Performance

Issue Selection
Information technology has revolutionized the way our healthcare and financial systems are operated to provide quality patient care. Currently in the year 2014, the healthcare organization constantly seeks changes, specifically at Hackensack University Medical Center, through EHR implementations, hospital billing, merger of clinical documentation with revenue cycle, meaningful use regulations, ICD-9 to ICD-10. Each component is an important aspect of information technology and its evolving trends. As we continue to witness the advancement of technology, it is impacting the delivery of healthcare through clinical performance, electronic health record but most of all it is an expansion of knowledge; the ultimate goal of information technology in healthcare organizations is to reduce cost, improve productivity but most importantly provide effective patient care. There are many organizations seeking to be ahead of surrounding competitors in order to maintain the organization’s vision, value and mission statement which contributes to the advancement in information technology. While information technology continues to advance, it is being used to serve one of the most diverse populations known to mankind (Langabeer II, 2008).
Although the cancer center is a part of the hospital they are a considered an outpatient place of service which means private practice and part hospital services. According to an article by author Christina Orlovsky focusing on technology provides importance of such small wonder increasing consumer engagement while enhancing patient coordination for the clinicians, if all institutions adapt to electronic health record (EHR). While EHR is impacting the healthcare industry, many organizations are seeking to use minimally invasive procedures in order to reduce risk of infection and easier recovery time which continues to be tested as technology trends evolve (Orlovsky, 2010). Within our organization, there are many registered nurses on the information technology team who can attest to implementations procedures, and design selection because they are aware of the documentation process on the units. By having support of nursing staff that uses the system daily, it allows the IT team to have a greater impact on the safety of patient care and improve workflows for those on the units and the outpatient centers. The focus of healthcare is dependent on the organizations financial status without especially those in the IT department. Without the information technology team, there will not enough individuals to create successful implementations and to provide post implementation support of EHR. Without sufficient funding from the board members and the CEO of the organization the mission statement cannot be completed (HackensackUMC).
Team Charter The purpose of the team charter is defining the context, specifics and plans of an improvement project, includes business case, problem, goal statements, constraints and assumptions, roles, preliminary plans, and scope. It will be reviewed with the project sponsors who in turn will ensure the alignment and approval before the project will begin (Lighter, 2011). The goal of the issue is to make the lives of patients easier and the ensure technology is being used to the best of its ability with the assistance from the clinical information technology staff. Before implementing the project there will be numerous meetings amongst the broad members which will discuss the budget, sponsors, target dates, reasons for change, departmental manager oversight, team leaders, training, education pre-implementation and post implementation. One of the major downfalls with implementation is the post phase which is rarely looked up. The goal of implementing the various functionalities to integrate with electronic health records will be a continuous process but the end product is providing quality care for patient not only clinically but electronically as well (JTCC, 2014).
Team Composition
Hackensack University Medical Center via JTCC EHR Implementation
(Gantt Format - sort by end date)

Column1
Task
Individual Owner
Start Date
End Date
Status
3
Project team staffing complete
Gail-Senior Management
7/1/2014
8/7/2014 4
Meaningful Use Demonstration
Mike F-Project Lead
7/6/2014
8/8/2014 5
Meaningful Use Selection:
Mike T
7/6/2014
8/8/2014 6
Objectives –Clearly Stated
Mike T
7/6/2014
8/8/2014 7
Examine Quality Measures
Mike T
7/6/2014
8/8/2014 8
Grouper record import
Mike T
7/6/2014
9/15/2014 9
IT to attend walk-thru process
John/IT
9/4/2014
9/15/2014

10
Super User Program Defined
Joann/Brenda
9/1/2014
9/28/2014

11
Build workflow 50% complete
Pat/Bob/Meagan
7/1/2014
9/30/2014

12
BMT SmartForm development delivered
Holly Matthews
9/1/2014
9/30/2014 13
Identify any specific considerations for Fr Lakes build Ganesh
9/15/2014
9/30/2014 14
BPA build
Mike F
7/6/2014
10/1/2014 15
Clinical Charging Workflow Determined
Anne Goodwill- Finance VP
09/17/14
10/19/2014 16
ID list of Clinical users that will be entering charges and Dx
Cynthia/Sujartha
10/15/2014
10/23/2014

17
Build workflow 75% complete
Pat/Bob/Meagan
7/1/2014
10/30/2014

18 - List of all JTCC clinical users complete
Megan
10/1/2014
10/30/2014

19
Define patient priority groups for abstracting (frequent fliers, patients with appts in the first few weeks of go live, etc.) and determine a total number of patients targeted for abstraction ahead of go-live
Brenda-JTCC VP/Joann
10/1/2014
10/30/2014 20
Training Room identified and scheduled
Brenda/Joann/Regina
10/1/2014
11/1/2014

21
Make scanning solution decision (typically 6 months timeframe)
Focus of Shafiq-CIO
10/1/2014
11/1/2014 22 - Finalize training strategy and logistics
Joanne/Regina
10/15/2014
11/1/2014

23
Create class schedule
Joanne/Regina
10/15/2014
11/1/2014

24
Testing Kickoff with Testing Coordinator
Rose - App testing
11/1/2014
11/1/2014

The above excel sheet is an outline of the project each member of the team will be responsible for with start and end dates. Some of the task includes more than one individual because its significance to the implementation clearance will be required by management before a staff member can execute the task. The timeline will be used as a guide for staff to set individual goals amongst each in order to complete the task on time. Each team member contributes to the implementation in a different manner but ultimately will hold the key as a unit for the go-live of the implementation (JTCC, 2014).
Tools for Initial Meeting During the initial meeting of the implementation there will be many tools required to begin the project. First and foremost we will address goals and realistic expectations along with setting specific and measurable goals (Lighter, 2011). Secondly the important individuals who will be overseeing the project which will more than likely be the CEO, physician champion(s), senior management as well as departmental mangers each of which will explain their functionalities and role during the project. Before addressing the team, upper management will receive onsite/onsite training of the material before presenting it. While some roles during an implementation is bigger than others, it is important all roles are addressed. The main focus on the initial meeting will be to discuss overall workflow, design, strategic methods, interfaces, applications, training, support, and most importantly the actual go live phase. The first meeting should not be an overload of information but it will cover the overall expectation of the project. The initial meeting will include agenda’s with training manuals, power points and timelines for each individual with their assigned task. It will give the staff the opportunity to ask questions and voice concerns about the project (Adler, 2007). Although there is a set timeline for the project it is critical to expect the unexpected and prepare for the worse. Most importantly we will discuss the benefits of the project and why it is important to the organization and our patients and keep in mind the budget given by upper management. In order for goals to be accomplished it is vital staff members have the necessary resources to get the job completed within the expected timeframe. The first meeting will allow the team to process the over goal, expectation, timeline, and outcome of the implementation (Adler, 2007)

Reference

Adler, K. G. (2007, February 14). How to Successfully Navigate Your EHR Implementation. Retrieved August 1, 2014, from Family Practice Management: http://www.aafp.org/fpm/2007/0200/p33.html
HackensackUMC. (n.d.). Hackensack University Medical Center: Where medicine meets innovation. Retrieved August 1, 2014, from Hackensack-About Us: http://www.hackensackumc.org/our- services/
JTCC. (2014). A NEW BUILDING TO DELIVER EXTRAORDINARY CARE. Retrieved August 1, 2014, from John Thuerer Cancer Center: http://www.jtcancercenter.org/about_us/around_campus/a_new_building_to_deliver_extraor dinary_care/
Langabeer II, J. R. (2008). Health Care Operations Management: A Quantitative Approach to Business and Logistics. Mississauga, Ontario Canada: Jones and Bartlett Publishers.
Lighter, D. E. (2011). Advance Performance Improvement in Health Care. Mississauga, Ontario: Jones and Bartlett Publishers.
Orlovsky, C. (2010, January 15). Device & Technology : Five Key Trends in Health Care Technology. Retrieved August 2, 2014, from NURSEZONE: http://www.nursezone.com/Nursing-News- Events/devices-and-technology/Five-Key-Trends-in-Health-Care-Technology_33254.aspx