03.08.2023

Effective Go-Live Support for EPR Implementations

When large scale clinical system implementations reach the critical ‘cut-over’ and ‘go-live phases’, it is essential to have the right levels of support available to staff. However, it is equally important for organisations to understand what this entails.

In my experience, most NHS organisations do not fully understand the complexity of and considerations that must be given to the training workstream for the life cycle of an EPR programme.

This often leads to issues around budgeting effectively for training programmes as well as cut over and go-live support services. Often, floorwalkers that are provided are only capable of escalating issues to the central control point within the ‘go-live’ command centre and do not have the necessary skills to enable effective troubleshooting to staff who need support.

A comprehensive gold standard approach, combined with a robust Super/Champion user programme will mean that organisations have staff in key areas that can act as effective support mechanisms at the crucial go-live period. This approach also leaves a legacy of support within the organisation, rather than losing knowledge once contracted resources have left the programme.

While using floorwalkers for at the elbow support can be effective, it may not always be the most efficient or comprehensive approach. Depending on the complexity of the product or service, and the needs of the client, using specialised SMEs for post-implementation support may be a more effective approach.

Post-Implementation Support & Transformation SMEs are subject matter experts who are experienced in providing support and guidance after a new system or process has been implemented. This approach can be beneficial because these experts can provide a deeper level of support and understanding than a typical floorwalker, who may not have the same level of technical or process expertise.

At go-live, the most experienced and knowledgeable people in your organisation are your training team. They will have spent Months preparing themselves and training your staff on how to use the new EPR. They will also be up to speed with local processes, which can vary from Trust to Trust.

Together with super users who have been given the necessary levels of training and support, you have SME’s already in place who can manage the floorwalking effort and understand at the point of escalation whether an issue is related to training or the system. This leads to a much speedier resolution and importantly, takes pressure off your IT Help Desk, who will be inundated with calls and emails requesting support.

You can then focus on utilising external floorwalking teams effectively by having them engage with staff and communicate important messages to them and guide them to support materials hosted on internal servers or your Learning Management System (LMS).

Ultimately, the most important thing is to ensure that organisations have access to the support and guidance they need to be successful in using a product or service. Whether that is through traditional floorwalkers or specialised SMEs, the key is to provide the right level of support at the right time.

Written by James Quirke – Director of Transformation and Engagement

Latest insights

Paperless? Not Without Paper First.

Sitting at my 200-year-old desk, checking a 120-year-old pocket watch, and recapping a century-old fountain pen, while dictating this into my phone and letting AI help shape it into a blog. The irony isn’t lost on me. Just before writing this, I spoke to someone who’s spent years focused on the problem, not the solution….

From Big Pharma to the Public Sector: Why I Made the Shift

Career changes are rarely about chasing a new title. For me, the move from big pharma into the public sector was about aligning my skills with work that has a more direct impact on people’s lives. For several years, I worked in the private sector supporting global clinical trials by overseeing translations of electronic clinical…

You Can’t Merge What You Can’t Measure: Safe and Legal Day 1 Starts With Data

I remember the sinking feeling clearly. I was working from my home office when my builder knocked on the door and asked if he could have “a quick word.” That phrase never means good news. He’d discovered another asbestos pipe—hidden behind a wall we’d already opened up. The bathroom renovation was delayed again. Costs climbed….

If Your CIO Isn’t at the Executive Table, Your University Is Taking a Risk

Universities don’t fail because their technology breaks. They fail because their strategy ignores technology until it’s too late.  For years, Higher Education has treated IT as a delivery function – something to be consulted once the “real” decisions have been made. That mindset is now actively dangerous.  In today’s sector, digital strategy is institutional strategy. And any university that doesn’t have its CIO at the executive…

Fail Fast, Serve Better: Why the Public Sector Needs a Hackathon Mindset

The electricity in the room was palpable. You could feel that surge of anticipation and excitement — the moment when your brain starts racing at 100 miles an hour and the ideas begin to spill out. We were only ten minutes into our first ever Keystream Hackathon, and already the ideas were coming so fast…

Who Owns the Roof Over Our Heads? And why it matters

Generation Alpha – the iPad-native, AI-normal, children of Millennials who think global videos, climate chat, and hand sanitiser are just… life.  They’re also the least likely generation to ever own their own home. As it stands many Millennial parents will not get to see their children own their own home.  That matters. As property ownership…

Pulling the Cord on Tech’s Culture of Silence

In aviation, every crash leads to an investigation. In tech, most failures disappear into silence. Why? After attending several events recently, one theme stood out: transparency, or the lack of it. Having supported digital and transformation leaders for over a decade, I’m struck by how often the same issues resurface. Lessons aren’t learned, and problems…

Tuition Fees, Talent, and Quality: The Real Challenge for UK Universities

The government’s recent announcement allowing universities in England to raise tuition fees in line with inflation has made headlines across the sector. While this move may provide welcome financial relief, the bigger challenge for universities isn’t tuition – it’s people. Universities simply cannot meet quality standards without the right teams in place. IT, digital, and…

Beyond the Tools – Making Digital Transformation Work for the NHS 

I’ve seen the NHS’s digital transformation from all angles….as a patient, working on the frontline and in the programme room. I’ve felt the frustration of handwritten notes, siloed systems, and digital tools that promised productivity but rarely delivered. But I’ve also seen the difference when technology truly works, when it empowers rather than overwhelms, when it simplifies rather than complicates, and when it supports…

The Traitors Within: Tackling Hidden Inefficiencies in NHS Waiting List Management  

As The Traitors returns to our screens tonight (highly recommend if you haven’t seen it), it’s a good reminder that not every challenge is visible at first glance – especially in healthcare. Just like in the show, NHS teams are working together towards a shared goal, but sometimes unseen forces quietly work against progress.  In…