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Post on 12-Jan-2016
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Planning & Education
Workflow Analysis & Redesign
Configuration, Testing & Training
Go Live & Post
Implementation
E.H.R.
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P
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Y
Planning & Education Question 1:
Which one does not belong on the project team?
1. Project Manager2. Champion Users 3. Subject Matter Experts4. Trainers5. Technical Support 6. Butcher
6. Butcher
Planning & Education Answer 1:
Implementation Planning – Project Team Defined
Project Manager Champion Users Subject Matter
Experts Trainers Technical Support
Planning & Education Question 2:
Define the difference between a Phased vs. a Big
Bang implementation?
Planning & Education Answer 2:
Phased - site by site install
Big Bang - all sites at once
Phases of Implementation
Planning & Education
Work Flow Analysis & Redesign
Configuration, Testing & Training
Go Live & Post Implementation
Planning & Education Question 3:
Issue tracking, project plan, newsletter are examples of what?
Planning & Education Answer 3:
Project documentation
Issue Tracking Example
Project Plan
Planning & Education Question 4:
True or False:
It is necessary to provide the Project
Team with a training of the E.H.R. being implemented.
Planning & Education Answer 4:
TRUE!
What is the biggest hurdle staff need to overcome when they
begin using an E.H.R.?A: Using a computerB: Familiarizing themselves with the new electronic workflowsC: Remembering their user names/passwordsD: All of the Above
Planning & Education Question 5:
Planning & Education Answer 5:
A: Using a computer
Basic Computer Skills Training
Basic Computer Skills Training
Basic Computer Skills Training
Basic Computer Skills Findings
Workflow Analysis & Redesign Question 1:
Rate the importance of documenting "paper workflows" when beginning your workflow
analysis?1-Not important2-Somewhat important3-Important4-Very Important5-Critically Important
Workflow Analysis & Redesign Answer 1:
5-Critically Important
Workflow Analysis & Redesign Question 2:
Yes or No:
Is it important to consider Integration between Front
Office and Back office when reviewing workflows?
Workflow Analysis & Redesign Answer 2:
Yes!!
Workflow Analysis
Patient is scheduled
with an appointment
Patient Arrives,
Registration is performed.
Patient is Checked In.
Physician documents
the encounter
Charges Reviewed based
on rules..
Bill/Claim Processing occurs.Clean claims move on.
Dirty claims go to Claim Edit Work Queues.
Clean Claims submitted to insurance
Electronic or Paper
Payment and/or EOB is
received.
Payments, Adjustments, and Denials
posted to the Account.
Follow-up Work Queues
Next Responsible Party
processing, if necessary
Start
Claims are reviewed by edit checks.
Dirty Charges go to Charge
Review Work Queue
Clean Charges go to A/R
Workflow Analysis & Redesign Question 3:
True or False:
Site visits should be interactive.
Workflow Analysis & Redesign Answer 3:
True!
Workflow Analysis & Redesign Question 4:
Which items do not need to be collected during the site
visits:
A: Staffing Numbers by DisciplineB: Paper Encounter FormsC: Flow SheetsD: Lunch orders
Workflow Analysis & Redesign Answer 4:
D. Lunch Orders
Workflow Analysis & Redesign Question 5:
True or False:
Each site should maintain unique operational and
clinical workflows.
False!
Workflow Analysis & Redesign Answer 5:
Configuration, Testing & Training Question 1:
Rate the importance of utilizing the re-designed workflows in configuring the system for
testing.1-Not important2-Somewhat important3-Important4-Very Important5-Critically Important
Configuration, Testing & Training Answer 1:
5-Critically Important
Configuration, Testing & Training Question 2:
TRUE OR FALSE:
System testing should be completed by the Project
Manager.
Configuration, Testing & Training Answer 2:
FALSE
Workflows & Testing
Workflow
DevelopVerify
Revise
Configuration, Testing & Training Question 3:
YES or NO:
Is it necessary to provide training to the Non-Clinical staff (i.e. front office staff) prior to implementation?
Configuration, Testing & Training Answer 3:
Yes!!
Non-Clinical Training
Front Office/Business Office Staff Clinical workflow overviews Primary focus impact on workflows
Staff concerns about job retention need to be addressed
Configuration, Testing & Training Question 4:Fill in the blank –
__________ is an important first step in training clinical users as it provides an opportunity for them
to become familiar with navigating the system as well as documenting clinical information
in the E.H.R..
1-Abstracting 2-Purchasing a GPS System
Configuration, Testing & Training Answer 4:
Abstracting
AbstractingPros
Meaningful information in E.H.R. at go-live
Reduces reliance on paper chart
Higher physician satisfaction
Improves length of visit after install of E.H.R.
Data collection on historical information possible
Challenges VERY labor intensive Planning/budgeting
for time spent
Configuration, Testing & Training Question 5:
Re-organize by order of importance for the training
process:1-develop training materials2-configure dedicated training space3-schedule training4-schedule "Shadow Day"
Configuration, Testing & Training Answer 5:
4,2,3,1
4-schedule "Shadow Day" 2-configure dedicated training space3-schedule training1-develop training materials
Clinical Training
Clinical Training Abstracting
Provider - 4 hour sessions Nursing – 4 hour sessions
Application Training Provider – 8 hour sessions split into 2 days Nursing – 8 hour sessions split into 2
days
Go Live & Post Implementation Question 1:
TRUE OR FALSE:
You need to consider reducing physicians’ schedule load as the
practice adjusts to the E.H.R.
Go Live & Post Implementation Answer 1:
TRUE!
Go live support planning should be done:
A. 10 minutes before go-liveB. The week before go-liveC. Two months before go-
liveD. Never
Go Live & Post Implementation Question 2:
C. Two months before go-live
Go Live & Post Implementation Answer 2:
Go Live & Post Implementation Question 3:
True or False:
The Project Team should be the only group meeting daily
during go-live.
Go Live & Post Implementation Answer 3:
False!
How soon after go live should you begin your optimization
program? A. 1 Year B. 5 Years C. 1 Day D. 2 Weeks
Go Live & Post Implementation Question 4:
Go Live & Post Implementation Answer 4:
D. 2 Weeks
Go Live & Post Implementation Question 5:
Once the first site is live with the E.H.R. there should be no more modifications made to
system configuration.
Agree or Disagree
Go Live & Post Implementation Answer 5:
B. Disagree
Questions
Alison Meyers Business Systems/Help Desk Managerameyers@institute2000.org860-219-0198
Kathy CresswellDirector of Business
Operations/Applicationskcresswell@institute2000.org845-255-3435 x312
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