1 ADVANCE for Executive Insight
1 ADVANCE for Executive Insight
1 ADVANCE for Executive Insight
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editorial<br />
is published by Merion Matters<br />
Publishers of leading healthcare magazines since 1985<br />
Gearing Up &<br />
Saving Up <strong>for</strong> EHR<br />
PRESIDENT<br />
General MANAGER<br />
Publisher<br />
Editorial<br />
EDITOR<br />
MANAGING EDITOR<br />
WEB MANAGER<br />
Ann Wiest Kielinski<br />
W.M. “Woody” Kielinski<br />
Lynn Nace<br />
Adrianne O’Brien<br />
Jill Hoffman<br />
Jennifer Montone<br />
Does your organization have a mobility<br />
access strategy that provides its<br />
clinicians and patients with access to<br />
electronic medical records? In a May poll<br />
conducted by KPMG LLP on electronic<br />
health record (EHR) deployment by hospitals<br />
and health systems, about half the<br />
leaders surveyed said that they didn’t know.<br />
That surprised me a bit, but the good<br />
news is that 49 percent of business administrators<br />
at hospitals or health systems say<br />
they are more than halfway to completing<br />
full electronic health record (EHR) system<br />
deployment.<br />
Seesawing again, though, many hospital<br />
leaders have doubts about the level of<br />
funding their organizations have planned<br />
to support it, according to the KPMG poll.<br />
The survey found that 48 percent of<br />
health system business leaders said they<br />
are only somewhat com<strong>for</strong>table with the<br />
level of budgeting their organization has<br />
planned <strong>for</strong> EHR deployment. Nine percent<br />
said they weren’t com<strong>for</strong>table at all<br />
while 18 percent said they were unsure.<br />
Only 25 percent said they were very com<strong>for</strong>table.<br />
“There is a level of uneasiness as to<br />
whether there is adequate funding to complete<br />
these projects,” said Gary Anthony,<br />
principal with KPMG Healthcare. “In<br />
most organizations, EHR deployment will<br />
most likely be one of the most trans<strong>for</strong>mational<br />
projects that they’ve ever undertaken,<br />
as well as one of the largest investments<br />
outside of the construction of a new hospital<br />
they’ve ever made. Yet, many organizations<br />
view EHR as just an IT project and<br />
that may be why we are seeing multiple<br />
extensions to scope, timeline and budget.”<br />
In terms of resource strategies used to<br />
complete EHR deployment, 46 percent of<br />
hospital leaders indicated that they are using<br />
a multiple resource strategy. This was<br />
followed by leveraging existing staff (16<br />
percent), hiring new or additional staff<br />
(13 percent) and securing third party assistance<br />
(10 percent). If you’re unsure what<br />
resources your organization will use <strong>for</strong> deploying<br />
an EHR system, you’re note alone.<br />
Fifteen percent said they didn’t know.<br />
The issues surrounding implementing<br />
an EHR system are vast and complex, but<br />
Cheryl Parker, PhD, RN-BC, FHIMSS,<br />
gets back to basics in a web article titled<br />
“Avoiding the Domino Effect: Evaluating<br />
Workflows Be<strong>for</strong>e Adopting New Technology.”<br />
She writes that new healthcare<br />
technology implementations should never<br />
be made within the vacuum of a single department.<br />
The key is to remember that any<br />
process change has the potential to impact<br />
everyone from admitting staff to physicians<br />
and nurses to pharmacists, which is<br />
why every significant technology implementation<br />
must begin with enterprisewide<br />
planning and impact analyses.<br />
Sounds like a good place to start.<br />
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(610) 278-1400 • www.advanceweb.com<br />
On the Web<br />
To check out Cheryl Parker’s article, visit www.advanceweb.com/<br />
executiveinsight and enter “Domino Effect” in the keyword box.<br />
EDITOR’s phone (800) 355-5627, ext. 1447<br />
EDITOR’s e-MAIL aobrien@advanceweb.com<br />
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8 <strong>ADVANCE</strong> <strong>for</strong> <strong>Executive</strong> <strong>Insight</strong>