Successful Change Management Strategies in a Medical Practice Panelists: Dr. Chris Tonozzi, Electronic Health Record Implementation and Development, Physician lead, Mountain Family Health Center, Glenwood Springs, Colorado. Ann Lefebvre, Executive Director of NC Regional Extension Center for HIT and directs the Improving Performance in Practice (IPIP) Program for the state of North Carolina.

4. EHR Implementation and Change Management Ann Lefebvre MSW, CPHQ Associate Director, NC AHEC Program Executive Director, NC Regional Extension Center Faculty, Department of Family Medicine University of North Carolina at Chapel Hill

7. Methods for Building Consensus Practice Development in Managing Change Outcome CLARIFY DIRECTION Avoid assumptions of understanding Over communicate goals, direction, and expectations COLLECTIVE CLARITY INVITE AND ACKNOWLEDGE CONCERNS Treat them as a natural part of the process Address resistance by asking for input CONTRIBUTION DEVELOP COMMITMENT Address reservations and reward initiative Avoid demanding compliance COMMITMENT

9. Chart is placed at vitals station H,W,BP Taken & recorded Patient is called to vitals station Patient is taken to exam room Chart is placed in sleeve on exam door Paper trigger Paper trigger Template needed How many vitals stations? How often do we room without vitals? Are cuffs and scales available in rooms? How many BPs do we miss?

26. Questions & Discussion