EMR can be of great help to doctors, hospitals as well as
patients if implemented properly. We see following important rules that should
be followed for best EMR Implementation practices.
1. Train Nursing Staff: According to experts the first and
foremost offence related to EMR Implementation is to forgetting to train your
nursing staff. EMR is not just only related to physicians. Although physicians
are the main owner and decision maker but they are not the only users of the
EMR. As far as the usage data is concerned Nurses as 75 percent of user of the
chart whereas physicians only 25 percent users of chart. So a successful EMR
implementation focuses on how the nurses can assist the physician in the
integration of EMR into their clinical workflow.
2. Take EMR Implementation as opportunity to change and
improve workflow: At this point it is important to remember that EMR should not
be used as magic stick to fix holes and other issues in workflow. According to
Steve E. Waldren, MD, director of AAFP
Center for Health IT,
"Most people think that EMR solves problems, but actually EMR will only
amplify problems that already exist in practice."
3. Schedule more training: As EMR is a complicated
environment with a lot of regulation, coding and documentation, so there is
need of dedicated time for training. There is need of scheduling time outside
of office hours for you and your staff to get on EMR and actually going through
all tasks that you will perform when it will go live. And this should be
scheduled after office hours because if you close office hours then it may cost
you overtime or even lost productivity. You should also budget for additional
training costs, so that you can get the most from your investment in EMR Implementation.
4. Expect for the stress and effort required over several
months: Although EMR implementation is full of features and functions that will
bring efficiency to our operations, but you should also keep in mind that
adoption of technology is an iterative process so it is impossible to take full
advantage of it within first two weeks of your go live. She said that groups
will be in learning and adoption phase of transition for proper EMR
Implementation to several months, although it looks tiresome but you should be
prepared for that.
5. Round on providers and clinical support staff: Just as
nurses and clinicians round on patients at hospitals, experts suggests of
rounding on everyone in practice to measure their EMR comfort level.
"After few months you're go-live you should visit each and every user for
even few minutes to observer and identify shortcuts", says Nelson. Or
otherwise you can offer tips on how they can use
EMR more efficiently and
properly. In that way learning is quick and non-threatening.
6. Personalization and recognition of differences among
physicians: "Don't try to compel all physicians to do same thing, because
incorporating technology into all personal use is not one-size-fits-all".
She added more that even different people use simple technologies like email
and word processing differently. And EMR implementation provides several ways
to accomplish same task, and it might add complexity to training, so you should
be sure to offer
EMR providers the variety that will fit your practice style
the best.