Working with HIT Systems Unit 8a: HIT system planning, acquisition, installation, and training: Practices to Support & Pitfalls to Avoid This material.

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Working with HIT Systems Unit 8a: HIT system planning, acquisition, installation, and training: Practices to Support & Pitfalls to Avoid This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

Objectives By the end of this unit the student will be able to: Conduct a basic user needs analysis for a given example situation Create a plan for training users in a small office practice, a large community clinic, or a single unit in an ambulatory care setting Identify several potential challenges that may emerge during installation and generate a strategy to solve (lack of basic computer literacy in staff, etc.) Component 7/Unit 82 Health IT Workforce Curriculum Version 2.0/Spring 2011

HIT System Acquisition HIT acquisition = $$$ Careful planning Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring Image : MS Clipart

The Systems Development Process Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring Planning and Analysis Design (Acquisition) Implementation (includes training) Support/Evaluation (includes training)

Systems Acquisition vs. Development Availability of vendor solutions Application Service Providers Cloud computing Many other options Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring Image : MS Clipart

Implementation Steps Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring Planning Strategic Planning Project Management Information gathering User needs analysis Financial planning Acquisition Purchasing Process Support Planning Communication Planning Risk Management (Privacy/Security) Training Implementation Change Management Implementation Support Collaboration Training Evaluation Performance Indicators Reporting Evaluation Strategies Sustainability Operational Support

The Role of Strategic Planning Creating the vision Vision should lead the implementation, not the technology Work on vision fuels requirements gathering (needs analysis) Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring

Business Process Modeling Document current workflows Anticipate workflow redesign Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring

Business Process Analysis Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring Observe Interview Share Image: MS Clipart

Business Process Flow Chart Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring Patient Calls Front Desk answers the call Goes to the triage staff Med refill? Test result? Front desk takes message Front desk requests chart Triage documents yes no

Business Process Improvement Redesigning workflows New workflows could support: –Simplicity –Accessibility for patients –Safety –Comprehensiveness of documentation –Delegation New system = improved workflows Component 7/Unit 8 Health IT Workforce Curriculum Version 2.0/Spring