SLFC APSS Mind Map
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This document outlines many aspects of planning and implementing an electronic health records (EHR) system across a large healthcare organization, including project management, technical infrastructure, data migration, testing, training, go-live support, and ongoing maintenance. Key areas discussed are workflow management, application configuration, infrastructure requirements, user acceptance testing, go-live preparations, and transitioning to ongoing support. The level of detail involves considerations from practice to enterprise level.
SLFC APSS Mind Map
- 1. Return on Investment (ROI) Benefits Realization Total Cost of Ownership (TCO) Applications Implementation Solution Delivery Implementation Workflow Management Practice Business Intelligence Practice Sample Lessons learned Rollout modeling Medical Discipline Geography Patient and Provider Counts Practice and subsidiary clinics Technical acumen Paradigm shift adoption Team development Champion identification and training Communications planning Model office C staff utilization Staff augmentation Vendor professional services Project based subject matter experts Project / Program Management Office (PMO) Office of the Chief Information Officer (OCIO) Existing staff utilization Work Breakdown Structures Inter-Dependencies Resource Planning Sponsor communications Stakeholder communications Steering Committee communications End user communications Vendor, subcontractor, temp, communications Statement of Work (SOW) Division of responsibility Control systems Application configuration Static databases Dynamic databases Transaction databases Departments, Procedures, Dropdowns Patients, Providers, Insurers Screen Flow Workplace management Role management Supervisory Role management Exceptions management Break Glass management, reporting, and auditing To new application To replacement application To upgraded application Middleware Extract Transform and Load (ETL) Transaction resiliency Traffic management Real-time Batch Nightly Periodic Daily Weekly Monthly Quarterly Yearly Reports Mining Scheduled Ad hoc Dashboard design and deployment Templates Reports Forms Definitions and access declarations Daily Operating Procedure Champions General support Provider Unit Module Functional Enterprise Stress, capacity, performance User Acceptance Testing Local Area Network Communications Providers C Data Pipes Data center Image Inventory Enterprise desktop management Provisioning Management Ghosting Staging Deployment Spares management Computers Printers Scanners Exam Room Desktop Laptop Tablet PDA Back office Home office Configuration baseline Document printers Prescription printers Forms printers Admissions ID printers Encounter ID printers Document Card Bar Code Driver s License Insurance Card Membership Card Wired Wireless Guest portal Router / Switch allocation and assignment Site floor plan drawings Drop identification Electrical Voice Data Transponder positioning Coverage Floor plan management Neighborhood collision/conflict management Patients, visitors, vendors, contractors Router inventory management Capacity planning Failover C minimum configuration planning Proximity Interleaved Port assignment planning Data Pipe provider 1 Data Pipe provider 2 Application Service Provider model (ASP) Hosted C internal or outsourced Service Level Agreement Servers Environment Management Network Attached Storage Performance Monitoring Web servers Application servers Scanning Servers Training and Testing Servers Virtualization Load Balancing Cluster configurations Live - Production Development Demo Train Test Utilization Consumption monitoring Cloud storage Mirroring Stripping CPU Disk WAN LAN Print Services Dry run User login and functionality access test WAN bandwidth capacity test Go-Live team introductions and assignments Go, No Go? On-site support staff Off-site support staff Issue management Helpdesk utilization Subject Matter Expert (SME) utilization Sustaining Support utilization End Of Day (EOD) briefing Workflow Practice Operations Technical Infrastructure on site Servers in data center Databases Workflow tuning Continuation of Go-Live command and control center Daily briefing Transition to Production Technical Support Provisioning uplift Call Tree managementTicket avoidance Issue Response time Escalation management Known issues communications Staff SME s Contracted SME s On-demand SME s Vendor SME s Down Time Procedures Business Continuity Planning Disaster Recovery Procedures Switch to Paper Operating Procedures C workflow Information Resynchronization procedures Authorship Monitoring and compliance management Application Availability Schedule EHR Enterprise Order of execution Validation checkpoint procedures Communication plan execution Customizations New Features delta Regression Testing Enterprise regression testing Data migration and transformation Recommendations and request analysis Prioritization and release planning Design, Build, Test, Deploy Credit/Debit Computers Ambulatory Practice Solutions Services Go Live Services Day +1 Day 30+ Day -1 Sustaining Support Services Quality Management Preparedness Infrastructural Preparedness Responsibility MatrixHelp Desk Level 2+ Failover Service Level Agreement Steady State Documentation Shutdown Data Archiving Version 1.1 Applications Upgrade Planning Version 2.x Future State Planning Day 0 Scenarios Use Cases Test cases Testing and Training database populations Testing Data Preparedness Data Migration Data Integration Data transportation Enterprise Data Modeling Data Warehouse Business Intelligence Forms and Reports Staff Preparedness Roles and responsibility Separation of Duty Training Design, Build, Configure Workflow User access and entitlement Application Preparedness Module definition Pilot deployment Site Selection Deployment Calendar Critical path planning Enterprise Preparedness - Practices Operational Preparedness HIPAA ACA CMS MU Practice Management Business Model Technology Model Operations Model Regulatory Model