Unit 8a: The Implementation Team HIT Implementation Planning for Quality and Safety This material was developed by Johns Hopkins University, funded by.

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Unit 8a: The Implementation Team HIT Implementation Planning for Quality and Safety This material was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

At the end of this segment, the student will be able to: Critique an implementation team and the role it plays in ensuring quality Objectives Component 12/Unit 8 2 Health IT Workforce Curriculum Version 2.0/Spring 2011

Transition “It isn’t the changes that do you in, it’s the transitions.” Component 12/Unit 8 3 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics Organizational structure Individual contributions Team processes Component 12/Unit 8 4 Health IT Workforce Curriculum Version 2.0/Spring 2011

Team Characteristics Organizational Structure Clear purpose Appropriate Culture Specified Task Distinct Roles Suitable leadership Relevant members Adequate resources Component 12/Unit 8 5 Health IT Workforce Curriculum Version 2.0/Spring 2011

Team Characteristics Individual Contribution Self-knowledgeTrust CommitmentFlexibility Component 12/Unit 8 6 Health IT Workforce Curriculum Version 2.0/Spring 2011

Team Characteristics Team Processes CoordinationC ommunication Cohesion Decision- making Conflict management Social relationships Performance feedback Component 12/Unit 8 7 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics Team environment Purpose Team structure Goals Team process LeadershipCommunicationCohesion Individual contribution Mutual Respect Component 12/Unit 8 8 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics “Contact is not enough” Effective teamwork requires: –Communication –Understanding & respecting team member roles –Understanding the clinical practice setting –Having practical “know-how” –Recognizing that teamwork requires work Component 12/Unit 8 9 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics “Contact is not enough” Effective teamwork requires: –Communication –Understanding & respecting team member roles –Understanding the clinical practice setting –Having practical “know-how” –Recognizing that teamwork requires work Component 12/Unit 8 10 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics “Contact is not enough” Effective teamwork requires: –Communication –Understanding & respecting team member roles –Understanding the clinical practice setting –Having practical “know-how” –Recognizing that teamwork requires work Component 12/Unit 8 11 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics “Contact is not enough” Effective teamwork requires: –Communication –Understanding & respecting team member roles –Understanding the clinical practice setting –Having practical “know-how” –Recognizing that teamwork requires work Component 12/Unit 8 12 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Team Characteristics “Contact is not enough” Effective teamwork requires: –Communication –Understanding & respecting team member roles –Understanding the clinical practice setting –Having practical “know-how” –Recognizing that teamwork requires work Component 12/Unit 8 13 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Lessons Learned Organizational Decision Making and Project Management –Empower project leaders who are close to the ground –Ensure close coordination of operations, clinicians, and IT –Beware of scope creep –Begin with the end in mind –Engage “bridgers” Component 12/Unit 8 14 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Lessons Learned System deployment and roll-out –Don’t try for perfection…it won’t happen. –Pilot, improve, roll-out, and improve –Value the curmudgeons –Get feedback and use it –Look for the opportunity and the easy win Component 12/Unit 8 15 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Lessons Learned System deployment and roll-out –Training never ends –Implementation never ends –Users are beta testers –Be nimble, be quick –Patient care comes first Component 12/Unit 8 16 Health IT Workforce Curriculum Version 2.0/Spring 2011

Effective Implementation Teams Meeting Agendas Provider training and outreach Nursing staff training and education Roll-out strategy and staffing Workflow process redesign Hardware/network status Design/testing status Communication plan Evaluation plan Outstanding issues Component 12/Unit 8 17 Health IT Workforce Curriculum Version 2.0/Spring 2011

Summary Characteristics of effective implementation teams include organizational structure, team processes, and individual contributions Six key drivers of implementation effectiveness include: purpose, goals, leadership, cohesion, communication, and mutual respect Contact is not enough Component 12/Unit 8 18 Health IT Workforce Curriculum Version 2.0/Spring 2011