...Clinician Provider Order Entry Implementation Health Care Information Systems HCS 483 September 02, 2013 Clinician Provider Order Entry Implementation Implementation Process Health care organizations look forward when starting the implementation process for information system implementation. Adding or upgrading health care systems is met with excitement and opposition from the employees who must use the system and adapt their current practice processes. Constructing a rollout period for the employees to train and get specific training for their job requirements is imperative to the success of the health system implementation. Employees knowledge of how to use the system is equally important to the implementation process as choosing and designing the program that is best for the organization. Roles and responsibilities The project or system champion is someone in the organization who is vested in the completion of the project. The champion’s role is to help obtain the buy-in of other physicians into the use of the new system and makes sure the physicians who will be using the system have adequate input in the selection process of how the new system will be used. The board of directors is the governing entity for the health care organization that approves the acquisition and implementation of a new system. The board of director’s role is to have a voice for the organization. Going forward the board needs to be involved in how the new system will affect the processes...
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...EHR/CPOE Implementation Executive Summary This thesis follows the implementation of Computerized Patient Order Entry/Electronic Health Record (CPOE/EHR) system implemented by Partners Healthcare System (PHS) during 2002-2003 for all its constituent practitioners. It looks at the problems faced during implementation of the system and identifies new potential problems that the system may encounter. Particularly in consideration is the effort it takes to convince healthcare professionals to switch to CPOE/EHR, the cost of installing the system, the potential of automating redundancies in the system and the potential of healthcare professionals getting skewed data out of the system suggestions. It looks at the management challenges faced by the administration when bringing about CPOE/EHR to PHS and divulges in some techniques that were used for tackling these issues. It defines ways in which the system is being used to improve patient healthcare and save millions of dollars for the government, healthcare facilities and patients alike. This thesis also finds ways to combat the potential problems that may arise later and the system and looks at related government policies and statutes which apply to the implementation. Finally some metrics of success are discussed their effectiveness in driving a result. Problem Definition CPOE/EHR Implementation can face a host of problems that can hinder the process flow and the acceptability of the system by the people involved. The initial...
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...IT Project Implementations Failures Joseph Garcia HCS/483 7/4/2011 Eric Rios IT Project Implementations Failures There are many factors that play into failures of implementing an IT project. As in the Case Study – Memorial Health System CPOE Implementation there were clearly barriers set in place that affected leadership and staff. The purpose of this paper is to examine CPOE implementation barriers within the Memorial Health System and to determine possible methods to overcoming these challenges. Any project or initiative is destined for trouble if its objectives and purpose are unclear. One of the many barriers present was the lack of vision shared within the organization between the physicians and management. They worried their workload would increase because CPOE systems replace verbal orders with computer-entered orders by doctors. Dr. Mark Allen, a primary care physician commented, “The hospital is trying to turn me into a $12-an-hour secretary and they aren’t even paying me $12 an hour.” (Wager, Lee, & Glaser, 2009) The desire to obtain a shared vision as a whole should have resulted in a presentation of what the purpose of the CPOE initiative was intended to achieve. As was the result when some of the doctors that had not left the system attended the CPOE vendor’s annual user group meeting. They saw the release of the vendor’s most recent system and immediately decided they wanted it for Memorial. Another concern with the project was the leadership put in...
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...IT Project Implementation Failures Debra Carr HCS/483 August 7, 2014 James Thames IT Project Implementation Failures The typical information technology (IT) implementation begins once the health care organization has the IT system in place in the building and continues through the first weeks that the IT system is in real time use by the employees. The implementation process must be carefully planned, organized, announced to all employees, and followed closely throughout the following weeks while the IT system is installed. It is important for the management team to announce the IT project. The reason for the project, why the project is being implemented now, and the benefits of the project need to be communicated to all the employees. The CEO or COO should make the initial announcement so that all the employees understand that the project is approved at the top level. The CEO needs to display confidence and pride concerning the entire process. Once the instillation begins and throughout the process, the CEO should continue to update the employees on the progress of the project and any problems that are encountered. He should talk about his vision of the successful completion of the project and how it will benefit both the employees and the health care company. The senior executive should announce the establishment of an Implementation Team which will plan, manage, budget, and coordinate the IT project. The goals and objectives must be established. This...
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...It Project Implementation Failures HCS/483 HEALTH CARE INFORMATION SYSTEMS October 4, 2011 Ms. Mary Anne Moore It Project Implementation Failures The purpose of this report is to identify five indications for the Information Technology (IT) project implementation failure of the Memorial Health System. This repost will also describe for each indicator of failure, what could be done differently to avoid or eliminate the effects of the indicators in the future. DEFICIENCY OF CLARIFICATION If the purpose and objectives for implementing IT into an organization is not made clear and concise then there will be resistance. Meaning if it is not made abundantly clear to leadership and staff (steering team) how the (in the case of Memorial Health System) Computerized physician order entry (CPOE) system will be used to improve healthcare and reduce medical error, the initiative will be doomed from the very start. TO ABATE OR AVOID THIS POSSIBLE OUTCOME Ensure that all employees whose jobs will be directly affected by implementation of the CPOE are thoroughly informed of goal, objective, and expectations of what the perspective technological advancement entails. INADEQUATE CONFIDENCE IN THE PROJECT One of the major problems implementing the CPOE at the Memorial Health Systems was that physicians did not feel confident that the CPOE would aid them, instead add onto their work load. If physicians that work in a hospital have no confidence that a prospective process will...
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...Implementation Failures Marsha M. Alexander HCS/483 October 4, 2010 Kym Pfranks Implementation Failures Introducing a new system or a new method into an already effective system can meet multiple challenges. In the area of health care information systems these challenges range from unsupportive stakeholders to improper planning. Any number of challenges can lead to system implementation failure. Memorial Health Systems In the case study of Memorial Health Systems, factors such as lack of belief in implementing a Clinician Provider Order Entry (CPOE) system factored into the failure of this project. Additional factors such as failure to respect the uncertainty of a project, underestimating the necessary resources or using a little resources as possible, a lack of candor, and not anticipating the possible disruptions that can be caused by implementing a new system can also lead to failure. When Memorial Health Systems began the project of implementing the CPOE system many of the physicians on staff felt that the CPOE would double his or her workload. One way to help the physicians on staff understand and believe in the system would be to have an IT consultant address the staff and explain the CPOE as well as answer questions. Memorial Health Systems also under budgeted when the original implementation of the CPOE began. This may have been a result of rushed findings to hurry the implementation along. When implementing a new system of this magnitude...
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...IT Project Implementation Failures Tracy Grainger HCS/483 September 19, 2011 Billy Kesserwani IT Project Implementation Failures The IT implementation process begins after an acquisition process. The acquisition process requirements are examined, the request for the proposal is sent, the vendor is chosen and contracts are negotiated and signed. When these parts have been finished the implementation can begin. During the beginning of the implementation the project has to be planned out ahead of time, a team must be selected and the best must be chosen, but problems should always be expected to happen along the line. Some of the IT problems that occur can often be prevented if you are paying close attention. In this particular case study, the implementation process seems to be working well. Dryer and Roberts decided to obtain a CPOE system running for their staff to use. Problems occur when the stakeholders in the faculty believed the system would only be more work for them and would not be very useful to their organization. This is the first sign to indicate a problem is happening. This is the first IT failure within the company. The organization and stakeholders must believe that the system is worth having, be willing to work with it, and believe in the help it will have for the organization. If the stakeholders think the system will fail ultimately then it will fail. They will not work and put forth the effort into the implementation process and training. Dryers and...
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...Memorial Health System CPOE Implementation Anthony Marshall Health System Care Information System/ HCS 483 27 October 2013 Kemuel Prince Memorial Health System CPOE Implementation Introducing a new system or a new method into an already effective system can make multiple challenges. In the area of health care information system these challenges range from unsupportive stakeholders to improve planning. Any number of challenges can lead to system implementing a new health care information system, having multiple opinions and different methods available can be an added bonus. However, or listening to these opinions or simply vetoing possible alternatives can have severe negative effects further down the road during the actual implementation process. IT Initiative Failures In the case study of Memorial Health Systems, factors such as lack of belief in implementing a Clinician provider order entry CPOE system factored into the failure of this project. Additional factors such as failure to respect the uncertainty of a project, underestimating the necessary resources or using a little resource as possible, a lack of candor, and not anticipating the possible disruptions that can be caused by implementing a new system can also lead to failure. When Memorial Health Systems began the project of implementing the CPOE system many of the physicians on staff felt that the CPOE would double his or her workload. One way to help the physicians on staff understand and believe in...
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...IT Project Implementation Failures Tracy Wells HCS 483 January 9, 2012 Denise Hines IT Project Implementation Failures Lack of Communication Poor communication is a reason for failure for the CPOE implementation. With lack of communication other employees or employers within the organization will not know how to handle a situation if one should occur, due to the lack of the leader not showing or explaining to the employees on what to do, when implementing a new project. New initiative may be outlined but not communicated throughout the organization as to how the new project works. Expectations and opinions are not shared openly, thoroughly, and effectively so this could cause problems for the organization (Johnson, 2002). What I would do To keep the CPOE implementation from failing I would come up with a way to communicate for instance I would set up monthly, weekly or daily meetings, set up a way so that employees will receive e-mails about the new CPOE implementation, use e-mail to set up classes, have a power point presentation prepared for a meeting, could use verbal language, written language, and send out memos to all employees who are going to be directly working with this new implementation so they would have an understanding of the how the system works. Lack of Leadership Lack of Leadership in an organization is cause of failure, without leadership there is no one to train the employees on how this new CPOE system is going to work or run. Employees do not...
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...Case Study This is a case study of Memorial Health System’s CPOE implementation. There are several factors that contributed to the implementation’s failure. We will discuss them here, and what could have been done instead to help the project succeed instead of fail. Lack of Belief in the Project Members of the organization do not see the need for change, and are resistant to it. They feel the project is more of a hassle than a help, and will cause them problems (Wager, Lee, & Glaser, 2009). Indicator/Root Cause In this case study, several physicians’ were opposed to switching to a CPOE system. They were not convinced of the need for the CPOE implementation and resisted to the change. Eventually some of the prominent physicians’ left the organization for an organization that does not use CPOE. The root cause in the lack of belief in the project is that these physicians did not have confidence that it would help them. Also the CIO did not help any by making the physicians’ feel at ease or explain to them why and how the CPOE would help them. Solution An easy solution would be for the CIO to hold one meeting for everyone and explain the pros versus cons. Allow for everyone to air his or her frustrations, and address each one. This was not addressed initially and could have saved a lot of hassle and uncertainty from the organization’s employees. Insufficient Leadership Support Insufficient Leadership Support is when the leader (CIO) does not devote the time and effort...
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...What is the typical IT implementation process? What are the roles and responsibilities involved in system implementation? The typical IT implementation process includes a few steps that need to be taken in order to fulfill the implementation of a new IT project. One of the first steps is selecting an implementation team which plans, coordinates, budgets, and manages all aspects of the new system that is being implemented (Wager, Lee, & Glaser, 2009). The implementation team must also determine the goals and objectives that they want to achieve with the selected system they are implementing. Next, is for the implementation team to develop and implement a project plan which would include major milestones, major tasks, available resources and budget, etc. (Wager, Lee, & Glaser, 2009). The plan includes but isn’t limited to six typical components such as workflow and analysis process, where the team evaluates and analyzes current processes and procedures. System installation is done by determining the system configurations, staff training, which includes training the staff, Conversion, which includes converting the data and testing the system, Communications; very important component where identification and addressing of problems and concerns are established, and lastly, Preparing for the go-live date, which is very important because this is where reporting of issues and correction of problems is done, this component should be done when there is low patient volume, and...
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...IT Project Implementation Failures Nicole Abbott Irene Augusto Carmen Chavez-Angulo Daniel Lucas Jamie Rossignol Health Care Information Systems / 483 February 15, 2016 Ricky Delatte IT Project Implementation Failures What is the typical IT implementation process? What are the roles and responsibilities involved in system implementation? How did the process described in the case study fail to include the fundamental activities identified in Ch. 8 of Health Care Information Systems? The process that was used regarding the Memorial Health System case was not thought out properly. In this case study, the fundamental activities that were not included are workflow and analysis of the system. One thing that the organization failed to do was to review and evaluate the current system before they tried to implement a new one. To determine what would have been needed, they should have had employees sit down and analyze to make it easier. An analysis of the system is one of the most important things that need to be done. The eight hospitals that had launched this new system had started it on the same day. Like everything else, new systems always have flaws. The failure to analyze lead to the lack of end-user training which made the requirements that were missed more obvious. Even though they did an analysis, it wasn’t a proper one. Doctors and nurses could not log on to enter their orders which lead to patients waiting for their medication and tests. Ch. 16 of Health...
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...IT Project Implementation Failures Shana Pardue HCS/483 July 18, 2011 Dr. Michael Solomon IT Project Implementation Failures “Many projects have been subject to considerable delay, increasing budget deficits, and in some cases, severely negative impacts on the quality and effectiveness of care” (Murray et al, 2011, p. 2). Memorial Health System (MHS) is dealing with lack of candor, lack of belief in the project, project complexity, inability to anticipate short-term disruptions, and lack of technology stability and maturity while implementing a clinician provider order entry (CPOE) system (University of Phoenix, n.d.). These potential failures can be avoided with proper planning and integration. Not realizing the complexity of the project is a failure that MHS made while implementing the CPOE program (Wager, Lee, & Glaser, 2009). MHS has eight hospitals with a minimum of 2,600 beds (University of Phoenix, n.d.). An alternate route to implementing into all eight sites at once would be to select one site to implement the program into. The needs at each site may be different due to locality and patients, so it would benefit all involved to handle each site separately. Lack of belief in the project is the next failure that MHS has dealt with (Wager, Lee, & Glaser, 2009). MHS has a lack of full support from the stakeholders (University of Phoenix, n.d.). “Projects that are viewed as illegitimate by a large portion of the people in an organization rarely succeed”...
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...Matrix of Theoretical Models HCS/587 Theoretical Model | Description of Theoretical Model | Type of Health Care Change Situation Where Model Best Applies | 1. Kurt Lewin’s field theory model 2. Lippitt’s change theory model | Kurt Lewin’s field theory model has three stages of change: * Unfreezing * Change or Moving * Refreezing The unfreezing stage requires altering the patterns of employee behavior. The employee adaptive behavior must align with the organizational goals and vision. The lack of alteration in behavior changes can result in employees’ resistance during the implementation process. The management should communicate effectively with the staff explaining the need for change. The management should encourage the staff to submit their ideas and be a part of the change process. The change stage refers to the introduction of new organizational policies and procedures. The management should ensure that the affected staff fully understands the reasoning behind the changes and offer support for adapting the new organizational business culture. It is imperative that management includes the staff in the development of new policies and designing the new procedures. The refreezing stage requires reevaluation of the implemented procedures in which the management evaluates the efficacy of the implemented changes and makes adjustments to meet organizational goals (Borkowski, 2005). The management should seek feedback from the staff and fine tune the...
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...Occurrences and Effects of Information Technology Failure Even though implementation can be successful with negative elements, with the best-laid plan for implementation, there are warning signs that go unnoticed. There must be 100 % buy-in from management, and lack of candor can be a strong proponent of intolerance to change. In the quickly changing face of health care information technology (IT), implementation has become a very familiar subject. The desire for higher patient satisfaction ratings, and increased revenue, makes change management a topic for training and certification of its' own. Typical IT Implementation Process, Roles, and Responsibilities The typical implementation process begins with the acquisition of the system. The first item that must be addressed is to organize the implementation team. Once the team has been established, it must identify a system champion. The team must determine the scope of the project and determine the expectation of the project. “Different projects require different management strategies. Projects that are pilots or experiments require less formal oversight (and are not helped by large amounts of formal oversight) than large, multiyear, multimillion-dollar undertakings” (Glaser, Lee, & Wager, 2009, p. 168). The implementation team is responsible for “planning, coordinating, budgeting, and managing all aspects of the new system implementation” (Glaser, Lee, & Wager, 2009, p. 169). The team will include roles such...
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