CPOE Implementation

1
CPOE Implementation

• MEDITECH Physician/CIO Meeting
• October 2006

2
Key Steps to Physician Involvement

• Everyone understands the process
• Minimally, technological
• Maximally, complex clinical process redesign
• Leadership involvement
• Institutional leadership
• Vision and reason for change safety
• Prepare CEO and Board for negative feedback
• Physician leadership
• Buy-in and support

3
Key Steps to Physician Involvement

• Physician champions
• Program advocates
• End-user advocates
• Liaison between medical staff, I.T., and
  administration
• Campaigners for benefits of CPOE
• Compensated for time

4
Key Steps to Physician Involvement

• CPOE Coordinating Group
• Identify and manage areas of resistance
• Build physician support
• Analyze and approve recommended changes
• Ensure physician involvement at every stage of
  the process
• Functionality
• Ownership

5
Key Steps to Physician Involvement

• Present a consistent and positive message until
  there is message fatigue
• Present training in as many venues and times and
  forms as possible
• Minimum formal training, maximum one-on-one
  coaching at rollout
• Provide intense support
• Provide immediate response to support requests

6
Key Steps to Physician Involvement

• Emphasize Benefits of CPOE
• Remote access for orders, results, and all
  functions of computerization
• Decision support
• Reduced callbacks to providers
• E-signature
• Order sets and favorites
• Faster order results expedites patient care
  processes
• Mall/superstore approach with links to Internet,
  journals, news, weather, online medical texts,
  drug/formularies

7
Key Steps to Physician Involvement

• Anticipate plenty of starts and stops, training,
  and retraining
• Prepare feedback loops to speed fixes