Implementation Approach

A typical engagement for a provider practice starts when we are called upon to perform an assessment and implementation. Figure-1 demonstrates all the steps we go through on each of our engagement.

Project Management and Workflow Assessment: We start our assessment by interviewing various stake holders and documenting the information with the help of various checklists.  Once we gather all the information, we provide recommendations on how to re-design the workflow.  Based on client’s feedback we come up with a project plan for the implementation at the client. We then proceed with the EHR implementation by following various steps outlined figure below.

Figure 3: E2O Segmented Process Map

EHR Implementation: Our implementation involves three steps

• Hardware / Software Assessment: We perform a thorough assessment of the client’s hardware and software to ensure that we provide the customer with a quick and easy install.
• Table Build and Data Conversion: We then work with the client on building their tables, convert their existing data to upload into the new system and finally setup their new system to suit their needs.
• Interface Development: Finally we work with the client to ensure that we procure or develop necessary interfaces to help them achieve meaningful use. Typical interfaces we help develop include Lab Quest/ Quest Diagnostics interfaces, Integration with their legacy practice management system.
  
  

Training: Upon implementation, we train the different types of users on modules relevant to the user. For providers and clinical staff we provide 20 hours of in class training or offer them eLearning classes that they would need to complete. For the front desk staff we propose 20 hours of eLearning or hands on training. We also train the users on various interfaces. Usually interface training lasts about 8 hours.

Auditing and Testing: We follow a two phase auditing approach, pre go-live and post go-live auditing to ensure that the implementation is delivered efficiently. And any inconsistencies and issues noticed are addressed immediately.

In addition to auditing and testing the implementation, we have started to perform quarterly meaningful use audits to ensure that the client is using EHR system in a meaningful use. We plan to continue to follow this approach and revise our Meaningful Use audit in the following months. 

 Customer Service: The last step of our implementation is handing over the client to our customer service team. Our customer service staff is responsible for ongoing maintenance, on-call support and also sends personnel on-site whenever necessary. For customers who sign a long term support contract we assist them with their backups, quarterly upgrades and training of new hires.