Computerized provider order in the case of Emory Healthcare is the efforts of one hospital system to implement a computerized provider order entry (CPOE) in all of its hospitals and the challenges they face in this. Issues such as the standardization of care, how to handle drug reconciliation, and unexpected problems (for example, changes in the postoperative ordering process, the absence of a human gatekeeper to control the flow of orders, an increase in laboratory orders). Dr. Bill Bernstein, Chief Quality and Medical Officer of Health at Emory in Atlanta is responsible for the smooth implementation of CPOE at Emory Healthcare, which is a vital part of their $ 50 million electronic medical records initiative. By June 2009, CPOE went "live" at Emory University Orthopaedics and Spine Hospital, Emory University Hospital, and Wesley Woods Hospital staged rollout. While Dr. Bernstein felt good about how the exercise went so far as he was looking forward to the next month on July 13, 2009, is fast approaching the go-live date, Emory University Hospital Midtown (EUHM), he was concerned about the problems and possible dangers ahead. He believes that additional steps it should take to prepare for the second-to live in Midtown, Midtown, and if was ready for CPOE at all. One thing was certain, this hospital was different. Computerized provider order in the case of Emory Healthcare is the efforts of one hospital system to deal with the problems of implementing CPOE and reactions that result. Issues such as dealing with a workforce that has a different opinion about the importance of such systems, the pros and cons associated with standardization of care, as well as how to deal with unexpected changes in work processes are derived in the case. The case also allows you to discuss how a phased implementation plan with sufficient time for organizational learning occurs between when the different parts of the "go live". "Hide
by Richard G. Hamermesh, F. Warren McFarlan, All Keil, Michael Morgan, Andrew Katz, David Laborde Source: Harvard Business School 22 pages. Publication Date: November 15, 2010. Prod. #: 311061-PDF-ENG