CPOE goes live at St. Boniface General
WINNIPEG – St. Boniface General
Hospital (SBGH) entered the history books as the first healthcare
facility in Winnipeg to go fully live with Computerized Provider Order
Entry (CPOE), with the system going into full use in February 2009.
The introduction of CPOE at SBGH is the result of four years of effort
by the hospital’s healthcare providers and the Hospital Information
System Project (HISP) team. SBGH now has the benefit of an Electronic
Patient Record, a secure, private electronic record of a patient’s
health history including their registration information, demographics,
allergies, and test results. The HISP team is comprised of healthcare
personnel from SBGH and other facilities in Winnipeg and is managed by
Manitoba eHealth, a provincial program.
With the EPR/CPOE, clinical orders are entered and sent directly to the
appropriate department for processing. The orders are listed in the EPR
with indications of what has been completed and what is pending.
Electronic alerts appear for specified order duplications and provide
information to assist clinical decision making.
The system performs checks in the background when providers write an
order. For example, the provider may be alerted to patient allergy to a
drug or whether the dosage ceiling for the drug is being exceeded. Only
providers with appropriate security rights are able to modify or
discontinue an order. All changes are tracked, to determine who made
changes and when. The system is also auditable, which ensures that
privacy and confidentiality issues are easily identified.
As other hospitals implement the EPR, authorized healthcare providers
can have timely access to patient information at these other facilities,
helping to reduce instances of duplicated efforts and provide even
greater security to the healthcare system. Any future EPR
implementations at WRHA hospital sites are in the planning stages.
In the early morning hours of November 18, 2008, the first electronic
orders were entered on Cardiology/CCU and out-patient cardiology areas.
The remainder of SBGH went live with the system in stages to ensure that
resources were available and dedicated to the area.
“This has to be the smoothest EPR implementation ever in a hospital,”
says Dr. Michel Tétreault, CEO of SBGH. “I believe this is due to the
tremendous amount of work done by the St. Boniface and Manitoba eHealth
project teams, and the positive attitude of staff and physicians in
learning new processes to improve care for patients.”
The HISP team worked intensely with SBGH personnel and doctors to
prepare for the implementation, which included workflow analysis,
equipment sourcing, demonstrations and training. During each activation,
a command centre was staffed 24/7 to support the healthcare providers on
the floor. These preparations helped to ensure smooth activations.
Dr. Bruce Roe, Chief Medical Officer of SBGH, adds, “The EPR is going
extremely well in the inpatient areas. Users have quickly adapted
workflow to the EPR and in some instances, it’s reported that
patient-care rounds go faster. Physicians and staff appreciate having
clinical information at hand, and it aids in decision making.”
For more information on the EPR, please visit: