Hurdles of new system rollout

Although the case study is for implementation of eHR, but the lesson learnt is universal for any new large scale system rollout:

• Lack of Training
• train the trainer appoarch is used (only a selected group of people from users were trainied)
• no one was properly taught how to use
• users' questions were unanswered
• lesson learnt: system should not be rollout until everyone know how to use it
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• Lack of Buy-in
• Everyone should know HOW to use
• Everyone should know the BENEFIT
• User input was not sought during decision: get the end-user involve when choosing the system
• Going in pieces
•  gradual rollout (different parts of the system going live at different times)
• Pros: fix problems gradually as they occur without suffering a lot of issues all at the same time.
• Cons: Some users use new system while some users use old system
• Putting old records out of reach
• original project plan assume old paper record will not be needed very often
• The reality is that paper record is needed and recalled very often, causing additional time and cost
• Solutions:
• Using in-house staff to scan all records into the system
• Hiring an outside firm to scan the documents, and
• Keeping the paper records and scanning them when the patient visits.