As any reader of this blog knows, it takes a lot of consensus building to successfully implement an EMR, whether you’re rolling it out across a large health system or within a small medical practice.
The thing is, I get the sense that many of the day-to-day staffers who will have to live with the EMR system aren’t consulted during the acquisition process, or only at best, only get to participate late in the game.
I’ll remind readers up front that I’m a journalist, not an EMR consultant, but from what I’ve seen, the following healthcare professionals seldom get much input into EMR decision-making:
- Front-line nurses
- Nurse managers
- Billing managers
- Coding professionals
- Medical practice managers
- Day-to-day IT support staff
- Medical assistants
While admittedly, some of these players play a more central role in patient care than others, they all have a window into what the EMR should deliver. And if you asked them to review the vendor demo, examine the features and pose some questions, they might find issues that you hadn’t anticipated.
They might also note process problems that you weren’t aware of which, even if they can’t be solved by the EMR itself, may never come up for discussion during the normal course of business.
All told, my sense is that if a hospital or medical practice circulated questionnaires asking a broad range of staffers what the EMR should do, and what’s not working in the current environment, they’d make better decisions and learn a lot about their organizations along the way.
Unfortunately, I doubt this will happen much, as healthcare is still lamentably hierarchical and riddled with inefficient top-down decision making. But hey, the idea’s worth a mention…