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. Author manuscript; available in PMC: 2017 Aug 23.
Published in final edited form as: J Hosp Med. 2016 Nov;11(Suppl 1):S25–S31. doi: 10.1002/jhm.2661

TABLE 2.

Hospital System-Wide Go Live Checklist

Level Tasks
Administration Obtain executive committee approval
Establish communication protocols with quality assurance and quality improvement committees
Review protocols with medical–legal department
Communication Write media material for patients and families
Develop and disseminate scripts for front-line staff
Develop communication and meet with all relevant front-line staff on merits of project
Educate all staff on workflow changes and impacts
Clinical preparation Conduct internal review of unplanned transfers and present results to all clinicians
Determine service level agreements, ownership of at-risk patients, who will access alerts
Conduct staff meetings to educate staff
Perform debriefs on relevant cases
Determine desired outcomes, process measures, balancing measures
Determine acceptable clinician burden (alerts/day)
Technology Establish documentation templates
Ensure access to new data fields (electronic medical record security process must be followed for access rights)
Workflows Workflows (clinical response, patient preferences, supportive care, communication, documentation) must be in place prior to actual go live
Shadowing Testing period (alerts communicated to selected clinicians prior to going live) should occur