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Maintaining System Satisfaction Through Consistent Planning, Testing, and Communication
University of Iowa Hospitals and Clinics

Maintaining System Satisfaction Through Consistent Planning, Testing, and Communication

University of Iowa Health Care prioritizes system redundancy to maintain consistent user environments, communicates with clinicians about service impacts, and collaborates closely with the EHR vendor and clinicians for testing and upgrades.

Created in partnership with University of Iowa Hospitals and Clinics

Publish Date: 09/11/2023

Cost to Implement:  $$$ - Board Approved Cost

Time to Implement:  12 - 24 Months

Program Goals

  • Maintain consistent satisfaction with the EHR system's response time and reliability

Organization Outcomes

  • Providers are in the 89th percentile for response time
  • Providers are in the 90th percentile for reliability

Collaborative-Verified Best Practices

  • Reliability and response time

What University of Iowa Health Care Did

University of Iowa Health Care has implemented system redundancy to eliminate single points of failure in their EHR infrastructure, network, and data centers. Regular maintenance and planned replacements prevent technical debt, and updates are thoroughly tested on offline nodes before being implemented. Clinicians are informed of any service impacts, and communication templates are used to maintain consistency. Planned downtime is scheduled monthly and publicized to minimize disruption, and the organization provides consistent user environments through the use of Citrix and standardized laptops and through careful printer management. The EHR vendor is actively involved in monitoring and optimizing the platform, and upgrades are rigorously tested with the involvement of informatics staff and clinicians. This collaborative approach fosters usability and smooth transitions for clinicians.

How University of Iowa Health Care Did It


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These perspectives are shared to facilitate better collaboration and communication between members of the Arch Collaborative. We encourage organizations to thoughtfully adjust their current operations based on their own experience, the findings of this research, and other complementary sources of information.

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Arch Collaborative case studies are focused on highlighting success that Collaborative participants achieve with or through healthcare technology. They are meant to briefly advertise member success and act as starting points for ongoing communication and collaboration between member organizations.

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