PODCAST: One-on-One-w/Carilion Health System SVP and CIO Daniel Barchi, Chapter 1

06/29/2010 By 4 Comments
Daniel Barchi, SVP & CIO, Carilion Health System

Daniel Barchi, SVP & CIO, Carilion Health System

Managing 512 interfaces isn’t easy. That’s why Daniel Barchi, SVP and CIO with Carilion Health System, was more than happy to embark on the search for a single integrated EMR a few years ago. After an intensive selection process — which included copious input from clinicians — the health system selected Epic. And from that point until today, it’s been all about implementation, rollout and optimization. Barchi is definitely a proponent of the Big Bang philosophy and, in this interview with healthsystemCIO.com editor Anthony Guerra, explains why, and how.

Chapter 1

  • Becoming an integrated clinic with Epic
  • Going from 11 EMRs to 1, 512 interfaces
  • Getting down to 4 vendors in selection
  • Epic vs Cerner … Epic wins
  • The art of site visits
  • Good governance and project management
  • “We kept our IT team almost at bay”
  • All final decisions were made by clinical leadership (to a point)
  • Large systems ditching best of breed?
  • Strategy for owned-practices vs community docs

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Chapter 2

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Filed Under: Acute EMR, Clinician Relations, Governance, Hospital/Physician Office Integration, Implementation/Project Management, Integration/Interfacing, Vendor Management Tagged With: , , ,

Comments

  1. flpoggio says:
    07/01/2010 at 2:23 PM

    Daniel,
    Interesting story, thanks for sharing.
    But I do not quite follow you on your comment that you can’t take a heavy handed approach. But your Medical Staff Director said…use EPIC, and if you chose not to I will take that as your resignation from the Medical Staff. Sounds pretty heavy to me.

    Maybe you meant that hospital administration (a la CIO) can’t take a hard line approach…but the CMO must?

  2. Anthony Guerra says:
    07/01/2010 at 2:48 PM

    Hey Frank,

    I’m pretty sure that’s what Daniel meant, but I’ll direct him here to comment.

    Thanks

  3. DanielBarchi says:
    07/01/2010 at 4:47 PM

    Good point. A large implementation is something which needs cooperation across and leadership from within each group of users. The president of the organized medical staff worked with her colleagues to establish an expectation for use and reinforced the plan with her comments.

    Daniel

  4. flpoggio says:
    07/04/2010 at 9:32 AM

    OK, so if I may paraphase…for a successfull implementaion, the C in CIO is for coordinator, the line exec/manager must Lead!

    And what would your advice be to a CIO that cannot get the Line folks to lead?

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