2 part HCM
Table 9.1 Action Plan for Acquiring and Deploying an EMR System in a Physician Practice
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Action Plan Objectives: · 1. Consult with EMR system vendors about critical specifications, available options, and related costs. · 2. Consult with physicians in the practice about their specific wants and needs in an EMR system. · 3. Define a decision-making protocol for choosing an EMR system and vendor. · 4. Establish and apply criteria for evaluating system options available from vendors. · 5. Invite proposals/presentations from vendors. · 6. Analyze and discuss options. · 7. Select system and vendor. · 8. Negotiate with vendor for purchase of system and related services. |
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Action Plan Metrics: · Signed system and services purchase agreement within six months. · Initial system cost not to exceed $650,000; annual service contract cost not to exceed $90,000. · Physician involvement in decision-making process—75 percent. |
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Specific Implementation Activities: · 1. Consult vendors (weeks 1–4) · Identify relevant vendors (IT staff) Request detailed information on products (IT staff) · 2. Consult physicians (weeks 5–7) · Initial meeting with physicians (IT manager, business manager, physician leaders, all physicians) · Provide list of potential system capabilities (IT staff) · Conduct written survey of physician wants and needs (IT and business staff) · Second meeting with physicians to discuss system options and capabilities (IT manager, all physicians) · 3. Define decision-making protocol (weeks 6–7) · Draft decision-making protocol (IT and business staff) · Discuss with physician and business leadership (IT and business staff, business and physician leaders) · Finalize and approve decision-making protocol (business and physician leaders) · 4. Establish criteria (weeks 8–9) · Using information from vendor and physician meetings, draft criteria (IT and business staff) · Discuss with physician and business leadership (IT and business managers, physician leaders) · Finalize and approve decision-making protocol (business and physician leaders) · 5. Vendor proposals/presentations (weeks 10–14) · Invite vendors to make proposals/presentations (IT staff) · Schedule presentations at the practice offices (IT staff, physician leaders) · Debrief and critique the presentations (IT and business staff, all physicians) · 6. Analyze options (weeks 15–16) · Prepare summary sheet on the systems and vendors (IT and business staff) · Narrow the number of systems and vendors to a few (IT and business managers) · 7. Select system and vendor (week 17) · Final meeting with physician and business leaders to make final decision (IT and business managers, physician leaders) · 8. Vendor negotiations (weeks 18–22) · Initiate negotiations with selected vendor for chosen system (IT and business managers, legal counsel) · Complete negotiations and sign purchase and service agreements (IT and business managers, legal counsel) |