computerized physician order entry: a case study
DESCRIPTION
Dr. Pappas describes the planning, implementation, and lessons learned of a Computerized Physician Order Entry (CPOE) launch at a small community hospital in Chicago, IL. He shares his experience as the director overseeing the project, its challenges and solutions. The goal of his presentation gives administrators, providers, and analysts information on what to expect when trying to implement CPOE and Health Information Systems.TRANSCRIPT
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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