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The Five Rights of Effective Clinical Informatics Implementation Effective Clinical Informatics Implementation depends on clear objectives for the initiative. The objectives are best expressed as clearly articulated and measurable outcomes. Once efforts are focused, it becomes clearer which data is needed to achieve the outcomes, how to best present the data, where there are opportunities for rules to assist in good decision-making, and how changes in work processes can take advantage of the new tools available to clinicians. Commonly, some or all of these Rights are omitted, with resulting dilution of efforts. The key step is to verify that implementation has achieved the desired Outcomes. When results are sub-optimal, repeat the same sequence of steps. As important is the opportunity to revisit these issues after the users are fully facile with the system. Often, users will have new insights after they have incorporated a new way of working into their experience. Small tweaks can make huge improvements in productivity at this point because most of the hard work has already been done! Start the process by defining the Right Outcomes.
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