Migration Issues

 



They are various types of migrations.  We are going to focus on data and system migrations- both have many complex issues.

• Data migration- the process of transferring data between storage types, formats or computer systems.
• System migration - the tasks involved when moving data and applications from current hardware to new hardware.

A new complexity has been added to the Electronic Health Record when practices, hospitals, departments and urgent cares either transition from paper to electronic and/or change products or vendors.  The reason for change include:

1. Adoption of an enterprise system that co-opts prior vendors.
2. Adopting a product for meaningful use funds and/or e-Prescribing.
3. General discontent for the present system.
4. Lack of support from prior vendor.
5. New products have "wow-factors" the save FTEs.
6. New ownership wants to consolidate their practice to one format, etc.

When purchasing a new Electronic Health record, it is incumbent that the "migration" to the new format is planned and supported by the vendor.  These include interfaces to capture old data, scanning solutions, 24/7 support, and a firm understanding by the new provider of the various complexities.

Avoid "re-inventing the wheel" by having these discussions with all parties to provide a smooth transition.  Do not suffer from inertia- the tendency of a body to maintain its state of rest unless acted upon by an external force.  Making changes to improve productivity, work-flow are always in your best interest.