Despite all the jokes about the poor quality of physician handwriting,
physician adoption of computerized provider order entry (CPOE) in
hospitals still lags behind other industries' use of technology. As of
the end of 2010, less than 22% of hospitals had deployed CPOE. Yet
experts claim that this technology reduces over 80% of medication errors
and could prevent an estimated 522,000 serious medication errors
annually in the US. Even though the federal government has offered $20
billion dollars in incentives to hospitals and health systems through
the 2009 stimulus (the ARRA HITECH section of the American Recovery and
Reinvestment Act of 2009), many organizations are struggling to
implement advanced clinical information systems including CPOE. In
addition, industry experts estimate that the healthcare industry is
lacking as many as 40,000 persons with expertise in clinical informatics
necessary to make it all happen by the 2016 deadline for these
incentives. While the scientific literature contains numerous studies
and stories about CPOE, no one has written a comprehensive, practical
guide like Making CPOE Work. While early adopters of CPOE were mainly
academic hospitals, community hospitals are now proceeding with CPOE
projects and need a comprehensive guide. Making CPOE Work is a book that
will provide a concise guide to help both new and experienced health
informatics teams successfully plan and implement CPOE. The book, in a
narrative style, draws on the author's decade-long experiences of
implementing CPOE at a variety of academic, pediatric and community
hospitals across the United States.
