Making Computerized Provider Order Entry Work

Philip A. Smith, M.D. is a Board-certified Family Physician who first adopted technology in his private medical practice in November 1992 when he deployed an EMR in his office. In 1997, he left practice to pursue his interests in the field, co-founding a company, Cognitive Analysis, Inc. This company was probably the first in healthcare to utilize business process modeling – documenting information flow as a patient recognizes a need for medical care through the completion and adjudication of that care. In 2003, the author joined the Adventist Health System (AHS, Winter Park, FL), serving jointly as Vice President of Medical Affairs (and later Chief Medical Officer) at Florida Hospital Zephyrhills (FHZ, formerly East Pasco Medical Center) and as Chief Medical Information Officer (CMIO). He left his position at FHZ in 2007 to focus full-time on CPOE in the CMIO role. He led AHSʼ design and implementation of CPOE, physician documentation and clinical decision support. He coined the term “commoditized CPOE” as he devised a methodology for rapid, big-bang rollout of CPOE for 25 community hospitals across nine states in only 27 months. Dr. Smith regularly speaks nationally on the topic of CPOE and Change Management, and most recently for Cerner Corporation, Zynx Health, Hewlett-Packard and Denison Consulting. Dr. Smith received his BSc degree in Health Sciences (Surgery) from Case Western Reserve University in 1979 as a physician assistant and his Masters of Science in Biological Sciences (physiology, in 1981) and his Medical Doctorate (1983) degrees at Wright State University in Dayton, Ohio. He completed his Family Practice Residency as Co-Chief Resident in 1986 at the University of Missouri ̶ Columbia. He is a Fellow of the American Academy of Family Physicians. He is a member of the Association of Medical Directors of Information Services (AMDIS) and the Health Information and Management Systems Society (HIMSS).

Foreword.- Introduction.- Why the Concern for CPOE Now?.- Vision: How You Start.- Leadership and Governance.- Project Management.- Change Management.- Building Momentum.- Avoiding Common Pitfalls along the Way.- Implementation.- Stabilization and Optimization.- Putting It All Together.- Appendix A Sample Forms and Other Tools.- Glossary.- Bibliography/Suggested Readings.- Index.​