October 19, 2010 Sharon Canner, Sr. Director of Advocacy Programs
article
As part of Stage 1 Meaningful Use requirements for computerized physician order entry (CPOE), there is continuing confusion around who is authorized to enter information in the electronic health record (EHR) in order to qualify for the Medicare and Medicaid EHR Incentive Programs. Is the physician the only person who can enter such information?
October 15, 2010 David Raths
article
The computerized physician order entry (CPOE) implementation at Durham Regional Hospital in North Carolina became the catalyst for the formation of a clinical informatics structure now guiding several other IT projects. In a recent interview with Healthcare Informatics, Debbie Zanes, BSN, PMP, senior manager of clinical informatics, described how the 386-bed community hospital, part of the Duke University Health System, learned to take a multi-disciplinary approach and put clinicians, not IT, in charge of technology projects.
September 29, 2010 Mark Hagland
article
Jim Venturella has spent three years so far in his position as CIO, Hospital and Community Services Division, at the 20-hospital University of Pittsburgh Medical Center (UPMC) Health System. In that time, he has been a key player at the massive, integrated health system, collaborating with colleagues to help lead the ongoing clinical transformation of that organization.
August 27, 2010
blog
Lots of CIOs are now contemplating pursuing very aggressive strategies to pursue Medicare-Hospital MU incentives in 2011. And with that, comes massive and probably hybrid care delivery design changes (e.g. some providers using existing order flow with written orders, while others are concurrently using CPOE). The nurses will be making sure that nothing slips between the cracks. The management of orders in the effected care units may be or will be re-designed to accommodate these flows. This was the garden variety work of bringing up CPOE before MU. Now, it's going to be happening wholesale, most hospitals and all impacted processes (CPOE is only one of them).
August 27, 2010 Mark Hagland
article
Christopher Stolle, M.D., vice president-medical affairs at the three-hospital Riverside Health System in Newport News, Va., has been helping to lead clinical transformation at that organization. He has helped put the emphasis on evidence-based order sets as he and his colleagues have moved forward with computerized physician order entry (CPOE), supported by evidence-based order sets from the Los Angeles-based Zynx Health. Those 177 order sets were used to help facilitate the standardization of the hospital system's existing order sets. Dr. Stolle spoke recently of the progress that's been made at Riverside Health System, with HCI Editor-in-Chief Mark Hagland.
July 20, 2010 Mark Hagland
article
On June 30, leaders of the Washington, D.C.-based Leapfrog Group, the large healthcare-purchaser organization focused on patient safety and value, held a telephone press conference to highlight the results of their new study on computerized physician order entry (CPOE). The report, titled “Leapfrog Group Report on CPOE Evaluation Tool Results, June 2008 to January 2010,” discusses the process whereby leaders at 214 U.S. hospitals performance-tested their CPOE systems for their ability to detect common medication and other errors, using Leapfrog's Web-based simulation tool.
July 14, 2010 David Raths
article
When the meaningful use rule was first proposed, Daniel Barchi thought that only about 20 percent of hospitals and physicians would meet the requirements in the first two years of the program. But now the senior vice president and CIO of eight-hospital Carilion Clinic health system in Roanoke, Va., believes that number may be closer to 40 percent. The flexibility of the final rule “has really opened the window for a lot of people,” Barchi says. “CMS is giving providers the benefit of the doubt. If they have invested in infrastructure, this will give them time to continue working on clinical pathways and processes so that what might have seemed unachievable is now achievable.”
July 12, 2010 Mark Hagland
article
Many things are happening these days at Duke University Health System in Durham, N.C. Under the leadership of Asif Ahmad, vice president, diagnostic services and CIO at Duke University Health System, and Kevin Schulman, M.D., professor of medicine and business administration at Duke University, the Duke organization has been moving forward strategically along numerous dimensions. Ahmad and Schulman spoke recently with HCI Editor-in-Chief Mark Hagland regarding their organization’s multi-pronged push forward.
July 6, 2010 Mark Hagland
article
Christopher Stolle, M.D., vice president-medical affairs at the three-hospital Riverside Health System in Newport News, Va., has been helping to lead
July 1, 2010 Mark Hagland
article
On June 30, leaders of the Washington, D.C.-based Leapfrog Group, the large healthcare purchaser organization focused on patient safety and value, held a telephone press conference to highlight the results of their new study on computerized physician order entry (CPOE). The report, titled “Leapfrog Group Report on CPOE Evaluation Tool Results, June 2008 to January 2010,” discusses the process whereby leaders at 214 U.S. hospitals performance-tested their CPOE systems to detect common medication and other errors, using Leapfrog’s web-based simulation tool.
May 24, 2010 Mark Hagland
article
Yet the results of a new study by researchers at the Falls Church, Va.-based CSC Healthcare seem to portray a far more complex picture of what actually happens once hospitals implement clinical information systems. Despite the strong value of knowing the quality rankings of various products, some CSC researchers recently found that, when it comes to the end results around reductions in physician order entry-related medical errors, researchers found only a slight correlation between buying a “quality” EHR/CPOE product and error reduction.
April 22, 2010
article
With more than 90 percent of U.S. hospitals still trying to reach the proposed adoption hurdle for CPOE, many organizations are looking to invest in professional services firms that can help them obtain stimulus funding, according to a new report from Orem, Utah-based KLAS.
