The Influence of ERP Success Factors on EHR Implementation

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The Influence of ERP Success Factors in Dutch EHR Implementations Robert A. Stegwee, PhD Arne J.W. Freriks, MSc

description

Research was carried out in six Dutch hospitals on the premise that successful ERP system models could apply equally well to EHR implementation. The study differentiated between second and third generation EHR systems and found that the ERP success factors only apply to third generation implementations. Study findings were presented at WoHIT Copenhagen on November 6th, 2008 by Arne Freriks MSc and Robert Stegwee PhD.

Transcript of The Influence of ERP Success Factors on EHR Implementation

The Influence of ERP Success Factors inDutch EHR ImplementationsRobert A. Stegwee, PhDArne J.W. Freriks, MSc

| The Influence of ERP Success Factors on EHR Implementation

Agenda

ERP Success Factor Models applied to EHR

Studies into EHR implementations in 6 Dutch hospitals

Conclusions and Implications for practice

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

Determinants of Success in Electronic Health Records

Main research question:

• Can ERP Success Factor Models be applied to EHR system implementation in hospitals?

What constitutes an EHR System?

How do ERP Success Factor Models apply?

Hypothesis: • ERP Success Factors apply to 3rd Generation EHR Systems

Implementation

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

What Constitutes an Electronic Health Record System

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Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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Collector

Documentor

Helper

Colleague

Mentor

Fu

nc

tio

nal

ity

1993 1998 2005 2010 2015+

full

minimal

Source: Gartner (March 2006) Availability of Products

Clinical Data Repository

Clinical Display

Clinical Decision Support

Order Management

Knowledge Management

Interoperability

Clinical Documentation

Controlled Medical Vocabulary

Clinical Workflow

| The Influence of ERP Success Factors on EHR Implementation

How do ERP Success Factor Models Apply?

Enterprise Resource Planning systems• Support enterprise wide processes• Constitute an integrated set of functions

Different measures of success• Project, early operational, longer-term (Markus & Tanis)• Key Success Factors on different levels (Al-Mudimigh et al.)

Four examples of identified success factors:1.Business Case Development and Benefits Tracking2.Business Process Management Skills3.Training4.Change management

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

Our Hypothesis for Case Study Research

ERP Success Factors are applicable to EHR system implementation for 3rd Generation EHR systems

3rd Generation EHR systems…• Support enterprise wide processes• Constitute an integrated set of functions

Higher generation EHR systems are not on the market (yet)

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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Arne Freriks

Case Studies in 6 Dutch Hospitals

| The Influence of ERP Success Factors on EHR Implementation

3rd Generation?

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Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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Hospital ambition

1 2 3 4 5

A

B

C

D

E

F

Current generation

| The Influence of ERP Success Factors on EHR Implementation

Prominent Success Factors

1. Business Case Development and Benefits Tracking

2. Business Process Management Skills

3. Training

4. Change management

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Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

1. Business Case & Benefits Management

Identify and structure benefits

Provide direction to• Project• Business change• Benefits measurement

Some hospitals identified benefits to be achieved

Outcomes not measured

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

2. BPM (Process Change & Process Modeling)

Why process change?• To adapt hospital to EHR system• To improve processes

Task orientation process orientation

Two good examples, one bad example

Vendors: process change is a no-no

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

3. Training

Push-button classroom course…

… or real-life, one-on-one, end user training…

… with attention to processes

Overcome configuration & assimilation knowledge barriers

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| The Influence of ERP Success Factors on EHR Implementation

4. Change Management

3rd Generation EHRs claim important place in daily routine

In general: little attention to change management

Big exception: Hospital A

How about Hospital C?

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Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

Your Success

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Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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Robert Stegwee

Conclusions and Implications for Practice

| The Influence of ERP Success Factors on EHR Implementation

ERP Success Factors Do Apply to EHR Systems

3rd Generation EHR implementations require a major turnround in both

• IT project skills and• Care organization skills

Implication: Create awareness of ERP success factors

Translate benefits of 3rd Generation EHR Systems into actions

1.Business Case Development and Benefits Tracking2.Business Process Management3.Training4.Change Management

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

1. Business Case Development and Benefits Tracking

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

2. Business Process Management

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| The Influence of ERP Success Factors on EHR Implementation

3. Training Professionals in Tools and Processes

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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| The Influence of ERP Success Factors on EHR Implementation

4. Change Management in Electronic Health Records

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Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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We are fed up with all these changes

But this is the latest version!

Source: Dennis Muntslag, The Art of Implementation, 2001

| The Influence of ERP Success Factors on EHR Implementation

What You Need to Take Away ...

ERP Success Factors do apply to EHR systems

They come into play when you’re moving toward 3rd Generation EHR systems

This requires new ways of looking at IT projects and looking at the organization of care

Four key areas to take into account:• Business Case and Benefits Tracking• Business Process Management• Training• Change management

© 2008 Capgemini - All rights reserved

Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008

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