Preparing for implementation
The first thing that needs to be done is create a timeline for implementation and
Sed a reasonable go-live date when the system will be put into clinical use.
This makes the implementation process tangible so that everyone involved realizes
the urgency of their work. One this deadline is set, work with vendors on creating abuid-and-desingn timeline that gets input from all the end users of the system including physicians,nurses, and other staff member.
The role of physician champion vital moving from the vision to implementation, as physician attitude is a critical factor for a successful implementation(2,18,28). This physician champion is responsible for advocating on behalf of the successful implementation of the HER and must have a significant vested interest. He or she must not only represent the interest of the physician in the project but also must ensure that physician feel they are providing adequate input in the process. If it is perceived that the system is being built with the input of the organization, including
Early testing and adaptation of both the system to the organization and vice-versa, instead of being forced upon them, implementation will go much more smoothly (32). All this must work within an institutional infrastructure to support your system (23). This includes an oversight committee and project teams who determine the scope and drivers of the process, along with feasibility in selecting a vendor. They also provide oversight of the project work team, responsible for the day-to-day implementation progress (2). Along with a plan, there must be a strategy that takes into account the cuture of the organization. One author said it best, that “culture eats strategy for breakfast” (33)