1. GOVERNANCE COMPLIANCE ORGANIZATIONAL SUPPORT Becky Dawson, BSN, RN-C Nursing Informatics IT Project Manager, Skagit Valley Hospital

2. State of Attestation  30 hospital attested in 2014  26 Stage 1  4 Stage 2  225 providers attested in 2014  175 Stage 1  50 Stage 2 Source: CMS Office of eHealth Standards and Services, May, 2014

3. Just because you built it… doesn’t mean they’ll use it!

4. First, seek to understand  Traditionally viewed as “captain of the ship”  Autonomy  My way is The Right Way  Value defined activity

5. Governance – Who will lead them? Leadership Representation Authority Compliance  CMIO/Medical Informatics  CMO  Non-Medical Executive  Nursing Informatics  IT Department  Not specified

6. Relationships & Structure Process Executive Support Technology People Governing Architecture Support Interface Change Culture

7. Getting to YES  Demonstrate value  Drop the sugar-coating  Transparency  Acknowledge professional behavior