Electronic Heath Record Implementation Tool

The EHR Implementation tool enables the Allscripts implementation consultants to make informed design decisions when configuring the EHR for their client hospitals to increase clinical satisfaction and EHR mastery.

Summary

Background

Allscripts contracted with the MHCI team to assist their client hospitals in improving clinical satisfaction and mastery with their EHR product called Sunrise EHR.

Business Objective

Increase clinical satisfaction and EHR mastery.

Problem

Inefficient workflow around the decision-making process led to unnecessary customization on the EHR, increasing the overall cost and delayed timeline, resulting in poor product services and management.

Solution

Designed a web app for the implementation consultants to make informed design decisions when configuring the EHR for their client hospitals.

Research

Understanding the current state

the EHR implementation Journey

We conducted 50+ interviews with stakeholders and end users to understand the end-to-end EHR implementation and post-activation process. Throughout the process, we learned many pain points and  opportunity areas we could focus on.

Identifying and prioritizing key opportunities

We collaborated with our stakeholders closely to prioritize the opportunities based on impact and feasibility. We agreed to tackle the workflow design because it could enhance the product’s overall usability and training issues down the road.

Governance

I can usually predict if a project will be successful just based on who's in the kickoff meeting. Is the clinical leadership engaged or is this seen as just an IT project?

Implementation Consultant

Workflow design

Sometimes, I see an EHR and I wonder whether they asked for any feedback from a nurse. I had to jump between three different systems just to do one thing.

Registered Nurse

Provider Training

We try our best to make training very personalized, but there have been times when I've had to train users on workflows that hadn't been finalized yet.

Training Consultant

Usability

I spend hours after work charting so that I can fulfill all my other duties. You'll see doctors looking at a computer screen instead of their patient.

Registered Nurse

Analytics

It's not enough to just measure the number of clicks. Ultimately, you need to measure whether what you're doing improves patient outcomes.

IT Consultant

Target Users for Workflow Design

Implementation Consultant

Struggles to get Michelle in the design validation meeting with other decision makers

Client Decision Maker

Michelle is busy day and night treating patients and filling out charts in the EHR

Why is the EHR Implementation workflow so inefficient?

Identified critical problems

Unengaged stakeholders

Key stakeholders are too busy to get them in a room to make configuration decisions.

no definite standards

Decisions and insights are not captured in a standardized method, making them vulnerable to misinterpretation.

wasted allscripts data

EHR usage data is underutilized in Allscripts’ management system, preventing efficient configuration processes.

Setting Design Goals

Increase Engagement

Engage end users early in the configuration process in a physician-friendly way.

Provide guidance

Guide clients to standardized
best-practices to minimize dissatisfaction.

Achieve Consensus

Enable visibility and shared understanding among different stakeholders.

Design exploration

Design Process

Initial design exploration

With the three goals in mind, we explored different product solutions to resolve the critical user problems in the EHR implementation workflow design process.

MockVision

Live preview of the EHR configuration

Increase Engagement

Quick feedback on mock-ups and demos

Workflow Visualizer

Document, analyze and get feedback

Progress Dashboard

Track the EHR implementation process

creating Low Fidelity wireframes

Based on stakeholder and user feedback, we created a product solution in which an Implementation consultant can generate a questionnaire regarding configuration decisions using the standardized template and send it to the client decision-maker to make decisions remotely.

MVP Design for Implementation Consultants

Create project on a topic using standardized templates

Many templates can be created based on the product and the project type. Our solution provides standardized templates for each decision topic to capture decisions accurately and efficiently.

Track Status on topics

A project tracker allows implementation consultants to see the progress of the implementation. Decision topics, status, responses, and owners are shown.

Track Responses

For each decision topic, implementation consultants can see details of the decision, including who made which decisions.

MVP Design for the Client decision makers

Physician-friendly input

Our product solution is designed to make critical decision-makers make informed decisions efficiently by providing the correct type of input method.

Guided Best-practices

Hospitals in similar categories share up to 60% to 80% EHR setup. Our product solution provides recommendations to guide decisions with past examples and resources.

Design Decisions

Through research, we made some critical design decisions to help implementation consultants and decision makers to provide and track decisions.

Providing the right type of physician input

In some cases, approval or denial is needed. In others, no decisions are on the table, and physicians can express opinions individually.

Providing context for informed decision making

It takes work to verbally explain to the physicians how the software feature will affect their day-to-day workflows.

Efficient Feedback Loop

Physicians can provide accurate feedback if they see what the feature looks like in EHR.

Allscripts recommendations

Provide best practices because up to 60% - 80% of EHR configuration can be shared between client sites.

Detailed progress tracking

Each consultant can track the implementation process and communicate to the build team.