Timeframes to Implement an EMR and the EMR Regional Extension Centers

Posted on October 14, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I quoted this CIO in my previous post about EMR Motivations, but I also thought that Neal Ganguly provided some interesting analysis of the time frames involved with selecting, implementing and using an EMR. Plus, he takes it one step further and adds in the time frames to get the EMR regional extension centers in place as well. Check out the EMR timelines:

Hospitals / Physicians: It can take 3-6 months to evaluate and select a system and then it takes 18-24 months to install a hospital clinical system. It takes 2-5 months to properly install a physician EMR. It can take 6-12 months or more to work out the kinks and become productive on such systems.

The talent pool to accomplish this work is spread thin. Hence the extension center concept. However, it can take 3-6 months to establish centers operationally (find space, recruit staff, establish curriculums, etc), and then 3-6 months to recruit and train people to a reasonable standard to make them minimally effective. So optimistically, it would be 6-12 months from inception before the first trained individuals emerge from those centers – and really, 12-24 months before they have some of the real life experience needed to be effective.

It really struck me when Neal compared the time to get a regional extension center going and their inability to really support those interested in ARRA stimulus money.