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Healthcare Technology and Information Management

This covers both management information and clinical information systems, including computer-based support for management, assessing how current technologies and major innovations are changing the way healthcare executives manage, using information systems for short- and long-range planning, using clinical information systems, and information systems acquisitions.

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CPOE and EMR Failures

Posted by: Michael Patmas on February 5, 2011 at 5:40PM EST

I have had the unfortunate experience of being in two organizations that had EMR and / or CPOE implementation failures as well as one organization that was successful. A key learning for me was the need to adequately fund training and support. Too often, implementation plans are driven by the vendor who tend to under emphasize the training needs. Simply providing a few hours of hands on training for the physicians is not enough. The real training begins after one flips the switch and providers have to actually work with the system in real time during clinical encounters. Thats when having trainers available to sit with and coach the providers is essential. In every implementation failure I have seen, the organizations under-invested in training and ongoing support.

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(3) Comments

Posted by: Kevin Sheppard on February 20, 2011 8:14PM EST

I agree with your observation. I work with a health system of approximately 18 hospitals. My hospital is going live on an EMR system in late March and will be the 5th on our system. The implementation team has learned with every implementation. But one of the biggest take aways has been the need to have on-site support available right before implementation and the two weeks after to make sure questions and issues can be addressed timely.

Posted by: Mary Siegert on March 5, 2011 2:35PM EST

My health system recently chose an EMR system for their physician group. A great deal of time has been spent designing the implementation phases which will include education and training sessions for the staff and physicians. We have established a Physician Advisory Group compised of key physician representatives from each specialty who are committed to the success of the design and implementation phases. We have also hired a dedicated team of trainers who will work with us during each phase of the project.

Posted by: Parwaiz Khalid on March 15, 2011 6:58PM EST

We implemented CPOE few years ago and it was a major challenge to get physicians on board. I guess change management is difficult for every organization. After two years the physicians love it and we have a much improved medication safety and reduced the medication error drastically.