Have you ever wondered what an EHR go live is like? Ok, those of you who have been through one probably don’t want to relive that experience and may even have a little PTSD from the experience. However, as an EHR addict myself, I couldn’t resist watching the Golden Valley Memorial Healthcare (GVMH) in Clinton, MO live tweet their MEDITECH Expanse go live on the @gvmhe Twitter account.
I loved this kind of transparency and documenting of a go live. Pretty cool to see the process. The only thing I wish they would have done is used a hashtag throughout and shared it with others that were tweeting about the go live. If they had, then it would have been easier to find great tweets like this one from their CMIO Bill Dailey, MD:
We had a good day today. We have an amazing team. The whole organization came together with a common goal. Went great. Not perfect. @chooseGVMH has great people! This will be the worst day. It will get better and better from here. Each little thing fixed will make it better.
— Bill Dailey, MD MSMI (@docdailey) December 4, 2018
I won’t share the full go live stream since you can go and read it on the @gvmhe account. However, here were some tweets that stood out.
We have many people arriving. Additional resources and leadership from @Meditech, @jacobusconsult and multiple software vendors. A lot of last minute preparation and trepidation. The general mood is nervous excitement.
— gvmh_expanse_emr (@GvmhE) November 29, 2018
This is an exciting and nerve wracking part of any go-live.
The IT department @chooseGVMH is still smiling ahead of @GvmhE Keep smiling gang – we’re just getting started. #ThePowerOfOne pic.twitter.com/MWvb6381HA
— Craig Thompson (@craigathompson) November 29, 2018
I’m sure the team will look back on this picture fondly. Plus, they’ll probably note all the people who were too busy to get in on the picture.
Where we are right now!! @GvmhE @docdailey pic.twitter.com/SkRxpG4bcJ
— Frieda O’Brien (@Flobrien4) November 30, 2018
One of the best and worst parts of a go-live. The countdown clock which shows you how long until the real work begins and how much time you have left to finish your preparations. It’s always ironic that there’s always more prep that could be done, but you have to go live anyway.
Theme Song: https://t.co/FhOpKC3mcI
— gvmh_expanse_emr (@GvmhE) November 30, 2018
You have to have a little fun during the go live.
Broke the seal on the gas-x already. pic.twitter.com/Ynvo2QRzFe
— gvmh_expanse_emr (@GvmhE) December 1, 2018
The stress is real. Is there an ICD-10 for EHR go lives?
Final countdown! Client Server is now down. @chooseGVMH @meditech pic.twitter.com/ECyW5CsnxV
— gvmh_expanse_emr (@GvmhE) December 1, 2018
It’s like New Year’s, but less champagne and kissing. I like the matching shirts though.
Downtime Clock pic.twitter.com/axbEeTwSHY
— gvmh_expanse_emr (@GvmhE) December 1, 2018
Another stressful clock
War room populating… pic.twitter.com/hXdFA8srd4
— gvmh_expanse_emr (@GvmhE) December 1, 2018
War room in action!
It would be really nice to have @QuestLabs technical people call so we can interface.
— gvmh_expanse_emr (@GvmhE) December 1, 2018
The inevitable issues of getting your vendors on the phone. I wonder how effective this tweet was in helping the vendor respond. Especially since the tweet above was the 2nd one.
Almost ready to lift down-flags
— gvmh_expanse_emr (@GvmhE) December 1, 2018
The moment before go live.
We are Live!! pic.twitter.com/Du2HCCa5Od
— gvmh_expanse_emr (@GvmhE) December 1, 2018
15 minutes later!
Ready to go-live with Expanse and patients are arriving now. At least we’ll be well nourished here in Warsaw. @chooseGVMH pic.twitter.com/FfiLhpjkjY
— Kyle Adkins (@kadkins0035) December 1, 2018
Don’t forget the power of food during a go live.
I only asked for one thing… anyone know what it was? pic.twitter.com/GoXSk5cwut
— Bill Dailey, MD MSMI (@docdailey) December 2, 2018
Must be a pretty happy Christmas gift to have the go live done and with relatively few hiccups.
End of Day 2 Update: lots of issues fixed. Should have a very functional system going into Monday. This team is amazing. No complaints from anyone supporting the system. Some complaints from users. No safety issues known. Tomorrow will be rough but we will get through it! pic.twitter.com/fzQamNswg1
— gvmh_expanse_emr (@GvmhE) December 3, 2018
The reality of the first few days.
93% of physician documentation done electronically so far. That number is usually closer to 60% at this point in an implementation. Great job doctors! @chooseGVMH
— gvmh_expanse_emr (@GvmhE) December 3, 2018
I wonder how they measured this, but pretty interesting to consider.
We survived Monday!!
— gvmh_expanse_emr (@GvmhE) December 3, 2018
Monday with a full day of patients. Congrats GVMH!
I left off a number of things, so go and check out the full @gvmhe Twitter feed. Plus, you can follow along to see how the first few weeks on MEDITECH Expanse goes for them. I hope they keep tweeting once all the go live staff leave. That’s usually a challenging time as well.