Wednesday, November 28, 2007

Archive of EHR / EMR Posts

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


More Hoops of Fire

Cold Feet


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


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


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.

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