Comments on: News 2/1/08

By: Friday I'm In Love

Friday I'm In Love — Sat, 02 Feb 2008 00:10:41 +0000

Getting to “implemented” is the wrong goal. Implemented (to me) just means users are using it, successfully or not. After implementation, optimization needs to occur or you’re just not getting your money’s worth out of the system. Of course, for that to occur you need to invest even more time into a system and how many organizations are going to admit that the system they just spent millions on isn’t perfect?

By: NurseinIT

NurseinIT — Fri, 01 Feb 2008 14:58:07 +0000

Having worked in both clinical, IT, and vemdor settings as a clinical IT systems consultant, a responsible vendor identifies end user requirements that include metrics to know when success is achieved. That being measurable and defined to clnician and technical requirements. I’d keep shopping if the vendor didn’t work on those points and I’d have a lot to say to my IT department if their idea of ‘implemented’ was turned on and turned over.

By: Demonurse

Demonurse — Fri, 01 Feb 2008 14:12:05 +0000

Concening when something is ‘Implmented’. From a vendor standpoint and a troughlapping consultant standpoirn (I’ve worked as both) ‘Implemented’ is the point at which agreed to software functionality (could be one or more systems) is in use in at least one or more actual clinical areas.

By: ktripp

ktripp — Fri, 01 Feb 2008 13:55:09 +0000

The meaning of “implemented” can depend on perspective. To a techie it can mean fully installed and available for use – but that’s a one-sided view; end-users may only consider it implemeted when its actually used as part of the process. As an IT maintenance programmer years ago, I was given responsibility to care for a newly installed software product that took two years to develop for users. It had been technically installed, and IT management considered it “implemented”. The users, on the other hand, were angry that for two years they’d been mostly ignored and only superficially allowed participation in design, etc. Consequently, they never once used the system, so it was never implemented into their processes. I’d say it was installed, but definitely not implemented.

By: Half-Wit

Half-Wit — Fri, 01 Feb 2008 13:16:37 +0000

To Bignurse: HIMSS Analytics publishes an EMR Adoption Model with various progressive levels towards a complete EMR implementation. They are measuring hospitals’ progress towards the model. Aggregate scores for the nation can be seen on their website. Their data indicates that most hospitals are at a Level 2 of implementation on a scale of 0 to 7.