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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)
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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!
