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Summit Straight Ahead … Sort Of June 15, 2010

Posted by Darla in Adventures.
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A straight path up the hill. Or is it?

Precipitated by a lengthy construction delay on my way to work this week, I pulled out Through the Looking Glass, the sequel to Alice’s Adventures in Wonderland, and began to read.

Apparently, the Looking-glass House resides behind the mirror over the fireplace. Alice, upon climbing onto the chimney piece, found the glass melting away “just like a bright silvery mist” allowing her access to the house in the mirror. She carefully explored this new environment and found things practically backward from her real house, including the writing in the books.

Alice decided to explore further and left the house. She headed through the garden and aimed for the top of a hill by taking a path which headed straight for the summit. After a short walk, however, she found herself at her starting point: The back door of the Looking-glass House. She tried it again, heading for the hill on the straight path in front of her. And again she ended up back at the house. And so it happened that each time she set out on the straight path, she wound up right back where she started.

“Oh, I never saw such a house for getting in the way! Never!” she cried.

Syringa Hospital and Clinics is on The Path To a New Way of providing health care in Idaho County. The path seems straightforward, leading directly to the goal of EHR implementation and Go Live on October 1, 2010.

We see the goal, we take the path … and we end up right back where we are!

If the path to EHR implementation were straightforward and uncomplicated, we could buy some software off the shelf, install it, and then begin using it. However, the process of implementing EHR is extremely complex and encompasses much more than learning to use a computer and new software program.

We must consider our mission of improving the health and wellness of the people in the county and how this project will do that. Then there are the issues of patient safety, improved patient outcomes, quality health care, patient participation and satisfaction, and more.

Implementing the EHR requires us to carefully examine, interpret and imagine processes and procedures, applications and actions, job descriptions and roles and how they will change, remain the same, or be created, once we reach the summit of the EHR hill.

At the summit exists improved quality and efficiency of health care for all of our patients, patient participation in and control of their own health care, and quick access to accurate health care information to those who need to make a medical decision.

We simply have to keep examining The House which keeps getting “in the way” while on our path to the goal. Doing this will help us create a new organizational environment which encompasses the spectacular view of improved quality health care after EHR implementation.


Eating Off the “Grow Bigger” Side of the Mushroom June 7, 2010

Posted by Darla in Adventures.
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Cool Caterpillar

Every Thursday morning I meet with our Cerner Implementation Team from Kansas City – Scott, Lindsey and Troy – in a teleconference. During this meeting we assess the entire project, discuss items which need additional attention, dole out tasks which have to be completed, and look out over the next two weeks for activities which require planning.

For some reason, several items keep showing up on the agenda: Policies and Procedures, Learning Plan (or, as Cerner calls it “Transfer of Knowledge”), Technical Device Review and a Help Desk Plan.

Since they keep showing up on MY to do list, I think I must be running behind … sort of like the White Rabbit in Disney’s version of Alice In Wonderland, who exclaimed, “I’m late, I’m late, for a very important date!” (The White Rabbit never uttered those words in the original Lewis Carroll version of the tale.)

Will I ever get caught up? And if I don’t get caught up, will it be “Off with her head” for me?

Yikes! It’s time to dig deeper … and delegate!

We put together a Cerner Project Management Team which consists of Syringa employees from each Solution Area. We meet every other Monday to discuss decision items which cross solution areas and to keep each other updated on the implementation project as it relates to their own area of expertise. Guess what today’s agenda includes? Training and Policies & Procedures.

I think I’ve just taken a bite of the “grow bigger” side of the Caterpillar’s mushroom. (See April 30, Goodbye Rock of Normal)

Oh, yeaaaaah.