Bed Community Hospital - CPOE Process - A good friend of yours is director of patient services at a 220 - Case Study Assessment Answer

Assessment Task:

CASE STUDY
A good friend of yours is director of patient services at a 220

• bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one Of the challenges, is the rapid introduction Of health information systems. The goal is to bring the hospital "up to speed- within 3 years. At present, CPOE is being simple-
mented. The general medical and surgical units went live last month. intensive care unit and pediatrics and units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go. live in the specialty units. Most Of the physicians, nurse and physician assistants initially complained but are now more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices, and others are looking into this option. However, three physicians have not commented during this pr«xess but arc clearly resisting. For example, after performing rounds and returning to their offices. they called the unit with verbal orders. After being counseled on this behavior. they began to write the 'Nders on of paper put these the charts or kave them at the nurse's• station. When they Were informed that theg Were -legal orders, - they smuggling Sheets fmm the activated units. In addition, they have been arcing the staff nurses on the units to catch the orders for has taken forms. they in then ask the nurses to enter the Md«s_ Other tinn they ask the to put the orders in verbally and then they confirm the nurses fed caught txtween the hospital's need to maintain a good working relationship with physicians.

Discussion Questions
Use presented in this Chapter to diagnosis the problems demonstrated in this Car. List your and explain analysis.

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