital Set of Solutions on a Budget
Alan Smith, MPH, and Jeff Cobb
Bellin Health: A Model for Population Health
Pete Knox, MS, Jacquelyn Hunt, PharmD, MS, Brad Wozney, MD, James Jerzak, MD, and Kathy Kerscher
Patient Portals: Enabling Participatory Medicine
Platform for Innovation, Part II—New Technology and Applications
Michael Blum, MD
Dave Garets is an internationally known industry analyst, author, and speaker on healthcare issues. The cocreator of the HIMSS Analytics EMR Adoption Model, he was elected to HIMSS 50-in-50, the 50 most memorable contributors to healthcare IT in the last 50 years. In his 26-year career in healthcare, Dave has been a hospital CIO, group vice president and head of the healthcare IT research organization at Gartner, Inc., president and CEO of HIMSS Analytics, board chair and EVP of HIMSS, EVP of Healthlink, and general manager and executive director of The Advisory Board Company.
Claire McCarthy Garets, MA, FHIMISS, is an organizational sociologist and an internationally recognized change management and technology adoption strategist. She has more than three decades of experience supporting diverse health care organizations through transformative technology implementations. In addition to her IT work, Claire’s change leadership experience includes mergers, downsizings, and reorganizations. Claire is the CEO of Change Gang, LLC, a boutique healthcare change management consulting firm. She specializes in transformational leadership development; supports HCOs in electronic medical record planning, implementation, and optimization; and advises IT companies. She earned an MA in sociology from the University of Montana.
"The authors in this outstanding compilation of post-EMR needs and benefits will further prepare you for what’s required and what’s possible."
—Larry Grandia, St. George, Utah