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Melanie Buba



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    OS08 - The Road to Digital Health Adoption (ID 12)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Health Business Process
    • Presentations: 1
    • Coordinates: 5/27/2019, 03:30 PM - 04:30 PM, Pod 7
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      OS08.01 - Engaging Physicians for GoLive: The Role of Physician Champions (ID 489)

      Melanie Buba, Department of Pediatrics, CHEO; Ottawa/CA

      • Abstract
      • Slides

      Purpose/Objectives:
      Physician Champions serve as department/division-specific representatives and subject-matter experts for items relating to the EMR build and operations. They liaise between the clinical operations of the hospital while engaging and supporting their colleagues. The purpose of this presentation is to provide an overview of the important role of Physician Champions as key stakeholders and drivers of change around the decisions and processes that contribute to the optimization and clinical relevance of the EMR. Specifically, the contribution of Physician Champions to decisions affecting EMR optimization will be explored.


      Methodology/Approach:
      A review of minutes from Physician Advisory Council (PAC) meetings for a two year period from October 1, 2016 to September 30, 2018 was undertaken, and the total number of decisions made was determined. Decisions were reviewed and a decision lead was identified. ?Physician-driven? initiatives were defined as having a physician as the decision lead.


      Finding/Results:
      Between October 1, 2018 and September 30, 2018, a total of 104 major clinical decisions were made. Of these, 34 (32.7%) were ?physician-driven? initiatives, of which 25 (73.5%) were made in the year after GoLive (October 21, 2017 ? September 20, 2018). Physician Champions also participated as leads in 10 identified high risk workflows. The overall attitude from physician end-users about the EHR improving quality of care was 28% prior to the start of the implementation, 50% one year post implementation and 74% two years after GoLive.


      Conclusion/Implications/Recommendations:
      Physician Champions have made a substantial contribution to decisions affecting EMR optimization. Physicians have led approximately one-third of these changes, with a large proportion of these ?physician-driven? initiatives occurring in the year post-GoLive. At the same time we have seen a significant increase in the physician perception that the EHR was improving quality of care. An EHR governance structure that supports physicians as key stakeholders is critical to enhancing the applicability and usability of the EHR system. They provide valuable clinical input into system design, implementation, optimization and training, and as experienced end-users, have help lead a large number of improvement initiatives, particularly after GoLive. Continued involvement of physicians in EHR optimization is crucial. Further research will include the impact of Physician Champions on physician end-user overall perception, satisfaction and engagement with the EHR system.


      140 Character Summary:
      Creating an EHR governance structure that includes Physician Champions has allowed physicians to make a substantial contribution to the optimization of our EHR.

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