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Slide 1: The Influence of ERP Success Factors in Dutch EHR Implementations Robert A. Stegwee, PhD Arne J.W. Freriks, MSc
Slide 2: Agenda  ERP Success Factor Models applied to EHR  Studies into EHR implementations in 6 Dutch hospitals  Conclusions and Implications for practice | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 3: 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 | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 4: What Constitutes an Electronic Health Record System Interoperability full Knowledge Management Clinical Workflow Mentor Functionality Clinical Display Clinical Decision Support Order Management Colleague Helper Clinical Documentation Controlled Medical Vocabulary Clinical Data Repository Documentor minimal Collector 1993 1998 2005 2010 2015+ Source: Gartner (March 2006) Availability of Products | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 5: 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 Tracking 2.Business Process Management Skills 3.Training 4.Change management | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 6: 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) | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 7: Case Studies in 6 Dutch Hospitals Arne Freriks
Slide 8: 3rd Generation? 1 2 3 4 5 A B C D E F Current generation Hospital ambition | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights
Slide 9: Prominent Success Factors 1. Business Case Development and Benefits Tracking 1. Business Process Management Skills 1. Training 1. Change management | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 10: 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 | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 11: 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 | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 12: | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights
Slide 13: | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights
Slide 14: 3. Training  Push-button classroom course…  … or real-life, one-on-one, end user training…  … with attention to processes  Overcome configuration & assimilation knowledge barriers | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 15: 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? | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 16: Your Success | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights
Slide 17: Conclusions and Implications for Practice Robert Stegwee
Slide 18: 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 Tracking 2.Business Process Management 3.Training 4.Change Management | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 19: 1. Business Case Development and Benefits Tracking | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 20: 2. Business Process Management | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 21: 3. Training Professionals in Tools and Processes | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 22: 4. Change Management in Electronic Health Records 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 Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights
Slide 23: 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 | The Influence of ERP Success Factors on EHR Implementation Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 © 2008 Capgemini - All rights reserved
Slide 24: robert.stegwee@capgemini.com arne.freriks@alert-online.com