Readiness Assessment

Readiness Assessment is a vital step to prepare for significant change - such as Advanced Clinicals with EMR, migration to MEDITECH Focus 6.x, or major Revenue Cycle redesign. A Jacobus Readiness Assessment evaluates critical organizational elements and includes a review of resources, people and skills, systems, implementations strategies, organizational culture, consensus, and decision making strategies - with a focus on quality, regulatory and patient safety initiatives that support evidence based and best practice delivery of care. We specify recommendations and concrete actions for your facility before implementation.

Engagement Focus & Cost

Jacobus' Readiness Assessment is offered as a fixed price, fixed duration engagement that focuses on the following elements:

  • Systems & Technology - assessment of current MEDITECH or other HCIS systems - including network and optimal clinical device planning - including requirements if moving from a paper based process.
  • Strategy & Planning - Identifies alignment between leadership strategies and ability to execute, and establishes measureable success metrics.
  • Governance - evaluates leadership, governance gaps, decision making and recommends structure for support of the subsequent project.
  • Physician & Clinical Adoption - determines the level of physician & clinical readiness for patient care system and process improvements - considering safety, quality, & efficiency - identifying major risks. Identifies physician priorities and support requirements, and includes recommendations on physician adoption and governance.
  • Quality, Patient Safety, and Evidence Based Practice - assesses the programs and structures (Magnet, Baldrige, in-house, etc...) in place in the organization and provides recommendations to ensure integration into the new HCIS.
  • Culture and Change Management - assesses organizational cultural readiness for change, and ability to adapt.
  • Risks & Barriers - uncovers unforeseen barriers, significant risks and likely unintended consequences.
  • Communication & Awareness - assesses organizational understanding, level of awareness, and degree of consensus in key stakeholders and staff and recommends actions to solidify consensus.
  • Process Redesign & Clinical Standardization - assesses vital patient care areas (in-patient, out-patient, ambulatory, ancillary, etc...) medication reconciliation, ADT and charge capture for gaps to ideal process standards, documentation standardization, and organizational ability to redesign to meet system, patient safety and quality standards.
  • Compliance & Reporting - assesses current and planned reporting objectives and recommends enabling system build and deployment strategies.
  • Knowledge/Skills/Education & Training - assess skills, knowledge and staffing considerations as a component of the organizational ability to execute. Determines the adequacy of existing educational and training resources for supporting physicians and clinicians, while recommending steps to prepare.
  • Budget & Resource Requirements - provides necessary information to budget, accurately plan and estimate the project. Identifies resource requirements, including personnel, financial and systems.

Methodology

These elements are assessed during on-site interviews and questionnaires by Jacobus Clinical Informatics consultants with Clinical, IT and Executive leadership and stakeholders. Activities will include hands-on system assessment, process analysis, and clinical documentation review. Results are documented, tabulated, and scored for inclusion into final deliverables.

Engagement Deliverables Include:

  • Interview & questionnaire results, scoring matrix and analysis.
  • Documentation and process examples supporting the report's conclusions.
  • Organizational Readiness Report, with assessment and recommendations for:
    • Governance
    • Cultural and change management
    • Organizational awareness, consensus/commitment
    • Physician & clinician adoption
    • Clinical documentation standardization and improvement - with emphasis on patient safety and quality
    • EMR structure
    • Process redesign scope and priorities
    • Education & training
    • Technology plan - recommended system deployment schedule, to include wired and mobile medical devices
    • Budget and resources impact
    • Risks, barriers and constraints
  • A recommended Project plan, milestones and schedule.
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