Implementation of computerized physician order entry.

Answer

  Implementation of computerized physician order entry.

Introduction 

To implement (CPOE), it is advisable to look out for a responsive committee. Therefore, the responsibility to identify the responsive committee is what this paper invites to explore. This process includes formulating a representative department for CPOE committee, crafting a department responsible for CPOE reports, as well as highlighting the responsibilities for CPOE Committee. Also, the process time frame within which (CPOE) committee report to the Information System Steering Committee.

Question one

In the process of generating a Computerized Physician Order Entry for our hospital system, it is momentous to include certain branches that would result in CPOE success. The first sector to include in this process would incorporate pharmacy & therapeutics department. This is because the committee’s expertise can be precarious for CPOE accomplishment. The committee possesses the ability to influence the behavior of the physician through presenting clinical decision support when the physician demands electronic medication. Through this type of workforce, cost-saving among other factors will be reduced. A pharmaceutical department is also key to be included in the CPOE committee. This department entails diverse responsibilities requiring computer systems. Dispense prescription is made by pharmacist. It involves handling medication to patients. They are also responsible for unclear prescription. With that regard, they need to confirm with the relevant physician through communicating. A pharmacist has the responsibility for safeguarding dispensed prescription, therefore, they not only involve overseeing pharmacy technician’s work but also mentor. Thus, it would be vital to include a pharmacist in the committee to ensure CPOE success. A clinical department would fulfill a pre-eminent role in the committee. According to McBride, Stokes & Weber (2018), the reason behind is some clinical information system like clinical data respiratory may interface with CPOE systems. Clinical information system incorporates databases and system where the patient’s electronic record is stored comprising pathology, imaging laboratory results among other diagnostic services. Involving them in the committee would help in enhancing clinical decision support during the order entry process. In addition, relevant clinical information to the ordering provider during the order entry period would accede to CPOE system with reference to CDR interface.

Question two

The chances of CPOE implementation success can be achieved through skillful personnel. This will be done to influence the workflow of other departments. It will equally be considered that certain tasks will be reassigned to other personnel, other eliminated and new tasks be implemented. With that perspective, the CPOE will deliver their report to agency (AHRQ). This is an agency that develops the knowledge, tools and data needed to enhance health system performance. Since the agency is based on improving the health-care system within the state, it will enable close collaboration with health and human services agencies among other partners to ensure the proof produced is understood and used to attain the intended goals (Nair & Dreyfus, 2018). The report will also be delivered to various departments within the organizational context. The clinical steering committee will receive the CPOE report. This committee is based on solving challenges related to planning and implantation of contemporary projects. The supreme aim for alerting such a committee is because a neutral ground for key decision makers will have been procured. Therefore, nurses, physicians and executives like Chief Medical Information Officer can easily produce their opinions within the committee context. The committee can also address numerous challenges experienced with CPOE. Information technology steering committee can, in addition, receive reports from CPOE committee. The fundamental objective for this group is to provide strategic direction. Therefore, it can offer significant direction to the CPOE committee for a successful implementation. The group is primarily based on making the best information technology decision accordingly and ensuring best practices like security and catastrophe recovery plans are implemented. The other group’s objective is to support projects by providing guidance to specific teams in need of information technology upkeep. Since CPOE is based on information technology, it is vital to present the CPOE committee’s report to information technology steering committee.

Question three

In an organizational setting, information technology steering committee grafts information technology and business officials to generate effective decisions that affect key departments. The committee in many scenarios is adopted to promote solidarity between the information technology team and direct occupational team. This is done by the committee to upkeep progression and changes that are in line with the mission of the business. The department consists of authoritative employees within the organization who are able to execute strategic decisions. Departmental head and executives can additionally be included in the department. However, they should offer strategic decisions rather than involving themselves in performing the task. Time factor fulfills a key role to the CPOE project to succeed. It is crucial to develop a reasonable timeline to address certain information to the relevant department. I would suggest the project team reports to the information system committee on a quarterly basis. This would be milder on data conversion and reporting. Delivering reports quarterly is important since diverse project may hinder the imposition of CPOE project. It may as well slow development of systems within the organization. Organization cycle is, moreover, an essential process to consider when delivering reports. This takes in budgeting seasons, board meeting and system processing. For that reason, reporting quarterly will not interfere with the organization cycle. Competing projects within the organization plays a key role in determining the timeline for delivering CPOE report. Prudently, it would be significant to examine other reports similar to CPOE. Through an extensive exploration of organizational priorities, the report would be effective when delivered on quarterly basis.

Question four

For CPOE to be successful, the CPOE committee should be at the forefront when it gains responsibilities. First, CPOE committee must understand health informatics as a customer service effort. It is therefore significant for the committee to make sure all parties including clinicians and system executives recognize importance of various work flow dislocation outcomes. The committee should employ continuous health informatics meetings and constitute an affiliation of trust with facility heads as well as clinical end user. The meeting should help in providing ideas on improving usability and facilitate physician CPOE assumption. The meeting would also act as a tool to measure particular person’s output within the system. The committee should ensure health informatics intranet is accessible for physicians and other clinicians to monitor any issue that can be obstinacy. The committee should engage with regional executive leadership concerning health matters. This is a key contributor to CPOE imposition success. Through this engagement, the committee should align with health informatics activities and deliverables. It will also promote its drive varied or adamant challenges to a sophisticated level. This will be crucial in simplifying CPOE mastery of its organization goals and delivery of value. The committee should ensure visibility and accessibility to clinicians and facility leaders. Clinical informatics is among the most vital visionaries for CPOE success. A well-integrated clinical informatics will lead to a successful CPOE execution. With that perspective, they should secure real-time updates from each clinical informatics facility to achieve CPOE objectives. Additionally, they should provide a room for communication and advocating health informatics strategies and tactics.

Conclusion

Precisely, for a successful CPOE enforcement, it is essential to establish a productive committee. The committee should involve other departments like pharmacy & therapeutics department. After the committee has produced a report, the report should be presented to the information technology steering committee where the project can be weighed for imposition. The group may support the project by providing guidance to specific teams and also strategic direction. However, the CPOE Committee should present their report on quarterly basis. To operate effectively, the CPOE Committee should positively observe their responsibilities (Chung, Patel & Taylor, 2018).