1. Lisa Conrad, RN, BA, RAC-CT Director of System Integration Optimus EMR Inc. June 19, 2015

2.  Review Critical Post Go Live Success Factors  Review basic interface functionality  Discuss what is on the horizon for interface interoperability and user interfaces

3.  Long Term Success if dependent on continued process of assimilation of the features and functions of the technology into the fabric of the organization. ◦ Daigrepont J., McGrath D.; complete Guide and Toolkit to Successful EHR Adoption. Chicago:2011

4.  Leadership and Engagement ◦ Plan for uniform adoption and assimilation ◦ Ongoing management and planning to ensure optimal use of the EHR.  Goals during initial implementation ◦ Plans in place for handling technical malfunctions or disaster preparation and recovery.  Routine handling of day to day events  Hardware replacement budget  Updated disaster and recovery plans  Completely internet based  Internet redundancy  Identify various types of disasters

5.  Simple Internet Outage ◦ Symptoms ◦ Trouble Shooting Steps ◦ Charting Timeframes  Wi-Fi or Network Outage ◦ Symptoms/Trouble Shooting Steps/Charting  Redundancy Failure ◦ Cutover Procedure  Building Evacuation ◦ Start up plan in new location

7.  Ongoing Control of user group permissions ◦ Business Rules  Password attempts/content  Authentication  Log In and Out Process  Audit Reports ◦ Who accesses records and what records ◦ What data elements are used when records are created and when ◦ Revision history

9.  Culture and Communication ◦ Handling the change management process  Communication nature may be different ◦ Communication with departments when workflow changes are introduced ◦ Unrealistic outcomes  No Human interaction  Unrealistic expectations of complete dependability/efficiency  100% uptime  Any workflow change or new feature involves a learning curve

11.  Training and Resources ◦ Ongoing staff training  Turn over training  New feature training ◦ Reviewing use drivers(goals during implementation)  Improved quality care, efficiency and patient safety  Decreased errors  Increased staff interest with improved access and management of data

15. Uni-directional Bi-directional Types of communication File Socket Secured mailbox

16.  Data in a variety of forms ◦ Resident Data ◦ Documents ◦ Images ◦ Between differing systems  Facility-Hospital  Facility-Ancillary Providers (internal and external)  Facility-RHIO-ACO-HIE

18.  Standardization in nomenclature across the continuum ◦ True Bi directional interfaces  Universal message types ◦ Resident Safety Features  Dispensing safe guards  Financial safe guards ◦ Improved handling discrete data elements ◦ Better privacy and security standards

19.  Cooperative processes across organizations and geographical locations ◦ Sharing of data within organizations  CCRC capabilities ◦ Sharing of data outside of organizations  Vendors  RHIOs  Globally

20.  Structured Data Elements ◦ Standard elements software vendors use are going to need to be adopted across the continuum ◦ CCD documents evolving ◦ Natural language understanding  Making that dictation come to life

21.  Human-Computer Interaction ◦ Continual testing during the design process ◦ Better understanding of the user capabilities and limitations ◦ Providing effective interfaces for both patients and health care workers  Alert Fatigue and CDS ◦ Right Alert ◦ Right Caregiver ◦ Right Time

23.  Biometric authentication ◦ Retinal ◦ Voice ◦ Vein/fingerprint  Human Teaching through Technology ◦ Virtual assistants ◦ Dementia Programming  Memory Stimulation  Behavior Symptoms Reduction ◦ Stroke Rehabilitation  Motion recovery