Going "Big Bang" into an Electronic Health Record: Four Recommendations from Leading a Dynamic Academic Health Sciences Hospital through Transformational Change on Time, in Scope and within Budget.

Decision Making Electronic Health Records / economics Hospital Administration / methods Hospitals, Teaching / economics Humans Implementation Science Ontario Patient Safety Time Factors

Journal

Healthcare quarterly (Toronto, Ont.)
ISSN: 1710-2774
Titre abrégé: Healthc Q
Pays: Canada
ID NLM: 101208192

Informations de publication

Date de publication:
Oct 2019
Historique:
entrez: 18 12 2019
pubmed: 18 12 2019
medline: 27 5 2020
Statut: ppublish

Résumé

At 4 a.m. on December 2, 2017, St. Joseph's Healthcare Hamilton - a multi-site, clinically diverse, tertiary academic and research hospital - deployed an electronic health record (EHR) system across the organization using a "big bang" approach. This effectively required all inpatient, emergency and many ambulatory services to put down their pens and document everything electronically at one moment in time without skipping a beat in providing excellent clinical care. The hospital leapt from the bottom to nearly the top of the internationally recognized measurement for EHR adoption - on time, in scope and within budget. This article presents the leadership's view on essential lessons learned with key recommendations for healthcare systems seeking successful implementation with this approach.

Identifiants

DOI: 10.12927/hcq.2019.26012 PMID: 31845863
pubmed: 31845863
pii: hcq.2019.26012
doi: 10.12927/hcq.2019.26012
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

73-83

Informations de copyright

Copyright © 2019 Longwoods Publishing.

Auteurs

Tara Coxon (T)

Tara Coxon, chief Information officer at St. Joseph's Healthcare Hamilton (SJHH), has led a number of transformational change initiatives with extensive experience in the design and implementation of digital health solutions. Her key area of expertise is in the people and process change management elements of technology-driven transformation.

Andriana Lukich (A)

Andriana Lukich, program manager, Project Management Office at SJHH, has eight years of healthcare experience working in the Project Management, Information Technology and Information Management departments, specializing in change management, communications and IT project implementations.

Agnes Bongers (A)

Agnes Bongers, director, Public Affairs, SJHH, works with an award-winning healthcare communications team that seeks innovative ways to communicate complicated topics, often requiring a shift in cultural thinking. Her background is journalism and storytelling.

Winifred Doyle (W)

Winifred Doyle, executive vice president of clinical operations and chief nursing executive and professional practice at SJHH, has more than 35 years of experience in healthcare as a midwife, a registered nurse, an educator and a senior executive with a commitment to driving improvement, quality and patient engagement.

Thomas Stewart (T)

Thomas Stewart, chief executive officer at SJHH, is an internationally recognized healthcare executive, academic and physician leader who brings a deep commitment to improving healthcare through innovative solutions such as integrated comprehensive care.

Danielle Sanagan (D)

Danielle Sanagan, former director of the Project Management Office at SJHH, has led numerous implementational projects, including implementation of electronic health record systems across multiple healthcare settings, including acute, tertiary and primary care, leveraging her expertise in change management, project management and system design.

Chris Hayes (C)

Chris Hayes, former chief medical information officer at SJHH, is a recognized leader in patient safety and quality improvement; has worked with regional, national and international organizations; and has received multiple distinctions and awards.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Documents › Dossiers médicaux › Systèmes informatisés de dossiers médicaux › Dossiers médicaux électroniques › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration d'établissement de santé › Administration hospitalière › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › Hôpitaux d'enseignement › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Sciences de l'information › Communication › Diffusion des innovations › Science de la mise en oeuvre › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Ontario › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Accidents › Prévention des accidents › Sécurité › Sécurité des patients › Going "Big Bang" into an Electronic Health...
questionsmedicales.fr › Phénomènes physiques › Temps › Facteurs temps › Going "Big Bang" into an Electronic Health...