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Change Management Strategies for an Effective EMR ... - HiMSS

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Foreword<br />

By David E. Garets, FHIMSS<br />

Electronic medical record (<strong>EMR</strong>) deployments are not about technology.<br />

Th ey are about equipping org<strong>an</strong>izations to reach critical business<br />

objectives by providing people with technical capabilities that make<br />

new things possible <strong>an</strong>d by engaging people in ch<strong>an</strong>ging their behavior<br />

to eff ectively use the new capabilities to generate results.<br />

Th is book will show you how to create <strong>an</strong> environment <strong>for</strong> success<br />

in your org<strong>an</strong>ization to not only ensure that your <strong>EMR</strong> implementation<br />

eff ort is successful but that your org<strong>an</strong>ization builds ch<strong>an</strong>ge<br />

capacity <strong>an</strong>d fl exibility in the process. Th is new nimbleness will serve<br />

you well in our world of continual ch<strong>an</strong>ge.<br />

Defi ning ch<strong>an</strong>ge m<strong>an</strong>agement is as import<strong>an</strong>t as underst<strong>an</strong>ding<br />

what ch<strong>an</strong>ge m<strong>an</strong>agement is not. It isn’t project m<strong>an</strong>agement or<br />

solely process improvement. Rather, it is a set of specifi c disciplines,<br />

described in detail in this book that, when coordinated <strong>an</strong>d integrated,<br />

make the diff erence between tossing money into <strong>an</strong> <strong>EMR</strong> pit (similar<br />

to the ones that we boaters throw our money into!) or getting the<br />

sought-aft er ch<strong>an</strong>ges in your org<strong>an</strong>ization.<br />

Chapter 2 on Vision is especially import<strong>an</strong>t. In it, Claire <strong>an</strong>d Doug<br />

explain how leadership paints the picture of what is expected from<br />

the implementation of <strong>an</strong> <strong>EMR</strong>. I would argue that it is a process that<br />

involves not only representatives of the front line <strong>an</strong>d their m<strong>an</strong>agers<br />

<strong>an</strong>d the senior executive team, but also the board. An <strong>EMR</strong> implementation<br />

done right—me<strong>an</strong>ing the technology works, was implemented<br />

on time <strong>an</strong>d within budget, <strong>an</strong>d the people modify their behavior <strong>an</strong>d<br />

processes to achieve commensurate value <strong>for</strong> the investment—is more<br />

tr<strong>an</strong>s<strong>for</strong>mative th<strong>an</strong> <strong>an</strong>ything else a healthcare org<strong>an</strong>ization could do.<br />

It needs to be driven from the board. Th at way the right people, i.e.,<br />

the CEO <strong>an</strong>d executive m<strong>an</strong>agement team, are held accountable <strong>for</strong> the<br />

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