• Jan 10

    Versio Staff

    Changing the Minds of Clinicians during Your EHR Rollout

    by  Versio Staff

    There are many measurements of success for an EHR implementation, but a primary one will be the physician adoption rate. Frustrations with the usefulness of the new EHR program will impact adoption and may cause some clinicians to abandon the new EHR altogether. Meaningful Use objectives may not be met and there may be a question of the organization’s eligibility for the CMS EHR incentive program. According to industry experts, the primary reason physicians fail to adopt EHRs is lack of relevant patient data and difficulty accessing or entering new information.

    Your new EHR will undoubtedly provide many benefits, but the adoption process can be difficult, time consuming, and costly. Once the transition is done, productivity can still be drastically affected for months or even years.

    One way to minimize the downside of EHR adoption is to pre-populate your EHR with historical patient data, which has high clinical value and was produced at great cost. A 2011 survey on successful EHR implementations showed that physician productivity was 69% higher if the EHR was populated with discrete data before the organization went “live” on the new EHR1.

    Based on these statistics, an organization that is planning to implement a new EHR should plan for a data migration and conversion methodology that meets the needs of the clinicians.

    In a recent conversation with a client, we were told that the doctors “run” when they hear about data conversions. A common complaint is that the records are not accurate or timely. Data that is not trusted or found to be valid can lead to many issues and ramifications throughout a patient’s healthcare continuum such as inefficiency, unnecessary services, or even harm to patients, so it is crucial that healthcare institutions ensure data accuracy and integrity.

    If the legacy data is missing or incomplete, healthcare providers could be left without the needed information to make the best clinical decisions. The patient data must be presented in the new EHR in a way that is meaningful to the physicians and clinical staff.

    Many organizations consider just-in-time chart updates as opposed to a larger scale data migration prior to go-live. This method, in theory, prepopulates the patient chart just prior to the patient being seen and therefore eliminates the need to migrate records of patients who may not return to the system hospitals or clinics in the near-term. The record input function would be managed by personnel at the individual clinical practices. The biggest drawbacks to this method are accuracy, record aggregation, and cost. With no quality checks, limited access to multiple charts for the same patient, and the impact on clinical staff, there are a number of roadblocks to a successful implementation using only this method.

    At Versio, we recommend a modified “just in time” to accommodate those patients seen frequently as well as those with upcoming appointments. We prepopulate the EHR before go-live with these patient records and, as the client wishes, continue to work through other patient files that are less emergent. Our process employs numerous quality checkpoints and we aggregate patient records across your system. Your already busy clinical staff will not be overwhelmed with data input (no bottlenecks) and your rollout will stay on schedule. This approach will, in the end, improve physician adoption rates of your new EHR. Versio offers consultation services to help you determine appropriate data sets and which legacy records to migrate.

    Contact us for a demonstration of our process and you can be one step closer to ensuring a successful EHR implementation. sales@myversio.com or 253-277-0505. For additional information regarding our service lines, visit www.myversio.com

    1 http://www.acgroup.org/images/2012_White_Paper_-_Advanced_Coding_through_your_EHR.pdf

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