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Reducing Costs and Gaining Operational Efficiencies and Flexibility APPLICATION MANAGEMENT & SUPPORT BEST PRACTICES

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Page 1: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Reducing Costs and Gaining Operational Efficiencies and FlexibilityAPPLICATION MANAGEMENT & SUPPORT BEST PRACTICES

Page 2: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

ABOUT US

Page 3: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

OUR VENDOR EXPERTISE

Page 4: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

EHR Application Environment

Roles & Connectivity

Application Support Team Coordination

Onboarding Methodology

Application Support Transition

Help Desk, Resources & Best Practices

Data Quality & Integrity Considerations

Changes that Impact the Application

TODAY’S AGENDA

Confidential © 2016 Galen Healthcare Solutions

Page 5: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Max StroudLead Consultant, Field Services10 years of healthcare IT experience

Max has worked on a variety of projects as a Project Manager, Implementation Consultant, Upgrade Consultant and a Meaningful Use subject matter expert.

http://www.himssconference.org/session/don-t-you-know-me-interoperability-patient-narrative

TODAY’S MODERATOR

Max is also founder of Doyenne Connections, a social network designed to foster opportunities for women in health IT. She is a HIMSS17 Social Media Ambassador and will be presenting at the conference:

Confidential © 2016 Galen Healthcare Solutions

Page 6: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

TODAY’S CONTRIBUTORS

Kim BaxterSenior Consultant

Laura GoldSenior Consultant

Sara WhittakerConsultant

Kathryn HalliwillSenior Consultant

Cece TeagueConsultant

Tracy KimbleSenior Consultant

Confidential © 2016 Galen Healthcare Solutions

Page 7: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

KNOW OUR ENVIRONMENTServer Diagram• Needs to show what flows in and

flows out• Look for connections/interfaces• Spreadsheet with all identifiers

(IP, Host Name, etc.)• Database servers – understand

per server which databases exists• Don’t forget Test, Train, Dev and

Live systems

Page 8: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

What falls under your umbrella?

KNOW OUR RULE

Downstream Applications Patching

New Build Upstream Applications

Customizations

Interfaces

New Implementations

Upgrades

Remote Connections

Page 9: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

How are you going to connect to systems? Citrix RDP VPN VDI

How do you connect to users? VNC Join Me Skype

Make sure your organization and client are capableof meeting these needs (licensures, etc.)

CONNECTIVITY

SECURELINK for Vendors

Quick Connect Alerts Reports

Robot

LOG

STATS

INFO

Page 10: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Who do we interact with? What other specifics we need from the client• Change control policy• Committees

– Physician – Steering Committee– IT Leadership

• Policy on Urgent Break/Fix Releases• Setup on Vendor sites for support

WHO’S WHO

Staff Providers System Admins

Security / Privacy

Desktop / Device Support

Vendors

Page 11: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Customized onboarding process

• Allows for the opportunity to build efficiencies into the onboarding of our staff

• Makes the transition process smoother and more efficient for our customers

ONBOARDING METHODOLOGY

Page 12: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Background Checks• 7-year history• County, State and Local checks and

include sex offender registry searches

Drug screening tests• 9-panel urine drug screen

Health Screening• TB Screenings• Flu Shots • Other immunization

IT Agreement• Rules for confidentiality• Details concerning access to a client’s

information technology and computer systems

ONBOARDING

Drug Screenings Health Screenings

Background Checks IT Agreements

Page 13: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Client Side Requirements• Network and Application Access

• Electronic Health Record• ConnectR• PM Systems• Ancillary Systems

• Laptop and Hardware

Requirements

• FBI Fingerprinting

ONBOARDING

Page 14: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Transition Process Methodology• Introduction to the organization - new employee orientation

Interviewing staff on their day-to-day activities • Repositories of workflows• Set up or build work• Troubleshooting methodology

Observing a client resource provides the consultant the opportunity to• Pose questions• Uncover information, workflows or assumptions overlooked

by the organizations

No business disruption01

Effective Risk Management02

Communication & Reporting03

Effective Tools implementation04

Measuring Transition Effectiveness05

Effective documentation06

Seam

less

Tran

sitio

nTRANSITION

Page 15: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

New projectRequest(s)

Evaluation Requirement SpecsGo ahead

Detailed estimates

End

ReleasePlanning

Sprint Planning

Story Reprioritization

Sprints Delivery

UAT/Sprint Demo

Transported to production

Request for production

No

No YesYes

THE WORK: RESOURCING & BEST PRACTICES

Go ahead

Page 16: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

prov

ider

/pra

ctic

es/u

sers

daily/weekly/monthly

help

desk

new

dupl

icat

ego

-live tr

aini

ng

shar

e

tasks

supportaccounts

Value+QualityProgramscredentialing

flow work

docu

men

tatio

n

THE WORK: RESOURCING & BEST PRACTICES

Page 17: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Interview Observe Document

INTERVIEW, OBSERVE, DOCUMENT

Page 18: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

IT Helpdesk and Support

HELP DESK

Page 19: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Hospital A

Hospital B

Patient ID 1

MPI 9876

Patient ID 2

MPI 9876

Healthcare System

DATA QUALITY & INTEGRITY

Page 20: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

VALUE & QUALITY BASED INCENTIVE PROGRAMS

Page 21: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

CHANGES THAT IMPACT APPLICATION

Page 22: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

OPERATIONS SUPPORT

Page 23: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

OUR PHILOSOPHY

Page 24: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

Confidential © 2016 Galen Healthcare Solutions

Thank you for joining us today.To access the slides from today’s presentation, please visit:

http://wiki.galenhealthcare.com/Category:Webcasts

For additional assistance or to request information about our many services and products, please contact us through our website:

www.galenhealthcare.com

Page 25: Application Management & Support Best Practices · 2020-01-14 · Application Management & Support Best Practices Author: Justin Campbell Created Date: 3/2/2017 5:17:45 PM

MUCH MORE THAN I.T.

GALENHEALTHCARE.COM