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Expert Panel Discussion on The Road to CPOE

Brought to you by H&HN and CareTech Solutions

Computerized physician order entry is no longer an option for most hospitals today. The quality and safety benefits are reason alone to adopt the technology. Under the American Recovery and Reinvestment Act, hospitals now have the added incentive of receiving stimulus funds for CPOE implementation. This online executive dialogue explores CPOE implementation. Expert CIOs and CMIOs share their experiences with planning and implementation. Their organizations are in various stages of CPOE implementation.

To download a PDF of the complete discussion click here.

Panelists:

Dave Baumgardner
Chief Information Officer
Union Hospital
Dover, Ohio
Jeff  Bell
Director of Client Services
CareTech  Solutions
Lee Carmen
Chief Information Officer and Associate Vice President for Information  Technology
University of Iowa Health Care
Iowa City, Iowa  
David Fiser
Vice President and Chief Information Officer
Akron (Ohio) General Health System
Akron, Ohio
Edward Koschka
Chief Information Officer
Community Health Network
Indianapolis, Indiana
Harry Laws, M.D.
Chief Medical Information Officer,
Community Health Network
Clinical Professor of Pediatrics,
Indiana School of Medicine
Indianapolis, Indiana
David Peter, M.D.
Chief Medical Information Officer
Akron (Ohio) General Health System
Akron, Ohio  
 

Questions:

To read each question and answers in order, please begin by clicking here.

To go directly to a specific question's answers, please click on "Go to Question" below.

  • Question 1
    How long did it take between initial planning and go-live for your CPOE initiative?
  • Question 2
    Did you use or plan to use any process mapping/workflow analysis techniques to prepare for this large-scale project? Did you or do you plan to employ any LEAN or Six Sigma techniques?
  • Question 3
    If your organization has implemented CPOE, how long did it take before you reached 50 percent adoption? 75 percent? How long do you think it will take to reach 100 percent?
  • Question 4
    What techniques and/or programs have you or will you develop to address the challenge of adoption as well as encourage it? What techniques and/or programs were or are expected to be most useful to help the organization work through this change?
  • Question 5
    Where are you with CPOE? Are you live or still implementing? Can you describe further how you are optimizing clinical workflow? Are you making system configuration changes or primarily making changes in work process?
  • Question 6
    What was your most successful strategy for communicating with physicians regarding the impending CPOE initiative?
  • Question 7
    Do you believe that the product maturity of the system you plan to use or are using is sufficient to support your future strategy? If not, what are the weaknesses?
  • Question 8
    What positions were or will be created to support the project? From what disciplines or areas did they come from?
  • Question 9
    Do you believe your help desk is ready to support CPOE? Have you considered or are you considering enhancing your existing support services with health care-specific IT outsourcing solutions?
  • Question 10
    How are you managing decisions about clinical decision support and order sets? Have you created a central committee to oversee and approve these roles? What has worked? What has failed?
  • Question 11
    What are a few of the largest lessons learned that you share regarding your CPOE implementation?
  • Question 12
    What, if anything, would you do differently if you could start the CPOE implementation process over again?
  • Question 13
    What advice do you have for your colleagues who are about to embark on the road to CPOE?
  • Question 14
    Are you satisfied with your adoption rate? If so, what do you believe fostered high rates of adoption? If you aren't satisfied, what do you believe is the biggest barrier?
  • Question 15
    What do you believe is or has been your biggest barrier to beginning this process?