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Fri, Nov 06 2009 5:40 PM EST
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With CPOE, one of the key factors in Presbyterian Intercommunity Hospital achieving the high success rate that we’ve had, has really been the collaboration among all the stakeholders involved at the hospital – from administration to the medical staff to the nursing and ancillary departments – everyone really worked together, closely together, and shared the common goal of improving patient safety, quality of care, efficiency of workflow. With all of those common goals in mind, it has really gone a long way in allowing us to achieve the success that we’ve had.
With CPOE especially, you really need to have strong physician leadership. You need to have a physician liaison between the medical staff and the IT department and also with their clinic informatics department. That liaison has really been the bridge between IT and the clinicians. Having a physician involved in that whole process has really been very helpful with improving our success rates.
With physician workflow, that was definitely one of the key determining factors in making sure that we were able to achieve a high CPOE adoption rate. Without understanding how a physician’s workflow is, you really won’t be able to design the system and the order sets and order entry process effectively. And so we made sure that we mapped out physician workflow from the surgeons to the intensives to the general practitioners – we mapped it all out, at the same time keeping in mind that the workflow would definitely change and we wanted to know how that would change as we moved forward. By having that understanding and having physicians involved from the very beginning and making sure that they have a voice in every step along the way has really allowed for a greater buy in among the physicians. In CPOE, it is really designed with physicians in mind. It needs to be designed for the physicians, because they are the ones that are impacted the most by this change. Involving the physicians and allowing them to share their ideas let us know what works and what doesn’t --- it has really helped us to have a good adoption rate at PIH.
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Davis Lee, MD, is the medical director of clinical informatics at Presbyterian Intercommunity Hospital in Whittier, Calif.
Presbyterian Intercommunity Hospital (PIH) has experienced close to 100 perc
ent adoption of computerized physician order entry (CPOE) within 15 months. When PIH set a goal of 100 percent adoption rate of its CPOE implementation, its strategy was a combination of strong physician and nursing leadership, and a focus toward physician workflows. The approach helped to win over any resistance among affiliated physicians and enabled the community hospital to take away all paper order forms on day one.
