Advocacy: First Steps
You have a problem with your EHR and you want to make big changes. What do you do? Here is a list of ideas to think about when advocating for change. More advocacy information can be found in the toolkit.
Figure out what the problem is
Instead of saying “I need this”, try to talk about what your problem is. Sometimes, technology personnel or administrators may have better solutions to fix the problem than what you can come up with. Of course, feel free to share your ideas to get feedback!
Determine if it is a group or individual problem
Talk with other physicians and clinicians in your practice or specialty. Is this a problem that many others have?
If you don’t find that your colleagues have similar issues, find the appropriate people that can help fix your problem, such as IT
If other colleagues have similar issues, this is a good issue to advocate for better changes
Determine who can help
Is this a problem within your department? The entire organization? A state or federal policy?
In general, it is more efficient and helpful to talk to your health system instead of trying to reach the EHR vendors.
Yes, EHR vendors should be working with physicians to improve their technology. But time and resource-wise, you will get more immediate results to help your day-to-day work by talking with your health system.
Get contact information for this person/people
Be Persuasive
Have data on why people should care about your problem
See the Data and Statistics for Advocacy page in the Physician Toolkit
Talking about the cost (people and money) is helpful at getting people’s attention
Reiterate that it is a common problem within your department, organization, specialty, etc.
If you have a specific solution, include information or data on why that solution is effective
Cost information – including start-up costs, maintenance costs, time costs, personnel, etc. – is crucial to include
Be willing to hear other ideas that could address the root cause of your technology issues
Make sure to advocate for the necessary resources to implement a solution
Money, people, time, and power to make decisions are crucial
People do not want to work on their own time. If you want to have physician focus groups or training sessions, ensure that physicians are being paid to attend
Have adequate IT personnel dedicated to the project/implementation/initiative