I will not have to administer, train, or even look at an electronic medical record in my new job. After 5 years as an EMR trainer, you have NO IDEA how much this excites me!!!!!! The new job should provide more exciting tools to play with.
This series of posts is essentially a diary of a major upgrade project. With all of the ups and downs high-stakes projects entail. I've divided the posts up into sections for easier searching.
Preparation / Planning
So Why is the LMS Such a Big Deal?
What Keeps Me Up At Night
Adventures in Customer Service
Further Adventures in Customer Service
Gearing Up for the Big Project
So Much for my New Years Resolution
A Political Monster Gets Real
Grappling with Demotivation
Defining the SuperUser
Thanks Karyn!
Reducing my Scope and Checking the Box
How Intuitive Is It?
Meeting with Practice Administrators
Joining Me on My Planet
Letting Go
The Train Derails
Piloting Clinician Training
Jackhammers and Spoons
From Theory to Practice
Promising Trends in Health Care
Experimenting with Letting Go
When Will They Go Away!!!!
Oldsters vs. Youngsters
Working in Parallel
Big Bang Implementations
5 EHR Training Tips
Perspective Smacks Us In The Head
Working in Circles
More Training Pilots
Working Past Overwhelm
Results of the Staff Training Pilots
Disconnecting Input and Output
Evolving Meetings
Update
More Hoops of Fire
Cold Feet
Training
Working with Contract Trainers
Starting Shorhanded
Week 1 Day 1 - Losing the Beginner's Eye
Week 1 Day 2 - Deer in Headlights
Week 1 Day 3 - The Calm Before the Storm
Week 1 Day 4 - The Freaks and the Procrastinators
Week 1 Day 5 - Flexibility and Goodwill
Week 2 Day 1 - Where Did Everyone Go?
Week 2 Day 2 - Getting Informal
Week 2 Day 3 - Mucky Muck Visit 1
Week 2 Day 4 - Mucky Muck Visit 2
Week 2 Day 5 - Successful Benchmark
Go Live Week
Go Live Weekend
Support Day 1 - Did It Stick?
Support Days 2 and 3 - Fighting Back
Aftermath
Post Upgrade - Groundhog Day
2 Weeks Later - Things Forgotten
The Dog and Pony Show
The Organization Gets Serious
EHR Upgrade: One Month Later
Motivational Problems
Opportunities for Comparison
Bonding Between Sides
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Final Thoughts - I hope I NEVER have to do a project of this sort again. Completely personal opinion here that will not be popular with my ex co-workers (but they are already aware of this, so I don't feel so bad about putting it out there:
Rushing major upgrades of mission critical systems may look glamorous but you can cause serious long-term damage. To the morale of the IT team, to the goodwill of the end user. And to the system itself if you have a partially finished product.
It has taken months and they still have not recovered. No one's fault, but very preventable.
Wednesday, November 28, 2007
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