The teaching is embedded with regard to the way in which the CDS prompts physicians to take certain steps while ordering, right?
Right, and I ask my physicians to keep thinking as they’re ordering, so they’re not just clicking boxes.
In general, though, we should be doing as much as we can to be as evidence-based as possible, right?
Right. Just remember that the evidence is constantly changing.
What are the key conceptual, strategic, and practical things CIOs, CMIOs, and CMIOs, should be thinking about, going forward on this journey?
The first thing is to let a physician champion with the appropriate level of skepticism and leadership lead this process. And the CIO, CMIO, etc., should feel pushed from behind by the people who are using this. Have the physicians be in the lead. And this is developmental software, it’s not operational software. I’ve had physicians call up and ask me about downtime. But you don’t use this day in and day out. It’s like Microsoft Word: it may fail on you occasionally, but as long as you’ve saved everything, you haven’t lost anything. It’s a tool, it’s not a respirator. I’ve been very happy with the solution, with the vendor. But we’ve got a really good physician crew who have really been very enthusiastic about this, and I think that’s our strength.
