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Discover how one hospital Rapid achieved >30% CPOE utilization of total orders through physician buy-in and acceptance of CPOE.
Customer Testimonial Paragon® HIS Twin County Regional Healthcare Galax, Va. Janet Richardson, RN Clinical Systems Coordinator Successfully Implementing CPOE in the March to Meaningful Use “Perhaps the biggest physician satisfier I have seen with Paragon is its flexibility. I am fond of saying that the way Paragon is designed, if you can think of it, you can build it!” -Janet Richardson Successfully Implementing CPOE in the March to Meaningful Use by Janet Richardson, RN Everyone in healthcare these days meeting meaningful use to our rural, seems to be focused on reaching independent community hospital. Upon Stage 1 meaningful use by the 2013 certification, Twin County would qualify deadline. Aside from cost, one of the for somewhere in the neighborhood of biggest hurdles may be successfully $5 million in incentive payments. Those implementing a computerized physician dollars will go a long way in enabling order entry (CPOE) system and achieving us to provide new additional services the utilization levels required by the to our community and acquire needed American Recovery and Reinvestment equipment for several departments Act (ARRA) incentive program. At to provide our patients the best care Twin County Regional Healthcare, we possible. realized that this alone would require a significant change in how physicians Helping physicians understand the At a Glance and other caregivers have always bigger impact on the organization, their practiced medicine, so we decided to patients and the community in which Organization take the challenge head on and have they live really started knocking down been very pleased with the results. any initial resistance. Another key is Twin County Regional Healthcare Along the way, we’ve learned a lot. setting realistic expectations because as Galax, Va. Dr. Pemberton also observed, “Rolling We’ve managed to make great strides out any new computer system is not - 141 beds and our hospitalists hit 30% CPOE going to be as convenient for physicians utilization for total orders by the second and nurses for quite a while.” But we - Recognized in 2009 as a “Most month after roll-out and have exceeded thought if the system satisfied our Improved” Hospital in ‘Most that threshold for the subsequent four hospitalists, our other physicians would Wired’ Survey1 months. We will continue to expand to be much more willing to adopt CPOE. more of our physicians, and we expect - Named a 2010 Top Performing to begin applying for our incentive That’s where the technological Hospital on Quality Measures by payments by the first half of 2012. capabilities of Paragon started to shine. the Joint Commission2 We think there are two key factors Simplifying the Transition Critical Issues that have led to accomplishing our One important measure I have used CPOE utilization success so quickly: when rolling out any new system or - Achieving meaningful use 1) Establishing the right attitude and application is how easy the intended involvement among our physician-users users can learn and understand how and 2) The integration and capabilities to work it into their normal day-to-day - Implementing CPOE successfully of the Paragon® HIS. care of patients. If it is not complicated to understand and use, that will - Providing excellent patient care Getting the Players on Board facilitate uptake and adoption. It is also According to Art Pemberton, M.D., our a pretty good indicator of long-term Results Hospitalist Director at Twin County, success. getting physicians to see beyond - Rapid achievement of >30% themselves as part of a bigger picture of The Windows®-based, point-and-click CPOE utilization of total orders the organization and of where national operation CPOE module in Paragon is by hospitalists healthcare is going is most important to both familiar and intuitive to physicians. establishing the right attitude. In my experience in training physicians - Physician buy-in and acceptance to use it, they adapt to it pretty quickly. of CPOE Jack Roberts, Director of Information In rolling out Paragon CPOE, physicians Systems, and my supervisor, often got an hour of training from the - Well-positioned for points out the importance of implementation specialist and then I demonstrating meaningful use was available to answer questions or For example, we can customize assist if necessary. Our hospitalists order sets as we need to so that our quickly learned the system and were physicians are comfortable and satisfied. able to place electronic orders with just I am fond of saying that the way a couple of follow-up questions after Paragon is designed, if you can think of the initial training ... they just took it it, you can build it! and ran with it. It was almost effortless! We have been able to easily convert One of our hospitalists actually existing protocols and standing order compares it to shopping online. sets for physicians so what they are You pick out orders, put them in a ordering is familiar to them, and the “We have found that the basket and at the end when you have same Windows-based structure that flexibility and customization everything you need, you submit them. enables ease of training also facilitates you can do in Paragon is So using it is not something that is incorporation of the CPOE system into a real bright spot and a complicated or unfamiliar to them. their day-to-day care of patients. particular strength of the system. We’re able to easily suggest improvements or modifications and get those implemented that same day.” - Arthur Pemberton, M.D. Hospitalist Director A telling example of this simplicity and Dr. Pemberton and the other hospitalists “Our mission is to serve the familiarity is a locum tenens physician have acknowledged that a more healthcare needs of our who had never seen our CPOE system rigid system would have faced more before and was filling in for one of our resistance. “We have found that the community and provide the staff. After 30 minutes of training and a flexibility and customization you can do highest quality of care in the couple follow-up phone calls, he began in Paragon is a real bright spot and a most cost-effective manner. admitting patients and placing orders particular strength of the system,” he The Paragon information on the system that same evening. has noted. “We’re able to easily suggest system is well-designed for improvements or modifications and get community hospitals like ours Technology that Works with those implemented that same day.” I with a mission like ours.” Prescribers, not Against Them think that customization has given our Perhaps the biggest physician satisfier I physicians greater ownership in the - Jon Applebaum have seen with Paragon is its flexibility. success of our CPOE initiative and as a President & CEO result played a significant part in their As Jon Applebaum, our president and uptake and utilization. CEO puts it, “Our mission is to serve the healthcare needs of our community The fact that Paragon is fully integrated and provide the highest quality of care and that all of the information is in the most cost-effective manner. The available via the Paragon WebStation Paragon information system is well- portal is another huge plus. Being able designed for community hospitals like to view a patient’s chart, diagnostic ours with a mission like ours.” images and labs and now being able to place orders with CPOE through a single Successful CPOE Achievement is access point – even remotely from not a Straight Line “Paragon CPOE was built to home or office – has increased physician As noted earlier, we hit and maintained be pretty flexible, and we buy-in and acceptance. 30% CPOE utilization for total orders took advantage of that. The by the second month after roll out implementation was a very Everyone Pulling in the Same and have exceeded it for the four smooth one for the hospital” Direction months since. We expect adoption When it comes right down to it, and utilization by our hospitalists to - Jack Roberts everything we do should be about continue to grow as CPOE becomes patient care — how to improve it, how ingrained into their day-to-day practice Director of Information to make it safer, how to make it more of caring for patients and we are well Systems efficient and cost effective. For that under way to meet the meaningful use to be accomplished, everyone that is requirements. And as we anticipated, directly or indirectly involved in the care the experience with our hospitalists thus of our patients needs to be aligned. far has been good enough that other Since we first became a customer of physicians not involved in the initial McKesson in 1998 right on up to CPOE rollout are asking to participate in the and beyond, the whole organization next phase. has always been there to assist us in aligning and improving the care we Like any initiatives that require Copyright © 2011 McKesson Corporation provide to our community. human involvement and cooperation, and/or one of its subsidiaries. All rights implementing CPOE is neither simple reserved. Paragon is a trademark of In 2009, Twin County was named one nor turnkey. But with the right product, McKesson Corporation and/or one of its subsidiaries. Windows is a trademark of of the 25 “Most Improved” hospitals in a solid process and a committed Microsoft Corporation. All other product the annual “Most Wired” Survey and organization, we expect the success or company names mentioned may be Benchmark Report1, and Paragon played we’ve seen to date will continue to trademarks, service marks or registered trademarks of their respective companies. a big part in that accomplishment. grow. Our experience tells me that PRT478-10/11 That recognition was great we made the right choice, that CPOE acknowledgement for our executive on the Paragon platform has a bright team and our board members that we future here at Twin County, and that were headed in the right direction with it will be an important factor in our the hospital information system. achievement of meaningful use and beyond as the delivery of healthcare Paragon HIS continues to evolve. McKesson Provider Technologies 5995 Windward Parkway Alpharettta, GA 30005 1 2009 Most Wired Survey and Benchmarking Study, Hospitals & Health Networks, American Hospital Association, July 2009 2 Improving America’s Hospitals: The Joint Commission’s Annual Report on Quality and Safety, 2011, www.mynewHIS.com www.jointcommission.org
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