Health institutions are investing in and fielding information technology solutions at an unprecedented pace. With the recommendations from the Institute of Medicine around information technology solutions for patient safety, mandates from industry groups such as Leapfrog about using infor� mation systems to improve health care, and the move toward evidence� based practice, health institutions cannot afford to retain manual practices. The installation of multi-million dollar computerized health systems repre� sents the very life blood of contemporary clinical operations and a crucial link to the financial viability of institutions. Yet, the implementation of health information systems is exceptionally complex, expensive and often just plain messy. The need for improvement in the art and science of systems implemen� tation is clear: up to 70-80% of information technology installations fail. The reasons are multi-faceted, ranging from the complexity of the diverse workflows being computerized, the intricate nature of health organizations, the knowledge and skills of users to other reasons such as strategies for obtaining key executive support, weaving through the politics peculiar to the institution, and technical facets including the usability of systems. Thus, the art and science of successfully implementing systems remains deeply layered in elusiveness. Still, given the pervasiveness of system implementa� tions and the importance of the outcomes, this is a critical topic, especially for nurses and informatics nurse specialists.

Synopsis

This book is an indispensable tool and a practical guide for nurses and health care professionals as it details the implementation processes of both small and large clinical computer systems used in various health care settings. Combining theory and research, this book explains system implementation, with material drawn from multiple specialties, such as nursing informatics, information technology, and project management. User-friendly and written in a conversational style, it features practical analogies and case studies to illustrate concepts as it guides the user in the successful execution and management of system implementation, thereby improving the delivery of health care. Designed for use by nurses and health care professionals, chapter highlights include: system selection, the role of the informatics nurse in computer system implementation, project scope, implementation timeline, risk and barrier identification, project management, customization of product, plan for roll-out of product, evaluation of product and implementation process, data protection and legal considerations, and more.

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