Hi Cindy, We started with CPOE in an accidental way. In 2001 when we went up with POM for the non-providers, the providers decided they wanted to do it too and it took off.
While that sounds grand, it was a bit of a nightmare and has had some outcomes that we would like others to avoid. At this point, many have since stepped back from entering orders. This was due in part to earlier versions of the system not handling the paper requisitions well when the orders were stopped by a provider and to other cultural issues. We have discussed that had we to do this again we would have chosen to have small groups coming up at staggered times. This will allow for adequate support for the newest users and allow for the processes to get ironed out as well. Nothing iritates the providers more than the other users around them not knowing the processes. As for running paper and system together, it is messy but it can be done. We have moved to having all orders entered on the system by non-providers from the written orders. Patient Order Summaries are printed each night for the record. Lots of paper and duplicate efforts but everything is there to slog through, and they do have to slog through it. This cumbersome approach is helping them to embrace getting everyone on line together :-) We are currently not on AOM or EDM so continue from ambulatory is not an option for us. We are looking at the Transfer routine for the orders handled pre and post op. Haven't finished working that routine through yet. The routine looks fairly straight forward, it will be the process changes needed that are the sticking point I am sure. Lessons learned from the first go round, make sure that everyone in the vicinity of the ordering providers knows how to place orders in POM. If they have to call someone or walk to another location to ask for help in placing a chest xray order, they will not be happy. Also, ensure that there is assistance from folks who can help them with their Favorites and Favorite Order Sets. Providers who learn to use those won't give them up and find them a time saver. Best of luck and Happy Thanksgiving. Teri Teri R. Young-Hise, RN,C Clinical Systems Analyst Pen Bay Healthcare Rockport, ME (207) 596-8217 [EMAIL PROTECTED] >>> "Grolla, Cindy" <[EMAIL PROTECTED]> 11/19/06 04:42PM >>> I have questions for any sites that are LIVE with CPOE. We are a C/S site, 5.5, SR2. We are planning to implement CPOE very soon and we are questioning our decision to implement with a pilot group of doctors vs everyone all at once. At the MUSE conference there was a site that presented and they implemented with everyone at once and it worked well - so we are having second thoughts. Here are my questions: 1. Did you implement with a few pilot doctors? or all doctors? 2. If you did pilot doctors how did you handle some orders being on-line and some written, like when a consulting doctor sees the patient 3. How did you handle the many medication orders - since the "continue from ambulatory" does not work at all for profile medications. It can take a very long time to enter 15-20 meds - some of which are non-formulary meds for us. 4. What are any lessons learned with your implementation plans? Any information will be greatly appreciated. I found out so much information at MUSE - but still have many more. We would also love to discuss your implementation if anyone is interested in a call. thanks, Cindy Grolla, RN Clinical Project Leader Phone: 507.646.1209 Pager: 507.645.1475 ====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l ====================================== All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
