We recently had the chance to sit down with Rajeeb Khatua, MD, Chief Operating Officer at ReMedi Health Solutions, and Sara Helvey, MD, Chief Clinical Information Officer at Care New England to talk about the Epic Go-Live experience at Care New England. In our discussion, we dive into some of the specialized training and support Remedi Health Solutions provided leading up to, during, and after their Epic Go-Live.
One of the challenges that Care New England faced was ensuring that phyisicians across dozens of specialties were ready for their Epic Go-Live. To address this challenge, ReMedi worked with Care New England to provide training on basic workflows, but then specialized training on specialty specific workflows that ensured the clinicians were well prepared for the Epic Go-Live.
Another focus of our discussion was on personalization, which is critical to making Epic convenient and efficient for users. The quality of the personalization sessions was measured by asking each doctor to fill out a form indicating what was accomplished. The results were then checked against the planned accomplishments.
ReMedi also sends out a user survey right after the session. In the case of Care New England, they found that 97% of the doctors felt more confident after the session. Users were also asked to measure their confidence level with Epic from a scale of 0 to 10 before and after their training. Doctors advanced on average from 7.1 before the session to 8.8 after the session, indicating a good degree of readiness. Khatua shared that a doctor with a readiness level of 8.8 leads to a much more succeessful Epic implementation and happy user than one at a 7.1.
One unique aspect of Care New England’s Epic implementation was that they were already using Epic in addition to another EHR, but they wanted to consolidate to just Epic. This meant that many of their physicians had Epic experience either at their hospital already on Epic or from other hospitals or practices in the region. 40% could test out of their basic training and could start with the personalization training sessions. Even doctors who have used Epic before benefit from personalizations in the new system, partly because Epic evolves and partly because the workflows change from one hospital to another. The introduction of AI, especially ambient note-taking, also required updates to templates.
Part of the training aimed to show doctors how personalization made things easier for them while also meeting Care New England’s workflow needs. A motivation to prepare was also provided by “clinical champions” who were willing to train their fellow doctors. The physical presence of trainers on site, along with the close relationship CMOs had with staff in a relatively small hospital, helped to ward off problems before they began.
Finally, metrics on the transition itself were collected and used to improve results. The hospital worked together with ReMedi to hit the metrics, which were ambitious: 90% of the doctors received personalization before the go-live. The metrics were also shared in real-time dashboard that were used to keep the hospital board up to date on progress along with other leaders.
Check out our interview with ReMedi Health Solutions and Care New England to learn more about their Epic Go-Live experience and how they ensured a successful implementation with specialized training across their physician specialties.
Learn more about Care New England: https://www.carenewengland.org/
Learn more about ReMedi Health Solutions: https://www.remedihs.com/
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