pulling together: a team-based approach to enhancing emr use€¦ · pulling together: a team -...

Pulling Together: A Team-Based Approach to

Enhancing EMR Use

Knut Rødne Director

Insight, Engagement and Transformation OntarioMD

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Transition Through Complexity

ENHANCED USE

ADOPTION

INNOVATE OPTIMIZE SUSTAIN TRANSFORM

Performance Management Pe

rfor

man

ce

Time

Go live Change

More change

Sub-standard

Functional

Expert

*adapted from SAP (Kerry Brown)

Change Management Approach

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AWARENESS

DESIRE

KNOWLEDGE

ABILITY

REINFORCEMENT

What We’ve Learned: Self-Reported Maturity

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4%

43% 45%

7%

1% 0%

4%

38%

49%

9%

1% 0% 1%

32%

51%

16%

0% 0% 1%

21%

56%

21%

0% 0% 0%

10%

20%

30%

40%

50%

60%

0 1 2 3 4 5

< 2 years 2 - 4 years 4 - 6 years > 6 years n = 883 n = 2,595 n = 883 n = 333 n = 403

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Early Adopters (8.3%)

Average years using an EMR: 3.2

Average current EMR maturity level: 2.9

Average desired EMR maturity level: 4.2

What We’ve Learned: Customer Profiles

What We’ve Learned: Customer Profiles

Cautious Adopters (83.3%)

Average years using an EMR: 2.3

Average current EMR maturity level: 1.7

Average desired EMR maturity level: 3.3

What We’ve Learned: Customer Profiles

Late Adopters (8.3%)

Average years using an EMR: 1.8

Average current EMR maturity level: 1.1

Average desired EMR maturity level: 1.2

What We’ve Learned: Pilot Study

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No two changes will require exactly the same process or same level of change management… Applying a ‘one-size-fits-all’ approach is simply not appropriate.

- Hiatt & Creasey, Change Management (2003)

Evolution of Our Approach

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Our Approach

EMR Practice Enhancement Program (EPEP)

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Our Approach

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What We’ve Learned: The EPEP Story So Far…

EMR users “don’t know what they don’t know” Action plans provide a series of focussed tasks to help physicians achieve their goals Multidisciplinary involvement is key

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“Difficult roads often lead to beautiful destinations.”

The views expressed in this publication are the views of OntarioMD and do not necessarily reflect those of the Province.

Thank you!

Knut.Rodne@ontariomd.com