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The reality with customization? The further an organization gets from a product’s foundation development, the further behind they are when the next set of enhancements are released, says CIO Tricia Julian.
Having a governance structure where physicians and operational leaders are engaged in major decisions isn’t just nice to have, it’s critical to the success of an implementation, says CIO Tricia Julian.
Physician engagement
“We don’t get relationships sitting in offices. You have to get out.”
Lessons learned in change management
Biggest surprises about becoming a CIO
Anticipatory staffing — “It’s not a sustainable model.”
Learning project management as an executive medical director
Coming to Baptist in 2001 — “I knew I’d found home.”
Leading EHR selection process as CMIO
Heavy physician representation
“Lean” 175-person Epic team
Frustration with poaching — “It’s keeping that vision in front of myself and helping others see it.”
Epic rollout: “Operationally led, IT supported”
Challenges with clinical summaries
Broadband Internet — “We are struggling as a state.”
About Baptist Health
15-month Epic rollout by region
“We’ll be troubleshooting and making adjustments that are required immediately.”
Creating & populating Epic record in physician practices
Staffing for go-live — “We need them present.”
“I don’t know that we can ever optimize, but we can always improve.”
Personalization labs
HIE work (internal vs external)
“At the end of the day, it all comes down to viability — somebody has to pay”
In the process of “thinking about thinking about our financial system”
Sims on leadership — reflecting on lessons from a rich career
“I’ve seen all the games played, so I know how they’re played”
Avoiding death by meeting
MUS1 – planning to attest at the end of this year
The physician practice strategy — McKesson & Cerner?
The importance of making rounds
Medseek for a physician portal (perhaps a patient portal down the road)
Making sure docs don’t see all the data, just the right data
The importance of a sound infrastructure
Implementing virtual desktops
About Baptist
The organization’s CPOE journey
Running McKesson Star for financials, Cerner (outsourced) for clinicals
Implementing CPOE, targeting a June 5 go-live
Breaking down outsourcing’s challenges
“We’re 10 months into it and, right now, we’re happy with our decision”
