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Implementation Plan
 

Phase 1: Research and Planning

  1. An exhaustive review of state, federal, and commercial activities in EMR planning and implementation, so as not to re-invent wheels and to ensure to the extent possible that Michigan's EMR will be compatible with (if not a model for) an emerging national standard.
  2. Assess the views and secure the commitment and support of stakeholders in visioning, goal/policy-setting, business planning and technical specification for the EMR.
  3. Fundraising.
  4. Planning.

See the table below for a more detailed outline of Phase 1.
 


Phase 2: Execution and Control:

  • Implement the pilot standard EMR at 4-5 sites
  • Statewide extension of the EMR pilot
  • Public awareness campaign
  • Provider education campaign
  • Practical assistance to providers in EMR financial analysis and implementation
  • Data aggregation, analysis, reporting
 
 
Assumptions
1.  

Selection of optimal technological architecture for privacy, security, and flexibility is paramount to public and institutional acceptance of a standardized EMR,
2.  

A broad and influential coalition of stakeholders representing the whole of the highly fragmented healthcare industry is prerequisite to the viability of a standardized EMR, and
3.  

Rapidly evolving technologies (such as the smart card and implanted ID chips) are likely to impact EMR development during the life of the project.
 
Phase 1: Detailed Outline
1. Planning October 15-16, 2002
1.1. Refine and set project scope
1.2. Determine staffing needs
1.3. Specify technology architecture
1.4. Select pilot sites
2. Fundraising  
2.1. Prepare grant proposals
2.1.1. Government
2.1.2. Philanthropy
2.1.3. Corporate
3. Coalition building Recruit influential representatives of each of the 7 major categories (providers, payers, plans, etc.) to the MEMRI board of advisors
3.1. Providers
3.1.1. Hospitals
3.1.2. Physicians
3.1.3. … others
3.2. Payers
3.2.1. Government
3.2.2. Employers
3.3. Health plans
3.4. Public interest groups
3.5. Associations (MHA, MSMS, MOA, MAOPS, etc.)
3.6. Vendors/developers
3.7. Related initiatives
3.7.1. Leapfrog
3.7.2. LinkMichigan
3.7.3. … others
4. Development/operational planning Preliminary project plans and budgets for each component
4.1. Pilot EMR systems
4.2. MEMRI portal/ID server
5. Research Analytic reports to support grant proposals, inform decisions, and contribute to project planning and implementation
5.1. Discover, review, & assess other past, current, & proposed EMR (and related) initiatives
5.2. Discover, review, & assess available & future EMR (and related) products and services