Enhancing Adoption Mid- Implementation

Ellen PiernotMedical Director for Primary Care and Health Information

11/9/11HIT Capstone Presentation

• 30 Medical Clinics• 7 Dental Clinics• 22 Behavioral Health

• In 38 locations throughout the state of NM

• The diversity of services includes primary medical, dental, behavioral health, children's services, home care, hospice, and senior programs. These programs are delivered by PMS as a result of the organization's ability to respond to the unmet needs of those living throughout New Mexico.

• In 2007, the per capita income in New Mexico was $31,474, 19% lower than the national average, ranking the state 43rd in the nation. In the same year, approximately 96% of PMS clinic consumers are at or below 200% poverty.

• Implementation started 18 months ago in my clinic

• 10 Medical Clinics remaining• The Problem: We have changed a lot of our

processes along the way which we are implementing with our new sites, but how do we circle back and get this information to our “live” sites

• Honestly– we didn’t have a clear communications, training or post implementation plan so ….

We are attempting to refuel mid flight– and we are not this good by any means

• My Plan:– Develop a Communication plan• Address preferred medium for communication• Delineate a post- go live Needs Assessment• Clearly define our Executive Champion

– Develop a Post Go- Live Training Plan• Start a weekly email “Tip” for EHR maximization• Continue to Solicit Feedback on what needs improving

with the caveat that all feedback receives a response from the EHR team • Vet new ideas through the EHR Provider forum

• Develop a Clinical Decision Support Tool– Evaluate what our Vendor (NextGen) offers– Customize where needed– Create a message for providers on why we are

doing this and what we hope to accomplish to support Benefits Realization Plan (which I am also working on developing…).