Health IT Implementation: Ambulatory and Long Term Care

“Collaborate with facility leadership and front-line implementation teams to focus on the analysis of current operational environment and core clinical processes, identification of facility-specific user requirements, incorporation of best practice guidelines and quality improvement and compliance reporting into system functionality, standardization of processes to improve efficiency and effectiveness prior to automation, and strategy to optimize technology features and incorporate its use into redesigned clinical workflow.

Multi-state implementation of Hewlett Packard's Digital Pen and Paper Technology:

AHRQ/QIO Collaborative Project in Long Term Care (CA, AZ, ID, and MD). Project Directors for multi-state implementation effort to disseminate a quality change strategy with demonstrated track record of results: reduction of pressure ulcer development and reduction in operational inefficiencies. Project management: establishd and managed overall project plan for 20+ facility implementation teams and individual facilities, facilitated multidisciplinary facility implementation teams to standardize CNA documentation, implemented PU tracking documentation for wound nurses, integrated resident-specific reports into daily workflow to support clinical decision making for optimal care planning, redesigned communication flow across front-line teams, and provided on-site implementation and training support of digital pen technology; served as liaison with vendor to coordinate development efforts, enhancement requests, and priorities for future module development; maintained development project plan and timeline. AHRQ project overview

Implementation of IT for CNA and Wound Nurse documentation in nursing homes:

AHRQ HIT Project Long Term Care. Project Directors for AHRQ funded project to facilitate implementation of clinical technologies at participating facilities. Developed and coordinated global and individual facility project plans, facilitated integration of best-practices data elements for pressure ulcer reduction into three clinical applications purchased by participating facilities. Worked with leadership team to establish clear business and operational goals to optimize use of new technology and integration of IT into daily workflow. Served as liaison between facilities and vendors to ensure availability of resident and unit-specific reports to support clinical decision-making. Established baseline measures and process to collect ongoing assessment measures. Provided summary feedback results to support development of business and operational objectives. AHRQ project overview

Physician Practice EMR: Orthopaedics (North Carolina):

Established and managed project plan and timeline for 18-month implementation NextGen EMR for large, multi-site orthopedic practice. Project management: pre implementation assessment of administrative and clinical workflow to identify front, mid and back office clinical and operational requirements; workflow redesign to incorporate new technology into daily workflow and minimize impact, gain operational efficiencies, and promote staff and patient satisfaction. In-depth analysis of documentation requirements with emphasis on development of core data set to support efficient and timely clinical decision-support. Clinical content development for physician point-of-care documentation; content development for point-of-care documentation by physical therapy staff using touch screen kiosks as input device; eliminated paper documentation and transcription by physical therapy staff within 3 months of system implementation. Go-live support of EMR implementation for 250 end users including 24 physicians at 9 locations; achieved organization objective to reduce 12 FTE's in transcription department within first year of implementation.