Abstract
The author discusses the importance of a structured change management methodology and lays out specific roles and responsibilities for a successful CPOE engagement. This chapter presents specific steps and communication that the author has successfully used for the past 12 years in deploying CPOE. He also introduces the concept of the CPOE Change Readiness Assessment that assesses the organization and begins the leadership’s preparation for a successful CPOE project.
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Notes
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Kotter JP. Leading change. Boston: Harvard Business Review Press; 1996.
- 2.
The author has found this to be an important reminder to the team as they complete their first CPOE implementation.
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Typically, this team includes the Executive Sponsor, the Medical Director, Clinical Applications Director, IT Director, Informatics Lead and the Change Manager.
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The team schedules the event so that every member of the C-Suite (CEO, COO, CFO, CNO and CMO) attends. We recommend you not hold the event otherwise.
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Management team typically consists of the managers and above at the hospital.
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This format supports that CPOE is a complex change initiative and we tackle it as if we were eating an elephant, “one bite at a time!”
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When it comes to many alerts, providers can accept the alert and cancel the order, modify the order (e.g. change a dose or frequency of a medication), order an additional intervention (e.g. order a lab test as a follow up as recommended by the alert), or override the alert and document a reason that the alert does not apply to this patient, for example.
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The consequence of this scenario is the EMR should electronically route verbal/phone orders to a provider for co-signature. If the nurse taking the order enters it inappropriately, it may not route for co-signing and become an order that a physician has not authenticated. This behavior needs immediate reeducation and accountability, as there are often regulatory or financial implications when physicians fail to sign/authenticate orders in a timely fashion.
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© 2013 Springer-Verlag London
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Smith, P.A. (2013). Change Management. In: Making Computerized Provider Order Entry Work. Health Information Technology Standards. Springer, London. https://doi.org/10.1007/978-1-4471-4243-0_5
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DOI: https://doi.org/10.1007/978-1-4471-4243-0_5
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