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

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xii <strong>Ch<strong>an</strong>ge</strong> <strong>M<strong>an</strong>agement</strong> <strong>Strategies</strong> <strong>for</strong> <strong>an</strong> Eff ective <strong>EMR</strong> Implementation<br />

sional, consult<strong>an</strong>t, or other stakeholder in the success of <strong>an</strong> <strong>EMR</strong><br />

implementation), our hope is that you will gain <strong>an</strong> appreciation <strong>for</strong><br />

the import<strong>an</strong>ce of users <strong>an</strong>d the eff ort required to ensure operational<br />

success. Th is book emphasizes eff ective ways to pl<strong>an</strong> <strong>an</strong>d implement<br />

ch<strong>an</strong>ge. Th e content is based on decades of combined experience m<strong>an</strong>aging<br />

the people side of soft ware implementations in healthcare.<br />

It is import<strong>an</strong>t to point out, however, that this book is not me<strong>an</strong>t to<br />

be a course on ch<strong>an</strong>ge m<strong>an</strong>agement/technology adoption. Our intent<br />

is not to review existing research or current academic models <strong>an</strong>d theories<br />

but rather to share the insights <strong>an</strong>d lessons we have learned in<br />

delivering sustainable results <strong>an</strong>d healthy org<strong>an</strong>izational ch<strong>an</strong>ge over<br />

the years.<br />

For technically-oriented project leads, the success of <strong>an</strong> <strong>EMR</strong><br />

implementation tends to focus too heavily on “screwing in the system”<br />

on time <strong>an</strong>d on budget. But, as import<strong>an</strong>t as it is, getting the<br />

<strong>EMR</strong> technology up <strong>an</strong>d running should not be the primary focus.<br />

Equal emphasis must be placed on how the new technology will be<br />

embraced, utilized, <strong>an</strong>d leveraged to realize a return on this signifi -<br />

c<strong>an</strong>t investment. Flipping the switch <strong>an</strong>d turning the technology on is<br />

merely half of the game.<br />

We believe the promise of <strong>an</strong> <strong>EMR</strong> implementation is great, with<br />

potentially signifi c<strong>an</strong>t returns <strong>for</strong> the patient, user, org<strong>an</strong>ization, <strong>an</strong>d<br />

<strong>for</strong> the industry as a whole. When we hear words such as electronic,<br />

computerized <strong>an</strong>d automated, it sounds as if life will be made easier <strong>an</strong>d<br />

become more org<strong>an</strong>ized <strong>an</strong>d effi cient. However, healthcare org<strong>an</strong>izations<br />

do not always think about the critical steps involved in making<br />

these hopes a reality. Th is is due in large part because m<strong>an</strong>aging the<br />

people side of <strong>an</strong> implementation, <strong>an</strong>d developing <strong>an</strong>d installing major<br />

technology require diff erent skills sets. Neither side of the coin is necessarily<br />

more import<strong>an</strong>t, but they both must be seen as equally signifi -<br />

c<strong>an</strong>t. Th e role in m<strong>an</strong>aging the people side of <strong>an</strong> implementation rarely<br />

fi ts neatly into how technically-focused projects have historically been<br />

measured, <strong>an</strong>d this creates a scenario in which the people side is oft en<br />

misunderstood, discounted, <strong>an</strong>d worst case, ignored altogether. Consider<br />

the diff erence between what it takes to install the system (a technology<br />

focus) <strong>an</strong>d what it takes to get the desired outcomes (a focus on<br />

people doing things diff erently).

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