Special Topics in Vendor- Specific Systems

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Special Topics in Vendor- Specific Systems

• Unit 8
• Vendor-Specific Go-Live Strategies

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Outline
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Big-Bang vs. Phased Roll-Out
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Big-Bang
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Phased Roll-Out
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Staffing

• Greatly dependent on
• Product being implemented
• Location, e.g. hospital or physician office
• Implementation performed by vendor or consultants
• Big-bang vs. phased roll-out
• Hosted locally or remotely
• Temporary staffing or permanent staffing

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StaffingExample EHR implementation team

• Physician Champion
• Project Director
• Project Manager
• Enterprise Master Patient Index Cleanup
• Application Coordinator RN
• Application Coordinator MD
• Application Coordinator analysts
• Health Information Management Director
• Reporting Applications Coordinator
• Reports/Designer/Analyst
• Database Extract and Load Administrator
• 3rd Party Reporting Tool Administrator

• Programmer/Analyst
• Hardware/OS support
• Storage Support
• Enterprise Data Backup support
• Network Support
• Security Coordinator
• Workstation Management
• Workstation/Printer Systems Support
• Database administrator
• Principal Trainer
• Supplemental trainers
• Go live support
• Helpdesk support
• Risk Manager
• Chief Privacy Officer

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Command Center

• Special location during implementation
• Typically setup in a big-bang rollout
• All project communications go through this center
• Usually serves as project help desk and receives
  all user calls
• Field staff meet at center at least 2 times per
  day
• Project executives meet at center each day

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On-site Consultants
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Monitoring System Usage

• System performance monitoring
• Application usage monitoring
• Documents created
• Orders written
• Orders completed
• Prescriptions written
• Monitor calls to Help Desk
• System issues
• Application questions

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Change Management
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System Change Management
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System Change Management (cont.)
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System Change ManagementSet of 6 Steps

• http//en.wikipedia.org/wiki/Change_Control