1. Vice President, Chief Nurse Informatics Officer Advocate Health Care
Mary Kane MS, RN-BC
Vice President, Chief Nurse Informatics Officer
Advocate Health Care

2. Objectives
Describe the role of informatics to the success of EHR implementation
Identify three proven strategies used to increase likelihood of long term adoption and sustainment post implementation

3. Role of Informatics-Bridge the Gap between IT-Operations
Governance
Guiding principles
Charter
Decisions made closest to the work
Involve key stakeholders from:
-Operations
-Clinical
-IT
-Finance/Rev Cycle
-Digital/Marketing
-Business Intelligence

4. Application Project Management
Project Steering
System
Hospital/Clinic-based
Subject Matter Expert Groups
Internal to the Business: HIT, Core team analysts/Principal Trainers/Informatics/Other Design Contributors
Application Project Management
Executive Sponsor
External To The Business: Joint Commission, other regulator, vendor etc.
Digital Readiness Steer
Revenue Cycle Readiness Steer
Clinical Operations Readiness Steer
Ambulatory Operations Readiness Steer
Clinical/practice councils
Others?
BI Readiness Steer
Decision making closest to the work wherever possible

5. Role of Informatics-Design Elegant Workflows
Manage Requirements
Work with the Software
Visually Model the software
Verify Software Quality
Control changes

6. DIKW Model for Informatics
Reducing Na intake will decrease likelihood of CVD
High Sodium, Weight, BP will increase likelihood of CVD
High Sodium will lead to increased weight, BP
Sodium, Weight, BP

7. Role of Informatics- Execute a Flawless Go-Live
Ensure the site owns the project
Training plan has to fit the culture, space, and needs of the end-users
Go-Live Playbook
Make it fun!
“It is the latest EHR upgrade Nurse Jones. Now you will make the same mistakes only faster”

10. Sustainable Change
Transformational leadership is a style of leadership where the leader works with others to identify the needed change, creating a vision to guide the change through inspiration, and execute the change in tandem with committed members of the group

11. In order for change to be sustainable:
Future has to look better than the present
Leaders have to be personally committed
Organization has to have the capacity to change
The culture has to have the capacity to change
The change has to deliver the promised outcomes

12. Sustainable Change
1. Execute on the intended design, working WITH the software

13. Sustainable Change
2. Make it as simple as possible

14. Sustainable Change 3. Measure your results -Pre/post
Metrics
Adoption Chart Audits
Nursing Satisfaction
3. Measure your results
-Pre/post
-Objective/subjective
-Take action

15. Since Go-Live, the Average Time & Clicks to complete the Admission Form has decreased by 8% and 20% respectively
The admission forms are the areas of greatest focus

16. Number of Charts Audited
Objective chart audits

17. WDL Except Documents ONLY Abnormal Values
Missing data from TRI
IMMC and LGH may need additional education on philosophy

18. Question 2:
How easy is it to correctly choose the patient’s medical history from the Problem List?
In the Pre Survey 32 % were somewhat difficult or below and 56% were in the somewhat easy or extremely easy category
At 90 days 25 % were somewhat difficult or below and 74% were in the somewhat easy or extremely easy category
PRE
n=1160
POST 30
n=630
POST 90
n=438

19. Good Shepherd Nurses: What they are going to do with more time?

20. CMC & ACH-OL Site Command Center

21. “I was able to help other nurses and with procedures on the floor.”
– Pediatric nurse, 2 Center, Advocate Children’s Hospital – Park Ridge

22. Thank you!
Not to be duplicated without expression permission from Mary