Chapter 5 and Chapter 16 HIM Textbook Insights
Share here some insight of the chapter readings of 5 and 16 (HIM Technology;
An Applied Approach). There is a lot to cover and all of it relates to your group
project! Remember, 1-2 paragraphs and to post on another student's summary!
Go Live events are generally scheduled to roll out when the facility is least busy and need to be planned
for because it can’t interfere with patient care. This could be on night shift, weekends, holidays, or during
non-peak times of the month. There are (3) roll-out strategies and (2) turnover strategies relating to go-
live events. Turnover strategies relate to individual users and include straight turnover and parallel
processing. Straight turnover ceases the former system and processes, which is high risk if the new
system doesn’t function properly but it’s more cost effective and reduces workload significantly by not
having to duplicate work. Parallel processing is more expensive and labor intensive because both the
new and old system run simultaneously. This allows for comparison of each system on both performance
and synchronization.
Rollout strategies include phased approach, pilot method, or the big bang method. In the phased
approach, implementation starts with one module of the system and gradually adds other modules one
at a time. The advantage to this is staff is not overwhelmed by doing everything at once but the
disadvantage is it takes an extensive period of time to complete. The pilot method allows only one
department, unit, or entity to use it at a time. Once the system is consistently and successfully used, the
next group is implemented. The pilot method is aimed to limit the impact on the staff and facility. The
big bang method, also known as the cut over method, poses the highest risk because the facility stops
using the old system and starts using the new one. This poses the highest risk because the new system is
being used facility-wide and they may not have the old system to use as a backup.
