1 EHR's and Organizational Change Panelists: Melissa Larkin-Skinner, Chief Clinical Officer, Manatee Glens, FL Steve LaFleur, Chief Information Officer, Grand Lake Mental Health Center, Inc., OK Ravi Ganesan, President, Core Solutions, Inc., PA (Moderator) Agenda • Brief Introductions • Transformational Impact of EHRs • Case Studies – Grand Lake Mental Health Center, Inc., OK – Manatee Glens, FL • Q&A
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EHR's and Organizational Change - ncc.expoplanner.com · 3 Transformational Impact of EHRs Transformation Organizational Culture Resistance to change Change Management Creating a
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– “Culture is not just for Google or Apple. You are
creating a culture whether you like it or not. You can
lead your culture towards adoption or not. There will
be a culture either way.”
Resistance To Change
• Impacts
– Project delays
– Budget overruns
– Underutilization
• Theoretical Research
– Equity Implementation Model
– Status Quo Bias
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Equity Implementation Model
Net Equity
+/- Outcomes
+/- Inputs
Level 1
Level 2
Level 3
Perceived outcome for the user compared with
perceived outcome for the employer
Perceived outcome for the user compared with
perceived outcomes for other users
Source: Use of the Equity Implementation Model to Review Clinical System Implementation Efforts. Thomas W. Lauer, PhD,1 Kailash Joshi, PhD, and Thomas Browdy, PhD
Equity Implementation Model
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Change Management
Source: Change Management in EHR Implementation, National Learning Consortium http://www.healthit.gov/sites/default/files/nlc_changemanagementprimer.pdf
Change Management
Source: Change Management in EHR Implementation, National Learning Consortium http://www.healthit.gov/sites/default/files/nlc_changemanagementprimer.pdf
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Change Management
Source: Change Management in EHR Implementation, National Learning Consortium http://www.healthit.gov/sites/default/files/nlc_changemanagementprimer.pdf
Change Management
Source: Change Management in EHR Implementation, National Learning Consortium http://www.healthit.gov/sites/default/files/nlc_changemanagementprimer.pdf
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Case Study
A CLINICAL LEADERSHIP PERSPECTIVE
Melissa Larkin-Skinner, MA, LMHC
Chief Clinical Officer Manatee Glens
Leadership Commitment
Vision
Communication
Resources
Support
Empowerment
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Organizational Project vs IT Project
Executive
Clinical
Finance
IT
Data
Records
QI
Compliance
Goals
Intent
Direction
Revisit often
Avoid mission creep
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Why?
Really Why
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Interpreters Needed Clinical
Finance
IT
Finance
IT
User Readiness
Introduction
Skills
Training
Expectations
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Manage Expectations!
How?
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The Forever Project
Case Study
A CHIEF INFORMATION OFFICER’S
PERSPECTIVE
Steve LaFleur
Chief Information Officer
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Grand Lake Mental Health Center
• Outpatient Behavioral/Physical Health
Services
• Serving NE Oklahoma (over 5,000 square
miles) since 1979
• 3,160 Active Clients – 2266 Adults and 894
Children
• 10 Physical Locations - 255 Staff
Grand Lake – EHR Evolution
• Early adopters of EHR
– Initial focus on billing and A/R (1995)
• Moving EHR in a strategic direction
– Upgraded Billing Software (2000)
– Decision to Bring on CIO in 2010
– Accelerated Clinical Implementation (2010)
– Moved from doubting data to leveraging data
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Strategic Goals
• Time To Market
– Changes at the state level required GLMHC
to be able to respond rapidly to survive and
thrive. GLMHC choose to thrive!
• Focus on Performance
– Intense focus on performance (billable hours,
outcomes) at all levels of the organization.
• Decentralization
– Move to a decentralized organization by
empowering supervisors and staff with data.
Organizational Change
Culture
• Performance Oriented • Commitment to continuous improvements
and incremental changes
Resistance To Change
• Well defined performance metrics • Willingness to enforce standards • Benefits of negative thinking
Change Management
• Simple, logical, incremental changes • Willingness to make mistakes and correct