Stanford Hospital Enterprise System Case Study

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In order to minimize the risk of project failure with respect to the Epic system implementation, the three specific strategies I would propose to the board are as follows: 1. Show commitment to the transformation by rolling out the system in clinical applications. Stanford Hospital and Clinics (SHC) had implemented a CPOE system, Carecast, in the late 1990s. This former system was implemented rapidly, without a significant amount of physician involvement in choosing the product or in designing the implementation, which resulted in a system that had many problems and was not well supported. Learning from these mistakes, SHC spent considerable time and effort forming a selection team and gaining consensus for its new EMR system, which resulted in Epic as a clear winner. SHC has successfully involved stakeholders in the selection and implementation strategy; nevertheless, SHC leadership must keep in mind that many people within the organization may be wary of a new system given the frustration that was caused by the implementation of Carecast. The major factors that negatively affect EMR system implementation have to do with people – a lack of strong leadership and effective governance, along with suboptimal change readiness and stakeholder involvement. Inasmuch, SHC leadership must show a long-term commitment to transformation and implementation of the Epic system. Although it is not as common to start implementation with the front office, beginning a rollout with clinical applications would send a positive message to physicians that the new system was integral to the organizations core strategy rather than just an administrative exercise. 2. Plan a controlled and staggered rollout in the clinics, but have aggressive goals to quickly move implementation to the hospitals, and then to the back office. SHC is a collaborative institution that tends to work on a

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