目次

Part 1: The reason for action - why should we change? Chapter 1: Always start with the patient A more seamless experience A safer experience Self-service options Easy access to medical records Chapter 2: Take care of ourselves before we take care of others Provider burnout is exasperated by today’s EHRs The promise of a simplified user experience has not materialized Getting a day’s work done in a day Chapter 3: Dollars and cents Can an EHR have a return on investment? Keep it simple. Avoid the bells and whistles "Out of the box" work flows reduce install hassles (and cost) Part 2: The blank slate - Installing a brand new EHR system Chapter 4: Requirements Gathering Hardware considerations Infrastructure Software considerations Analytics and measurement needs Chapter 5: Design Phase Lean workflows Gap analysis Engaging the end users Lean project management Chapter 6: Testing Phase and User Acceptance Super users The lean approach to product and process testing Chapter 7: Go-Live Planning the go-live Support "at the elbow" for the providers Chapter 8: Optimization Standards and Evidence-based practice maintenance Managing for daily improvement (MDI) Continuous improvement Part 3: Houston, we have a problem - what to do with an existing EHR system Chapter 9: Standardize by specialty Chapter 10: The model line Chapter 11: Spread the model Part 4: Lessons Learned … and learned again Chapter 12: Do not replicate a broken current state into a new EHR Chapter 13: Standardization is not optional Chapter 14: Engage users and patients early and often Appendix: Tools and Templates for use in lean EHR implementation