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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.
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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
© 2008 Capgemini - All rights reserved
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
5
| 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
6
| The Influence of ERP Success Factors on EHR Implementation
3rd Generation?
© 2008 Capgemini - All rights reserved
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
© 2008 Capgemini - All rights reserved
Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
9
| 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
10
| 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
12
| The Influence of ERP Success Factors on EHR Implementation
© 2008 Capgemini - All rights reserved
Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
13
| 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
© 2008 Capgemini - All rights reserved
Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
14
| 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?
© 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
Your Success
© 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
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
19
| The Influence of ERP Success Factors on EHR Implementation
2. Business Process Management
© 2008 Capgemini - All rights reserved
Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
20
| 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
21
| The Influence of ERP Success Factors on EHR Implementation
4. Change Management in Electronic Health Records
© 2008 Capgemini - All rights reserved
Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
22
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
23