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Project Update |
January 2009 |
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2008 Year-End UpdateIn 2008, the Massachusetts Hospital CPOE Initiative continued to bring critical people in the state together to accelerate the adoption of this innovative technology. With the release last February of our most recent study, Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals (published by the New England Healthcare Institute and the Massachusetts Technology Collaborative), we showed that one in ten patients at six representative community hospitals suffered a preventable medical injury and demonstrated how CPOE implementation dramatically reduced these errors. In response, Blue Cross and Blue Shield of Massachusetts and the Commonwealth of Massachusetts both created requirements for CPOE adoption and effective use by 2011 and 2012 respectively.
Recognizing the importance of these new commitments, the MA Hospital CPOE Initiative aggressively moved forward to create a menu of robust and critical learning opportunities to address both the challenges and complexities of implementing CPOE. Last March, a CPOE Peer group was established and meets regularly with the support of the Massachusetts Technology Collaborative (MTC) and the New England Healthcare Institute (NEHI). What began last April as a series of physician focus groups grew into a full-blown program of learning specifically focused on the needs of physician leaders and others tapped by their institutions to champion CPOE implementation. These leaders’ concerns about lack of knowledge and familiarity with some basic CPOE concepts and tools, as well as questions about how to most effectively spearhead, guide, and successfully complete their charge prompted the creation of CPOE University. First semester of CPOE University ran from October through December 2008 and was held in Metro Boston and the South Shore. A western location was offered but due to lack of demand, the location was tabled. (Course curriculum can be found on our website.) The program achieved its primary goal to take the needs of physician leadership and translate them into a tailored educational program that provided guidance to encourage the participation and collaboration of medical staffs, which is crucial for the success of these projects. The courses were offered at no charge and CME credits were provided. The freshman class included 22 physicians (VP MAs, Hospitalists, CPOE champions, CMIOs) representing 18 hospitals in various early stages of CPOE implementation. Results from evaluations conducted have indicated that 100% of the physicians would recommend this program to a colleague. One student noted that the course “was effective in defining the complexities of the issues involved and the challenges that need to be addressed in order to achieve a successful implementation of a CPOE Program.” Another said, “I thought the physician collaboration was the most beneficial factor. Anything that gets the physicians to take ownership for their own processes benefits patient care in the long run.” “Dr. Morgenstern’s delivery style, credibility with CPOE, and experience really addresses the issues that we know will surface,” added another student. The success of first semester demonstrated both a need and a willingness on the part of physicians to collaborate and acknowledge that they do not know what they do not know. As a result we will be continuing to offer CPOE University and create new offerings. Our goal is to broaden participation from all hospitals and their clinical leadership teams. While semester one focused on physicians exclusively, semester two will broaden its scope to include nursing, pharmacy, IT, C-level executives, and physicians. Please note that all courses are open to everyone and participation in semester one is not a requirement for semester two. If timing permits, several first-semester courses will be repeated. Looking Ahead:Second Semester CPOE: Classes and locations are currently being scheduled. Please anticipate classes beginning in early February and running through April. In addition, we will be applying for CME credits. Once the schedule is finalized, it will be posted on our website for online registration and a notice will be emailed alerting hospitals that registration has opened. Two Courses:Concepts of Project Management for Physicians: Theoretical aspects of project management with detailed exploration of commonly used PM tools; practical in-class applications and exercises using PM tools to demonstrate understanding of concepts and parameters in the management of projects. Construction of and Uses for Clinical Scenarios in CPOE: Overview of clinical scenarios, their construction, and uses in various aspects of CPOE projects; in class practical exercises in definition, construction and modifications of clinical scenarios. Two Seminars:What Is CPOE from the Physician Perspective (Repeat from Semester One): General exploration of theoretical aspects of CPOE and its impact on clinical practice; more detailed examination of CPOE from various stakeholders’ and end users’ perspectives. Designed to inform and educate those groups and others on the impact of CPOE on clinical practice and operations. What Is CPOE? (Executive viewpoint) NEW: General exploration of the impact of CPOE on clinicians and physicians; particular attention to workload and demands placed on them for successful CPOE project completion. Designed to inform and educate executives as to the impact, needs, and demands that CPOE and such implementation projects place on clinical practice and operations. Roundtables:
Dan Morgenstern, MD, MBA, Principal in the Clinical IT Consulting Group, and a member of the Clinical Excellence Team for the Northeast U.S. at CSC will continue to facilitate the series. The program is in collaboration with our partners: MHA, MCCH, and MMS. New Best Practice Report on Post Implementation Released SoonMTC/NEHI engaged CSC (formerly the First Consulting Group) to conduct a national survey of hospitals facing the operational challenges of newly implemented CPOE systems. The specific issues that are covered include:
The report includes a combination of onsite and telephone interviews with community hospitals that have a large number of physicians using CPOE. The report will be released in early February and distributed to all Massachusetts hospitals and available on our website at www.masstech.org/ehealth. For further information regarding the Massachusetts Hospital CPOE Initiative or upcoming educational programs please contact:
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