The real work starts after implementation

The real work starts after implementation

Jerry Fahrni, Pharm.D. Product ManagerTalyst, Inc

Describe components necessary for BCMA success Describe components necessary for BCMA success

Describe tools to go beyond traditional troubleshootingDescribe tools to go beyond traditional troubleshooting

Identify need for multi-disciplinary collaborative effortsIdentify need for multi-disciplinary collaborative efforts

Identify methods to analyze human factors associated Identify methods to analyze human factors associated

with BCMA failurewith BCMA failure

Identify tools utilized to go beyond basic data analysisIdentify tools utilized to go beyond basic data analysis

Defend punitive measuresDefend punitive measures

4And now for the blah, blah, blah…

5

BCMABCMA

Problematic

Valuable

A journey

Disruptive

Experimental Educational

Fun

Labor intensive

Time consuming

Resource heavy

Lifetime work

6

5 SUGGESTIONS FOR 5 SUGGESTIONS FOR POST-BCMA POST-BCMA

SUCCESSSUCCESS

7

Develop the right team …

8

Pharmacists and nurses should be involved with the … BCMA system.

...policies and procedures should be developed by an interdisciplinary team…

Pharmacists and nurses should be involved with postinstallation evaluation and system improvement.

The role of nurses as end users of this technology should not be underestimated; nursing involvement is essential to successful system implementation and use.

9

“…it isn’t electronic medical records, superstar physicians, adherence to protocols, high-tech equipment, or data on re-admission rates that make a hospital great, it’s the culture - how people communicate and support each other and the organization.”

– Richard Reece, M.D.

Source: http://medinnovationblog.blogspot.com/2011/03/search-for-very-best-hospitals.html

10

11

Drag the c-suite into the weeds with you

“Politicians are the same all over. They promise to build a bridge even where there is no river.” - Nikita Khrushchev

12

Dig, dig, dig … tunnel if you must

14

DATA MININGDATA MINING

15

TROUBLESHOOTINGTROUBLESHOOTING

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Sometimes it’s the product Sometimes it’s the user

Sometimes it’s the tools

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THE PRODUCTTHE PRODUCT

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19

THE TOOLSTHE TOOLS

22

THE HUMAN ELEMENTTHE HUMAN ELEMENT

“We cannot change the human condition, but we can change the

conditions under which humans work”

- James Reason

Source: BMJ. 2000 March 18; 320(7237): 768–770.PMCID: 

Don’t just read the reports….

25

“nothing good ever happens in the office”

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27

28

29

BARCODE UNREADABLE

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BARCODE UNREADABLE

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32

Find the holes…. before and after

33

Failure Modes and Effects Analysis (FMEA)

34

Controlling the human element

Adequacy of preparation

Addressing system issues

System management post “Go Live”

FMEA results in a nutshellFMEA results in a nutshell

36

““I’m over here…”I’m over here…”

“…“…uh, you should be here”uh, you should be here”

37

Controlling the human element – well, sort of…

Adequacy of preparation – bummer

Addressing system issues - nailed it…Yay!

System management post “Go Live” – 50% is good, right?

FMEA results in a nutshellFMEA results in a nutshell

38

Show a little tough love…

39

Just Culture –

“…A just culture recognizes that competent professionals make mistakes and acknowledges that even competent professionals will develop unhealthy norms (shortcuts, “routine rule violations”), but has zero tolerance for reckless behavior.”

Source: California Hospital Patient Safety Organization

40

WILLFULWILLFUL: done deliberately : intentional

<as in willful disregard>

Source: Merriam-Webster

41

Develop the right team and take it seriously

Dig through the data

Get out of the office

Find the holes in the system

Don’t use “just culture” as an excuse to ignore bad behavior

SummarySummary

Thank you for attending this session.

The real work starts after implementationJerry Fahrni, Pharm.D.

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