A speaker at the marcus evans National Healthcare CMO/CMIO Summit 2013, in Atlanta, Georgia, March 14-15, Snyder offers his thoughts on how Chief Medical Information Officers (CMIOs) can ensure CPOE adoption achieves the patient safety results it is intended to.
What is required for effective CPOE adoption? How has your organization done it?
Good clinical governance comes first. There is a lot of content development involved, which requires the buy-in and input from medical and support staff. It is not an Information Technology (IT) project. Each level of orders being developed, built, then implemented, need input from physicians, nurses and the pharmacy. They each have their own interpretation of how orders are displayed.
It has been eight years since we adopted CPOE, longer than most organizations. We try to engage superusers by specialty, as someone who practices general medicine, like myself, would have a limited understanding of what urologists and gynecologists do.
When we first started the main challenge was getting staff to use the tool. Now it is about using the tool to effectively manage patients, as we have measured outcomes that show CPOE use is effective in driving quality care.
We even have a nurse informaticist, a CNIO, who tests and validates the effectiveness of the order communication. This is a very powerful tool that can also be very dangerous, if the information is not explained well within the document that the nurse has utilized to manage orders. The orders can be detrimental to patient care and costly, if not built correctly.
What cost saving and efficiency gains has Peninsula seen as a result of this?
Every time you practice good quality medicine, you reduce costs. Our focus has not been on cost reduction, but on performing quality care. When you recognize a septic patient early, for example, you prevent a bad and costly outcome.
How should CPOE be seamlessly integrated into a hospital’s IT infrastructure?
I would reverse that question. The IT structure has to be integrated into the clinical practice, and that is the challenge. IT is only a tool. There must be a culture where everyone does CPOE to improve patient safety, and not as an IT project.
Any final thoughts?
I believe CMIOs have to continue to practice medicine and use the tools they are building. They need to have their fingers in the pot when trying to get that buy-in that is critical for making it work.
Interview by: Sarin Kouyoumdjian-
About the National Healthcare CMO/CMIO Summit 2013
This unique forum will take place at The Ritz-Carlton, Buckhead, Atlanta, Georgia, March 14-15, 2013. Offering much more than any conference, exhibition or trade show, this exclusive meeting will bring together esteemed industry thought leaders and solution providers to a highly focused and interactive networking event. The Summit includes presentations on improving clinical outcomes, effective CPOE adoption, improving physician documentation, achieving meaningful use requirements and improving quality through EMRs and engaging people on the front line.
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