Reference no: EM132230970

Mangolia Hills Hospital implemented an EHR about six months ago. Your administrator decided to pull the plug on the project a week ago because of all the problems that the facility was experiencing. Physicians refused to use the system. They made the nurses print out everything so they could review the patients’ health records. The physicians would write orders on a piece of paper and ask the nurses to enter them into the order entry system. The few physicians who did try to use the system properly were still having problems. The system was down at least two hours a day and four or five hours for many days. When the HIM department printed out reports to satisfy ROI requests, what they received was more like screen prints than forms.

This system was the brainchild of Dr. Anderson. He is a retired transplant surgeon whose name is on the new transplant center building. He and a small group of his cronies were the ones who picked and controlled the implementation of the system. There was no input from anyone else other than the information technology (IT) staff. The screens are cluttered and difficult to use and do not have data quality built in. The system does not meet condition of participation, state licensing, and privacy requirements.

The HIM director, physicians, nurses, and other staff learned about the system only three weeks before its implementation. The HIM director was so angry at being left out of the loop that the director took early retirement and left with only two days’ notice. Physicians’ training on the new system consisted of a demonstration of the system at the quarterly medical staff meeting. Nursing and other staff were given only one hour of training. Since the implementation of the system, there has been turnover in the hospital administrator position and a new HIM director has been hired.

Identify the failures of the EHR implementation. Identify what should be done to prepare the staff for the EHR implementation. The hospital wants to salvage the system if possible, what should they do now to prepare to re-implement the system?