Tag Archives: Implementation

New Beginnings #WestWardFro

It has been a while since my last post, so what exactly have I been up to.

I have practiced as a physician, worked primarily as a implementation specialist on a government contract. In my job search I have completed over 100 different applications, caught recruiters trolling my resume for leads, using me to get contracts but never officially hiring me…I discovered that the job description I wrote for my old job was copied verbatim and posted to the new hire profile on LinkedIn necessitating me blocking this person and half dozen others, removing my resume,  and rejecting and blocking most cold contact recruiters. Someone actually attempted to make my going back into practice full time as some type of setback, and if my experience was somehow equivalent to theirs, when in fact we were light years a part. I have witnessed the election of the dumbest individual to the US presidency and the last installation of the Star Wars franchise being disappointing, but through it all I have not caught a case.

File May 09, 3 17 18 AM

In the past 9 months I have truly established myself as a Dallas Cowboy Superfan with the clothes, accessories and tricked out Cowboy Ops Truck…File May 09, 3 24 03 AM.jpegBeastLa in Redwood Forrest

 

I bought said truck in Dallas TX at Autoflex, Terry Hill and his crew are the bomb!! Went back on line bought a used travel trailer for scrap plus taxes, hitched it to BeastLa and pulled it to Oregon to start as the new Pediatric Nocturnist at Bay Area Hospital. Yes, I pulled it and drove all 3000 miles white knuckling it through Donner’s Pass(yes of the cannibalism story) April Snowstorms?? Chain Advisory??I am from the South we buy tires because they are big and cool not for this weather…File May 09, 3 25 57 AM.jpeg Me, the black chick with a ‘Fro drove through tip warnings and flood warnings all across the Midwest.

My best friend told me I am like a family of 10 Jamaicians because I always have 3 jobs, and it’s true, not to long after I started with Bay Area, I received and accepted a CMIO position.File May 09, 3 18 15 AM

Deja Vu as we approached Seattle Washing May 2017

My team went to Hollywood for dinner and did the touristy thing. By visiting Graumann’s Chinese theater

File May 09, 3 21 18 AM

The ‘Fro in front of  Graumann’s May 2017

File May 09, 3 21 36 AM

Star Trek Original Series Cast Member Cement Plaque, Graumann’s May 2017

 

I really love Ramen and will eat it any chance I get

File May 09, 3 22 15 AM

Best Ramen, Pasadena May 2017

I realize multiple things about myself, management of information will always be part of my life and I can make a career of being a practicing provider and Lead for EMRs. It will be my lifeblood. But I also think as technology evolves, providers that are current and can truly leverage experiences across the continuum of medicine and technology will be needed. In this economic climate no one, vendors or health systems, can nor should they justify large staffs that make no tangible contribution to the IS departments or efficient and meaningful usage of technology.

I think I have more adventures awaiting me as I settle into my new found home state, and I can’t wait!

 

Advertisements

CPOE Remix

One writes to seal knowledge in their brain.  Me, April 2016

Screen Shot 2016-04-12 at 11.26.06 AM
(Image from Making Computerized Provider Order Entry Work. 2013)

Working on my latest implementation I kept hearing about a methodology for #CPOE implementation. What was the most frustrating to me is I couldn’t find it anywhere. A successful methodology should be written down, clear, and easily obtain so the next time you have a major implementation of an electronic medical record, you don’t have to reinvent the wheel. If you’ve done this greater than 40 times it should be sealed in the brains of everyone. The only problem with that is in the intervening years many of the people have moved on to different roles, many more people have retired or they moved on to different organizations. So that the people that made up the principal team for implementation may not even be available anymore. Those that are left they remember only bits and pieces of their role and sometimes what they remember is not applicable in your current state.

Now with the new implementation the roles of all the players need to be clear prior to any kickoff meetings. If you plan on going to a new electronic medical record and if you plan on completing this in a 9 month time period, rapid implementation, your methodology really needs to be on point. Readiness Assessment, Governance Structures, Policy Implementation and Review, Key Roles Definition and accountabilities all need to be in place even more so then the change management as well as the project management. As a medical director, I had a role, but it  was not made clear to me until it was almost too late.  If you want to take on a greater role you have to be careful that you know what the roles ar of key players in an implementation so as not to overstep. You can’t rely on the inconsistent verbal statements and archived emails from six or eight years prior that I recieved. (So-Not-Cool.) I did not get a clear project plan, education plan, or implementation methodology until after the go live.  The age of the large scale go live ir practically over, except the DOD EHR Modernization project  and the Greenfield Implementations in the Middle East,  this is the decade of realignment and optimization. So what methodologies are out there for general consumption and what should be modified? I will be exploring over the next few posts what I can actually find this active in the blogosphere as well as in the electronic instruction manuals. I will detail how clinical process improvement is as necessary to sucessful practice as passing the boards. I also plan on detailing how some slight changes and automating certain aspects of a providers workflow in its current state will improve efficiency and add to work life balance.