1. Please help me make an Org chart with the information below. It is for an EHR...
Question:
1. Please help me make an Org chart with the information below. It is for an EHR implementation for a small clinic.
Team Resources: Roles & Responsibilities
Creating a cross-sectoral implementation team is critical when adopting a new EHR system. When implementing an EHR-related project, it is vital to have a knowledgeable and strong leadership team. Team members should possess complementary skills and represent all areas affected by the project. Table 9 outlines the EHR implementation project team members' roles and responsibilities (HealthIT.gov, 2018).
Table9: Project Team Members: Roles & Responsibilities
Project Team Members: Roles & Responsibilities | ||
Project Team Members | Labor Category | Role & Responsibilities |
Project Manager (PM) | In-house Staff | PMs are responsible for successfully completing a project, including fulfilling all requirements and ensuring that all deadlines are met for implementing an EHR system, as well as ensuring that effective communication and collaboration occur between different phases. A PM assures that all project deliverables and responsibilities are met, including establishing a schedule, managing risks, managing change, tracking issues, and reporting status. The PM's role is to facilitate the planning, design, development, implementation, and testing phases (Vant, 2017; AHIMA, 2021). |
Project Sponsor | In-house Staff | The Project Sponsor's roles and responsibilities include communicating with the company about the executive pathway of the project; making sure that the project's objectives and business perspectives remain within the project scope. Additionally, the Project Sponsor will ensure that funding is provided on time, maintain change management processes, and anticipate and remove obstacles that might interfere with the overall project's success (AHIMA, 2021). |
Health Information Management (HIM) Specialist | In-house Staff | HIM Specialists are responsible for making final decisions about implementation plans. Their role includes overseeing and protecting patient health information, including symptoms, diagnoses, medical histories, test results, and procedures. Moreover, they ensure that both traditional and digital medical data remain reliable, accurate, accessible, and secure. They act as a vital link between physicians, patients, and third parties (Mayo Clinic College of Medicine and Science, n.d.). |
Super-User | In-house Staff | The super-user's role is to provide application support, configuration, and testing, and to provide implementation support. As part of their responsibilities, super-users will rearrange workflows, train end users, support "go-live" activities, monitor adoption of existing and revised workflows, and generate reports and information (Aguirre et al., 2019). |
Nurse Lead/Clinical Lead | In-house Staff | The Nurse Lead is responsible for being a liaison between IT and nursing. Nurse Leads should be involved in the design and development of the system as well as in the testing, training, implementation, maintenance, and optimization of the system (Kutney-Lee et al., 2019). |
Physician Lead | In-house Staff | Physician Lead serve as a liaison between physicians and the implementation team. Physician Lead act as a point of reference for how things need to be done and how the EHR application should work from a clinical standpoint. The Physician Lead is responsible for keeping physicians informed about the progress of the EHR project and ensuring physician commitment (HealthIT.gov, 2016). |
Quality Assurance (QA) test engineer | In-house Staff | Ensures that the EHR system is tested from multiple angles. QA test engineers ensure testing activities are in alignment with the day-to-day operations of the clinic. A QA engineer is responsible for testing and confirming the system security, ensuring each clinical department is functioning as it should, and ensuring it can support as many users as it should (Vant, 2017). |
Scheduler Lead | In-house Staff | A Scheduler Lead is an instrumental part of the scheduling team, followed by other scheduling assistants; this role involves understanding workflows, and inspiring other scheduling assistants to embrace change, as well as driving consensus among scheduling assistants (HealthIT.gov, 2016). |
Information Technology (IT) Lead | In-house Staff | It is the responsibility of the Information Technology Lead to deploy and manage software, hardware, and network assets. IT Leads are experts in software, hardware, and network operations (HealthIT.gov, 2016). |
Laboratory Lead | In-house Staff | The Laboratory Lead is responsible for workflows within the lab. They ensure the EHR package meets laboratory needs. |
Key Stakeholders
Stakeholders are an individual, group, or organization that may affect, be affected by, or perceive itself to be affected by a decision, activity, or outcome of a project, program, or portfolio (Project Management Institute, 2021 p. 147). Key stakeholders can provide essential information about the financial and clinical performance of an EHR, or about any individual or group whose performance may be impacted by decisions related to EHRs, such as buying or replacing a system, or which type of system will be used. Key stakeholders should be consulted during the selection of an EHR-related decision making as well as the type of information they possess that can be used to optimize decision making in the project (Green, 2018). Table 10 lists examples of key stakeholders for the clinic.
Table10: Project Key Stakeholders
EHR Implementation Key Stakeholders | |
Key Stakeholders | |
Billing Department | Due to its role in overseeing all payments for an organization, the billing department is an instrumental stakeholder in the EHR implementation process. Billing will ensure claims are processed correctly and promptly. The billing department will assist with the integration of existing billing systems into the new electronic health record system. A billing department stakeholder can provide information about the efficiency and accuracy of claims processing (Green, 2018). |
Administration and Executive Board Members | Regular project status reports including identified risks and any financial impacts will be required by the board. An EHR's management and financial responsibilities allow Administration and Executive Board Members to devise strategies to improve it, particularly in terms of services that can lead to cost savings or increased revenue, financial, and operational decisions (Green, 2018). |
Patients | Health data management and data requests impact on current patient experiences. |
Government Agencies | Government agencies issue legal and regulatory requirements for certifiable EHR systems. |