November 2014

For physicians to embrace the adoption of new technology quickly, three things must happen:

1.    They must be engaged as leaders in the implementation process.

2.    The technology must be simple to use, but should demonstrably enhance patient care and care delivery.

3.    The health care organizationís role-based workflow, including the use of the EHR software, must be defined. Everyone on the care team should work to the top of their license, minimizing the physicianís interaction with the software, and giving the provider both a big-picture and a relevant detailed view of the patientís record.


One of the most important aspects of health IT software implementation is having a site-specific multidisciplinary team (in conjunction with an EHR technical expert) analyze the human software interface and purposefully define a role-based workflow that suits it. This includes documenting what role is responsible for each aspect of the EHR clinical documentation. Sites may start with a generic software role-based workflow roadmap, but it will probably need to be tweaked due to various factors--state regulations regarding clinical care, different staffing models, different EHR configurations across organizations, etc.


Engaging the multidisciplinary team has the added benefit of creating buy-in for the plan they develop. The most sophisticated technology implemented and run by the sharpest health IT experts will not be rapidly adopted without buy-in from the clinicians and the team.


MedAllies is a clinician-led organization with deep technical, administrative and clinical expertise. We recognize that to foster the rapid adoption of Direct interoperability to enhance patient care and exceed the requirements for Meaningful Use stage 2, implementation requires technical, administrative and clinical expertise. At MedAllies, weíve developed a proven, phased Direct interoperability implementation approach.


Weíve provided Direct services since the Direct Projectís inception and run a leading national Direct network. MedAllies Direct Solutions provides a secure, scalable, standards-based way for providers to send authenticated, encrypted personal health information to other providers--across the street or across the country.


Our three-phase, three-track process takes a provider organization from contracting to implementation and ongoing support in roughly 30 days. The exact process depends on the organization. We provide a guide, but the specifics are customized to the organizationís needs, understanding that each community, each practice and each physician is unique.


One thing weíve learned is that the exact process depends on the organization. For example, some need more handholding than others. Itís important to know when to provide that support and when to step back.


Another thing weíve learned is that even within an organization, implementation needs vary. MedAllies subject-matter experts lead each implementation track-administrative, technical and clinical. We work with the organizationís administrative, health IT and clinical staff to move through the process rapidly, while creating project buy-in at all levels. Thatís what our implementation process provides, and thatís how we ensure MedAllies Direct Solutions supports the three-part aim of better care, improved health and reduced costs. Those are changes clinicians will embrace.