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How to Handle EHR Updates

Fairview Health Services creates a list of the top 10 most impactful features of the EHR at the time of each EHR update.

Created in partnership with Fairview Health Services

Publish Date: 05/10/2018

Cost to Implement:

$ - One Time Cost

Time to Implement:

0 - 6 Months

Program Goals

Instruct clinicians about EHR changes in a positive light
Bring helpful features, whether old or new, to the attention of clinicians

Organizational Outcomes

85th percentile for provider EHR personalization
95th percentile for provider use of personalized report views
88th percentile for nursing EHR personalization
96th percentile for nursing use of personalized report views

Collaborative-Verified Best Practices

Engaging Training

What Fairview Health Services Did

<h2>Program Goals</h2><ul><li>Instruct clinicians about EHR changes in a positive light</li><li>Bring helpful features, whether old or new, to the attention of clinicians</li></ul><h2>Organizational Outcomes</h2><ul><li>85th percentile for provider EHR personalization</li><li>95th percentile for provider use of personalized report views</li><li>88th percentile for nursing EHR personalization</li><li>96th percentile for nursing use of personalized report views</li></ul><h2>Collaborative-Verified Best Practices</h2><p>Engaging Training</p><h2>Keys to Success</h2><ul><li>It is important to have providers talk with providers about the best changes as it eliminates a level of distrust that some clinicians have with EHR vendors.</li><li>When going to discuss the changes with providers, do so in their existing meetings. This allows providers to learn of changes without losing time spent on patient care.</li><li>Try to make the top 10 list an impactful list for all EHR users, whether the features are new or old. Intentionally choose features that will impact the majority of the organization.</li></ul><h2>What Fairview Health Services Did</h2><p>Fairview Health Services had an EHR update in 2017 that erased user versions of order sets, where providers had saved their preferences. Leadership knew that this would happen, so to get in front of it, they created a list of the top 10 EHR features relevant to the overall upgrade that had the most positive impact on clinicians' workflows. For example, the order sets would be erased, but Fairview announced this with the news that user versions of order sets could now be shared. In one hospital, the PAs recreated the order sets with their preferred orders and shared them with those they worked with. Sharing the news in a positive manner changes the reception from "Oh my goodness, you're changing my stuff" and "Yes, it is going to change, but it's going to make my life way better."</p><p>When an EHR update is planned, Fairview Health Services has a clinical informatics team composed of physicians and nurses who understand how the EHR is built and used, and this group reviews the EHR changes. They put together a list of the most helpful features in the EHR that will be in the update. The list comprises mostly general changes that will impact the most care-team members but can be tailored to address specialty-specific changes as well. Fairview Health Services has discovered that many providers don't even know what functionality is available in the existing EHR version. If an EHR personalization is being underutilized, Fairview can include this personalization in the top 10 list as a helpful function. They did this with chart-review filters and saw adoption increase after the list was released. The top 10 list is distributed via email and is also shared in person by informatics providers. The informatics team visits the major committees, like the medical executive committee and the chairs of all the hospital departments to discuss the best changes. They also go to departmental and regional leadership meetings for ambulatory clinics. These upgrade updates are designed to be delivered to clinicians in meetings that are already built into their busy schedules. It is quite important that providers are going out to talk with other providers about these changes. It completely changes the discussion from the EHR being at fault for changed layouts to providers feeling enabled by new functionality.</p>

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Topics

Clinician Efficiency and Personalization

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