Contracts and rankings, though, aren't going to get physicians to use EHR systems. Four things must happen for this to occur, Haugen says:
- Engagement with the clinical leadership team (and not necessarily the C-suite);
- Role-based training focused on what a class of user will be doing 80 percent of the time, not on advanced functionality;
- An ability to measure success or failure, complete with a feedback mechanism that pinpoints who's using particular functionality, and
- A sustained process, with the backing of clinical leadership, to emphasize EHR adoption and continued training.
The worst thing that can happen, Haugen says, is for those leading the EHR implementation effort to return to their old roles after the go-live date. The work after that point is just as important - if not even more so - and involve a different level of engagement.
Otherwise an organization may find itself in an all-too-familiar position: Less efficient after more than a decade of EHR use than in the era of paper records. That problem is nearly impossible to solve, no matter which EHR vendor you choose.
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