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Epic First Days

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Well we did it and the building is still standing. We went live with Epic a little later than planned …closer to 5 a.m. than 3 a.m. There were a few bumps (lab labels wouldn't print, many of the orders had the wrong administration time) but those problems were triaged and solved reasonably quickly. A big thank you to the many colleagues (nurses, pharmacists and many others) who stayed long after their shifts to reconcile medication lists and orders. Also thank you to the implementation teams that stayed here all night and ate hundreds of pieces of pizza while anticipating and solving problems. A few things you probably don't know about the Go Live: • We started our first surgical case around 3 a.m. The anesthesia team was able to start the record before the Go Live. They quickly discovered some technical challenges but were able to manually enter the values that were not automatically transferred from their devices. • We had to push Citrix logins out to over 5000 users again in preparation for the Go Live. • GIM invited 20 patients to come to be seen in Urgent Care on Saturday so they could have a "dry run" of their system. They quickly found some glitches in registration that Josie Wilkinson and her teams were working to correct. All in all not a bad Go Live first four hours! T H E F I R S T T H R E E D AY S Epic Go Live Rounding observations from Joanne Conroy, MD, CEO of Lahey Hospital & Medical Center March 28 — Go Live Day 1 9 a.m. Saturday, March 28; 4 hours after Go Live Make Today Epic

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