Section ten, module three of the clinical informatics course discusses the information system lifecycle. In this slide deck, we'll cover how to pick a clinical information system that works best for you. Also included are three free practice questions. If you would like more information or resources, be sure to check out our site at http://www.informaticspro.com.

1. Section Ten: The
Information System
Lifecycle
Module 10-3
System Selection
System Implementation

2. System Selection & Implementation
• Determine your requirements and risks
• Issue an RFP
• Evaluate proposals
• Assemble the team
• Plan the implementation
• Test the system (next module)
• Evaluate the system
• Transition or decommission the system

3. The RFP Process
• Should provide information on background and system
requirements
• The evaluation period may be long or short depending on
size/impact of purchase
• Due diligence on the selected company should be performed
• As with most enterprise software, there may be contract
negotiations prior to setting the final terms of the agreement

4. Evaluating RFPs
• Why do we need this system?
• Who’s the user?
• What does the system do?
• Where will it be implemented?
• When will it be installed?
• How will we pay for it?
• How will we implement it?

5. True Cost of Ownership

6. Assembling Your Team
• Depending on the implementation, your
implementation team may be large or small,
highly-specialized, or widely specialized
• They may be responsible for
• User feedback
• User training
• System testing
• Installation and Go Live
• Configuration management
• Communications and project management
• Sustainment
• And more…

7. A Sample EHR Implementation
Team
• EHR team lead
• Vendor implementation team
• EHR implementation manager/project manager
• Physician champions and other “super” users
• Nurse Lead
• Medical assistant lead
• Scheduler lead
• Registration staff lead
• Laboratory staff lead
• IT lead
• Billing staff lead
• Meaningful use lead
• Compliance lead
• Workflow redesign lead
• User training lead
• And more…

8. Developing Your Plan
• System overview
• Major tasks
• Required resources
• Timeline/Schedule
• Provider training
• Roles and responsibilities
• Point-of-Contact
• HW/SW installation, facilities, and materials management
• System configuration
• Interface specifications
• Documentation
• Testing
• Performance monitoring
• Go Live strategy
• Communication, education, and training
• Assessment and feedback
• Operations and support
• Termination plan
• Determine what a successful implementation looks like

9. User Training
• Plan for user training before you have to
• As you know, physicians are a busy group of
individuals
• Offer various types of training
• Online, in-person, hybrid training courses
• One-on-one or small group tutoring
• Webinars/interactive videos
• Specialization specific training
• Leaflets and cards near computers and stations
• Advanced “power user” training

10. Clinician Feedback
• How to obtain feedback from your most busy
users
• Formal & informal methods
• Feedback sessions
• Backend dashboards
• Surveys and questionnaires
• Usability testing
• Clinician champion feedback

11. Evaluating Systems
• Is our CIS effective?
• Did we meet our organizational goals? Clinical
goals? Quality measures?
• Quantitative evaluation methods
• Surveys, structured interviews, testing, checklists,
comparative research, etc.
• Qualitative evaluation methods
• In-depth, unstructured interviews, focus groups,
observations, case studies, document review, etc.

12. Creating an Evaluation Plan
• What are the goals of the evaluation?
• How will we evaluate?
• Verification
• Did we build it correctly?
• Validation
• Did we build the right system?
• Assessment of Human Factors
• Are users using the system? Liking it? Hating it?
• Clinical Assessment
• How is the system affecting patient outcomes?

13. Evaluating the System
• Rinse & Repeat
• Use feedback to improve implementation of future
projects and systems

14. Transitioning and Decommissioning
• Communicate to any users still using the system
• Transition them off the system
• Document lessons learned
• Create a project archive
• Close out procurements/contracts/agreements
• Record any impact to workflows or other process
• Perform a final project review
• Shut down the system

15. Review Questions
• Appraising a potential seller and their business to
establish its assets, liabilities, and commercial
potential is a process known as:
1. Request for Information
2. Request for Proposal
3. Due Diligence
4. Lessons Learned Assessment

16. Review Questions
• Appraising a potential seller and their business to
establish its assets, liabilities, and commercial
potential is a process known as:
1. Request for Information
2. Request for Proposal
3. Due Diligence
4. Lessons Learned Assessment

17. Review Questions
• A document that describes what went right with a
project, what went wrong, and what may be done
differently in the future is known as:
1. Request for Information
2. Request for Proposal
3. Due Diligence
4. Lessons Learned Assessment

18. Review Questions
• A document that describes what went right with a
project, what went wrong, and what may be done
differently in the future is known as:
1. Request for Information
2. Request for Proposal
3. Due Diligence
4. Lessons Learned Assessment

19. Review Questions
• A majority of a system’s costs take place in which
project phase?
1. Design and Development
2. Implementation
3. Evaluation & Assessment
4. Sustainment

20. Review Questions
• A majority of a system’s costs take place in which
project phase?
1. Design and Development
2. Implementation
3. Evaluation & Assessment
4. Sustainment