U.S. group offers ‘best practices’ for CPOE
The National Alliance for Health Information Technology (www.nahit.org)
has published a new resource designed to help healthcare organizations
successfully implement a Computerized Physician Order Entry system. The
association notes that the lessons learned can be applied to any
information technology project in a healthcare organization.
The Alliance has drawn on the experiences and lessons of senior
executives from all healthcare sectors to offer a comprehensive yet
practical guide to leading and managing change as health IT systems are
Called Rules of Engagement: A Proven Path for Instilling, Then
Installing a CPOE, the 144-page book gathers those experiences and
organizes them into a logical sequence of preparatory and implementation
phases. It is available as a download in PDF format for US$395.
Rules of Engagement is a step-by-step guide outlining the three parallel
initiatives of a successful CPOE implementation: leading and instilling
cultural change, redesigning clinician workflow and implementing the
hardware and software.
• Project management tools such as readiness assessments, workflow
process maps, phases of training and support, evaluation of impact, and
metrics by which to measure progress in clinical and financial
• An RFP Questionnaire and Model Vendor Contract
• Real-world planning and implementation tips from those who have
implemented CPOE systems. This Guide details the six important steps in
planning and implementing CPOE from decision through implementation.
• The CPOE Decision. Initial steps a healthcare organization should take
in deciding whether to implement CPOE.
• Vendor Selection. The different decisions organizations face when
selecting a technology vendor to partner with for implementation.
• Cultural Change. Direction to project leaders seeking to effectively
guide the organization through cultural change.
• Workflow redesign. Extensive guidance on how workflow processes can
bring about improvements in quality of care delivery and patient safety
• Training and Support. A guide to developing a comprehensive training
program for users.
• Implementation. A complete roster of technological considerations,
from building order sets and setting alert levels to integrating
disparate systems and developing a robust network architecture that can
handle the requirements.
CPOE holds the potential for real gains in quality of care, safety and
efficiency. Cost poses a significant barrier to entry, but perhaps even
more daunting is the scope and complexity of implementation. Rules of
Engagement: A proven path for instilling, then installing a CPOE
approach that works, is the roadmap that will chart the course to
Fewer than 5 percent of U.S. hospitals have implemented CPOE systems.
Many are deterred by the complex, costly and time-consuming challenge of
fundamentally changing care-delivery processes, behavior and technology.
Yet transformation driven by CPOE and other clinical information
technology systems has led to better, more effective care for pioneering