CPOE Stragglers: One Hospital's Fix
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User Rank: Author
2/28/2014 | 9:20:43 AM
Re: How do you pull that support?
Those are great points -- and it will be interesting to see how Christus' pilot works out and addresses those areas. Judging by HIMSS14 attendees, many of the physicians at the conference were proud of their technological astuteness and their leading edge adoption of tools like CPOE within their organization. 

Hospitals are in a bind when they're working with referring physicians, especially hospitals in competitive areas where doctors can choose where to send patients. They don't want to force these doctors to use their system if a competing provider isn't doing the same. So if hospital A and B mandate CPOE but hospital C doesn't, then C could be at an advantage in the case of the X% of doctors who don't or won't use CPOE. Hopefully that percentage will drop over time -- but right now, it's an issue! In non-competitive areas where there's only one hospital or hospitals that have only on-staff doctors, it's less of a challenge since the hospital can mandate the use of CPOE.
User Rank: Author
2/28/2014 | 9:17:01 AM
Re: Using College Students
In Christus' case, they decided against using college students but I'd think this would be a viable approach for some healthcare providers. Seems a win-win: Students build relationships and get experience in a more clnical setting and those physicians unwilling to learn a CPOE can still help their organizations meet the requirement. And the costs would be lower, I'd imagine, than hiring full-time or part-time clerical staff. Of course, one negative is turnover.
Lorna Garey
Lorna Garey,
User Rank: Author
2/24/2014 | 4:51:42 PM
How do you pull that support?
"ultimately will see their positions end as doctors realize the benefit and inevitability of these systems, he said."

That's an optimistic assessment! Can you picture a doctor voluntarily giving up that support? Moreover, do you see a danger that early adopers who played by the rules now feel slighted? If the "punishment" for refusing to use a new system is getting an assistant, that doesn't bode well for the next tech rollout.
User Rank: Ninja
2/24/2014 | 4:36:55 PM
Using College Students
What a great idea! Aspiring med students will do almost anything to pick up brownie points that might tip the balance in their favor. Doctors are the most incredibly busy people, especially now that more and more individuals are getting access to the system thanks to the recent positive changes brought about by President Obama. It will take many tears to bring up the supply of MDs to the point now needed. In the LOOOONG run, CPOE will free up a lot of doctor time, but for now, anything that will get the system over the hump is of immense value.

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