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Updated: Dec 16, 2025

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Using a custom mobile application for change management in an electronic health record implementation.

Tony Threatt1, Claude J Pirtle2, Jennifer Dzwonkowski1

  • 1HealthIT, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

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|July 2, 2020
PubMed
Summary

A unified communication system, Hubbl, streamlined electronic health record (EHR) implementation by improving efficiency. This system facilitated task completion and information dissemination during a critical EHR go-live event.

Keywords:
EHR implementationchange managementelectronic health recordimplementation sciencemobile application

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Area of Science:

  • Health Informatics
  • Information Technology Implementation
  • Healthcare Management

Background:

  • Electronic Health Record (EHR) implementations face significant challenges in managing infrastructure, technical support, and process changes.
  • Effective communication and task coordination are critical for the success of large-scale IT projects in healthcare.

Purpose of the Study:

  • To develop and evaluate a unified communication system to enhance the efficiency of a "big-bang" EHR go-live.
  • To centralize scheduling, task management, and communication for a medical enterprise during EHR implementation.

Main Methods:

  • An agile development process was used to design the Hubbl application, incorporating iterative stakeholder feedback.
  • Hubbl featured role-specific organization, integrated communication, task and content management, and embedded project information retrieval.

Main Results:

  • User enrollment and system usage increased significantly from pre-go-live through post-go-live periods.
  • High engagement was observed with communication tools, information retrieval, and task monitoring, indicating successful adoption.
  • The system supported over 727 tasks to completion during the EHR implementation phases.

Conclusions:

  • The Hubbl unified communication system was integral to the success of the EHR go-live, supporting communication, task coordination, and change management.
  • Implementing a unified mobile and web-based platform can feasibly ensure task completion and information dissemination during major IT projects.