Expert Panel Discussion on The Road to CPOE
We added the following positions as a result of CPOE implementation: a CMIO, eight nurse informaticists, one pharmacy informaticist, a dedicated IT manager and physicians (five at 0.1 FTE each). These resources were recommended as optimal by the vendor after significant discussion.
We are a community hospital with limited ability to add additional staffing for this project. We are considering the addition of a pharmacist to handle IT responsibilities and be assigned to the Pharmacy Department. In addition, we have acknowledged the need and are exploring outside consulting help on this project.
We created a chief nursing information officer position in 2007 and a chief medical information officer position in 2008. This year, we've created the role of vice president medical staff affairs to deal with medical staff issues and also champion CPOE and other informatics efforts. Pharmacy and nursing representation is key to our strategy and workflow development, but no new positions have been created.
We have created new positions that merge clinical expertise with IT and EMR expertise. We funded EMR systems training for nurses and pharmacists to create hybrid support individuals.