computerized physician order entry: a case study

Computerized Physician Order Entry (CPOE): A Case Study

Theron Pappas, PhD

11/04/2011CareTech Solutions

San Luis Valley Health Information Technology Symposium, November 4, 2011 1

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Computerized Physician Order Entry (CPOE): A Case Study

• Background• Challenges• Planning• Implementation• Lessons Learned

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CPOE: Background

• 218-bed non-for-profit• Chicago, IL• HCIS: MEDITECH Magic• Approximately 80 Independent Physicians• Most Doctors First Introduction to Combining

Health Care and Technology

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CPOE: Challenges• Physicians not Hospital Employees• Make Sure You Get in Line Early• No CMIO or Physician Champion• No PA or Residents• Workflow & Time• But I can’t Type• Fear of Change• Cost & Hidden Costs• “Threats”

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CPOE: Challenges

• Threats– “If they force us to do this, I am going to retire”

- MD– “I will not send my patients here anymore”

-MD– “If you don’t use CPOE, your privileges will be

revoked” -Administration

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CPOE: Challenges

• Threats– “If they force us to do this, I am going to retire”• Became a super user & helped train other MDs

– “I will not send my patients here anymore”• Continued practicing at normal volume

– “If you don’t use CPOE, your privileges will be revoked”• Privileges were never revoked due to CPOE usage

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CPOE: Planning

• Letter from CEO & Administrative Support• All RNs Trains as Doctors• New Policies & Procedures• One-On-One Training• Two Dedicated Support Staff• Dedicated 24/7 COPE Help Line• Favorites & Order Sets• Reward System?

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CPOE: Implementation

• Stay Consistent with Your Message & Goals• Focus on Patient Safety • Small Group 2-3 MDs Pilot• Unit Sectaries = CPOE Super Users• Deadline to Remove the Paper Orders• Dedicated on Site Staff for 1 Month• Measuring CPOE Usage

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CPOE: Lessons Learned

• Administrative Support was Key• Physician Champion(s)• Must Have Appropriate Infrastructure• Experienced Implementation Specialist• 24/7 Support is Recommended• Threats May be Made, Don’t Waver on Goals• Stay Positive, Focus on Quality & Safety

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THANK YOU!

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Please send any questions or comments to:tpappas@hfmhealth.orgThank You!

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