![]() Shelly Anderson, vice president of Strategy Implementation, is organizing different workgroups to focus on different key areas-lab orders, radiology, IP workflows, ambulatory workflows-to identify and prioritize the work that needs to be done. “Larger system-build issues go to a committee to review the root cause of the problem and determine options for changes to the system. ![]() If the issue relates to patient care, it will be resolved right away. “Providers recognizing areas of concern in their workflows can submit tickets to the Help Desk to alert the Partners eCare team of the issue. Committees are working to understand how much of our challenges are due to people getting used to a new system, which is natural, as opposed to areas where Epic needs to update or change the system. Additional tip sheets are being developed on how to best use the new system, and sessions with frontline providers are identifying root causes in workflows leading to patient medication errors. Some of the homegrown systems that were custom-fit to our needs and adapted over the years are certainly missed, but Epic is working to fix our issues and has been open to where the gaps are. “There are also pockets of concern related to certain workflows. Providers didn’t have to do this prior to Epic implementation and are getting used to it there have been fewer concerns over time. Orders are now written with a particular phase of a patient’s care in mind and reviewed and ordered at different stages. “I’ve been hearing about the place where providers are most struggling with the transition, which has been medication reconciliation on admission and discharge. Some areas already recognize Partners eCare as a clear improvement from old systems, especially the ability to access and receive information in a timely fashion. People are getting used to the new system and becoming more efficient with it. “Given the amount of change providers have absorbed, things overall have gone really well. Hospitalist Rob Boxer, MD, PhD, Director of BWH’s General Medicine Service ![]() Over the next five years, the P eC will integrate all clinical, administrative and revenue systems across into one comprehensive system, improving the way BWHC delivers care to patients across the hospitals and distributed campus.ĬRN talked to several BWHers about improvements, growing pains and overall impressions of the new system so far. Since Partners eCare went live four months ago, staff across BWH, BWFH and Dana-Farber/Brigham and Women’s Cancer Center (DF/BWCC) have been diligently learning and adapting to the new system, adjusting their workflows and working with colleagues to troubleshoot issues. The Epic Roll Out: BWHers Share Successes, Challenges of New System
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