Vice President, Chief Nurse Informatics Officer Advocate Health Care Mary Kane MS, RN-BC Vice President, Chief Nurse Informatics Officer Advocate Health Care

Objectives Describe the role of informatics to the success of EHR implementation Identify three proven strategies used to increase likelihood of long term adoption and sustainment post implementation  

Role of Informatics-Bridge the Gap between IT-Operations Governance Guiding principles Charter Decisions made closest to the work Involve key stakeholders from: -Operations -Clinical -IT -Finance/Rev Cycle -Digital/Marketing -Business Intelligence

Application Project Management Project Steering System Hospital/Clinic-based Subject Matter Expert Groups Internal to the Business: HIT, Core team analysts/Principal Trainers/Informatics/Other Design Contributors Application Project Management Executive Sponsor External To The Business: Joint Commission, other regulator, vendor etc. Digital Readiness Steer Revenue Cycle Readiness Steer Clinical Operations Readiness Steer Ambulatory Operations Readiness Steer Clinical/practice councils Others? BI Readiness Steer Decision making closest to the work wherever possible

Role of Informatics-Design Elegant Workflows Manage Requirements Work with the Software Visually Model the software Verify Software Quality Control changes

DIKW Model for Informatics Reducing Na intake will decrease likelihood of CVD High Sodium, Weight, BP will increase likelihood of CVD High Sodium will lead to increased weight, BP Sodium, Weight, BP

Role of Informatics- Execute a Flawless Go-Live Ensure the site owns the project Training plan has to fit the culture, space, and needs of the end-users Go-Live Playbook Make it fun! “It is the latest EHR upgrade Nurse Jones. Now you will make the same mistakes only faster”

Sustainable Change Transformational leadership is a style of leadership where the leader works with others to identify the needed change, creating a vision to guide the change through inspiration, and execute the change in tandem with committed members of the group

In order for change to be sustainable: Future has to look better than the present Leaders have to be personally committed Organization has to have the capacity to change The culture has to have the capacity to change The change has to deliver the promised outcomes

Sustainable Change 1. Execute on the intended design, working WITH the software

Sustainable Change 2. Make it as simple as possible

Sustainable Change 3. Measure your results -Pre/post Metrics Adoption Chart Audits Nursing Satisfaction 3. Measure your results -Pre/post -Objective/subjective -Take action

Since Go-Live, the Average Time & Clicks to complete the Admission Form has decreased by 8% and 20% respectively The admission forms are the areas of greatest focus

Number of Charts Audited Objective chart audits

WDL Except Documents ONLY Abnormal Values Missing data from TRI IMMC and LGH may need additional education on philosophy

Question 2: How easy is it to correctly choose the patient’s medical history from the Problem List? In the Pre Survey 32 % were somewhat difficult or below and 56% were in the somewhat easy or extremely easy category At 90 days 25 % were somewhat difficult or below and 74% were in the somewhat easy or extremely easy category PRE n=1160 POST 30 n=630 POST 90 n=438

Good Shepherd Nurses: What they are going to do with more time?

CMC & ACH-OL Site Command Center

“I was able to help other nurses and with procedures on the floor.” – Pediatric nurse, 2 Center, Advocate Children’s Hospital – Park Ridge

Thank you! Not to be duplicated without expression permission from Mary Kane @ mary.kane@advocatehealth.com