Phase 3 (Roll-out) activities
Phase 3 is the clinical deployment phase and is usually managed in two parts - an initial launch in a handful of initial departments to iron out any local issues, followed by roll-out to the remaining specialties. We recommend a 3-4 month timeframe for phase 3 as a balance of a realistic timeframe, clinical safety and minimising the time where a mix of processes are used, and maintaining implementation momentum.
Clinical go-live cutover approaches
There is a page in the playbook dedicated to cutover approaches, as there are a number of things to consider: clinical go-live cutover approaches.
Deliverables
- As per measurement strategy (use over time, impact etc)
Launch in initial specialties
The initial specialties should have been identified during phase 1 and users (both clinicians and relevant theatre teams) trained during phase 2. Measurement should continue during this phase.
Full roll-out
Once the initial specialties have stabilised and any initial deployment issues have been resolved a full roll-out is commenced. Some organisations approach this as a ‘big bang’ approach where all other specialties go-live on the same date, whereas others introduce at a regular cadence over the 6-8 weeks.
Measurement should continue during this phase and writing a brief case study of the deployment and identified impact is encouraged.
A transition to business as usual (BAU) should be undertaken during this phase, with the identification and delegation of any remaining tasks currently being undertaken by the internal project manager.
Removal of paper consent forms
Deployments are significantly more successful when a firm decision is made with regard to removing the general availability of paper consent forms. When a clinical area is live with Concentric (depending on the context this may mean when all specialties that use that clinical area are live with Concentric) we advise that paper consent forms are removed from general availability, with a small number placed in downtime folders, for scenarios covered by the Business Continuity Plan. At transition to BAU, there should be a check that, across the organisation, paper consent forms have been moved to only being present in downtime folders.