How Evanston Northwestern Healthcare Approached Project Management

							How Evanston Northwestern
Healthcare Approached Project
Management for their Electronic
Health record (Epic)

        Barbara DeMartin
         April 21, 2005
Agenda
   Organizational Overview
   Project Summary
   Project Management Approach
   Lessons Learned
    ENH Overview
   Evanston Hospital                  →   420 Beds
   Glenbrook Hospital                 →   136 Beds
   Highland Park Hospital             →   240 Beds
   Admissions (Including Births)      →      42,000
   Patient Days                       →    195,000
   Deliveries                         →       5,700
   Outpatient Visits (Excluding ER)   →    454,000
   Total ER Visits                    →     88,500
   Employees                          →       7,500
   Physicians (Professional Staff)    →       1,700
   ENH Medical Group                  →         500
   House Staff                        →         150
                                               Waukegan
                           Gurnee

 Round Lake
                                              Waukegan



      Grayslake                             North Chicago



                             Libertyville
                                            Lake Bluff

              Mundelein

                                                Lake Forest

                    Vernon Hills                    Fort Sheridan
    Long Grove                                           Highwood
                            Lincolnshire

                    Buffalo Grove Deerfield              Highland Park

Lake Co.
Cook Co.                      Wheeling       Northbrook     Glencoe
                                                      Techny
                    Arlington
                    Heights                                         Winnetka

                            Prospect                                     Kenilworth
                                                    NAS
                            Heights
                                                                         Wilmette
                                                Glenview
                          Mount Prospect          Morton Grove
                                    Des Plaines                                Evanston
                                                         Niles       Skokie

                                                                          Edgewater
                                                   Norwood         Lincolnwood
                                                     Park EdgebrookNorth Town
                                                                           Rogers Park
          Chicago                                                          Uptown
                                                                     Ravenswood

                                                                 Irving Park
Project Summary
   Implement An Electronic Health Record
   Repository Conversion & Interfaces
   Physician Order Entry
   Paperless in Inpatient, Outpatient and
    Physician Office
   Scanning
   Budget
Project Management Approach
   Number one project for the organization
   Steering Committee
   Physician Advocate Committee
   Medical Informatics
   Project Leads were Operational
   Strong Partnership with Vendor
   “Just-In-Time” Project Management
                                                                                             Steering                                Evanston Northwestern Healthcare
                                                                                                                                     Epic System Development Project
                                                                                            Committee                                 Project Structure Chart 10/2002
                                                                                                                                                                                          EpicCare EMR
                                                                                                                                                                                         Pharmacy & ED
    Medical Informatics                                                                                                                                                                   Identity/EMPI
       Committee                                                                                                                                                                       Prelude Registration
                                                                        AVP Clinical                                                                          CTO & Patient            Cadence Scheduling
                                           Operations                                             Physician                        Operations
                                        Co-Senior Director              Systems (IS)                                            Co-Senior Director           Management (IS)             Resolute Billing
                                                                                                  Champion
                                                                                                                                                                                             MyChart


                                 Hospital                                    Pharmacy &
        Ambulatory EMR
                                Outpatient
                                                    Inpatient EMR
                                                                             Emergency
                                                                                                Physician
            Team                                        Team                                  Advocate Group                          Registration &                                 Professional
                               Departments                                   Department
                                                                                                                                     Scheduling Team                                    Billing




                                                                                                                                                                                                     MyChart
        Physician Order                      Clinician                                                                                                                 Patient
                                                                        Pharmacy & ED                     EMPI                          Scheduling
             Entry                         Documantation                                                                                                             Registration


                                                                                                                                                                                       Process
                                                                                             Process                      Process                      Process                        Re-Design
   Process                   Process                        Process
                                                                                            Re-design                    Re-design                    Re-design
  Re-design                 Re-design                      Re-design
                                                                                                                                                                                    System Build &
                                                                                          System Build &               System Build &               System Build &                  Documentation
System Build &            System Build &                 System Build &
                                                                                          Documantation                Documantation                Documantation
Documantation             Documantation                  Documantation
                                                                                                                                                                                      Testing &
                                                                                            Testing &                    Testing &                    Testing &                        Training
  Testing &                 Testing &                       Testing &
                                                                                            Training                     Training                     Training
  Training                  Training                         Training

                                Hospital                                                                                   Hospital                                                                  Process
                                                                                                                                                                                                    Re-Design
                                                                                                           Process                       Process                      Process
               Process                        Process
                                                                                                          Re-Design                     Re-Design                    Re-Design                    System Build &
              Re-Design                      Re-Design
                                                                                                                                                                                                  Documentation
                                                                                                        System Build &               System Build &               System Build &
          System Build &                   System Build &
                                                                                                        Documentation                Documentation                Documentation                      Testing &
          Documentation                    Documentation
                                                                                                                                                                                                     Training
                                                                                                           Testing &                    Testing &                     Testing &
              Testing &                      Testing &
                                                                                                           Training                     Training                       Training
               Training                       Training

                             Office                                                                                                      Office
      Lessons Learned-                        What Went Well

   Two Go-Lives Hospital        (1)Documentation 2)Physician Order
    Entry 4-6 weeks after Documentation)
   Two Physician Office Go-Lives              (1)Front Office &
    Scheduling (1st of the month), 2) Physician Order Entry &
    Documentation (15th of the month)
   Workflow Redesign
   Training
   Project Structure
   Command Center-Go-Live Support
   Downtime Documentation Support Strategy
   Software Development Partner
     Lessons Learned-           Done Differently Next Time



   Hospital Outpatient Departments & Their
    Physicians
   Post-Go-Live Support
   FTE’s Required Ongoing (sooner rather than later)
   Hospital Based Trainers (sooner rather than later)
   Paperless Goal-> Introduced Huge
    Scanning Component
   Ancillary Departments Knowledge of EMR