tag:blogger.com,1999:blog-32053362.post4934478098010861029..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: CPOE adds to GRACEPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-32053362.post-19633441126426455452010-08-11T12:13:11.137-04:002010-08-11T12:13:11.137-04:00Dear BIDMC MD;
Maybe we both have a case of the g...Dear BIDMC MD;<br /><br />Maybe we both have a case of the grass is greener; I have always thought BID benefited from its superior in-house IT abilities. Having spent my career as a hospital-based doc in community hospitals with large enterprise IT systems (and poor inhouse support), my impression of "market power" and "annual enhancements" is not so favorable. Much of our time was spent beating on the vendor to even make things functional, much less up to date.....<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-72932819557124892032010-08-11T07:34:52.601-04:002010-08-11T07:34:52.601-04:00The 'beating' that we doctors give to CPOE...The 'beating' that we doctors give to CPOE is because the system is mostly designed without optimal workflow in mind nor time given to improve the workflow before putting an IT solution in place. At BIDMC, we build our own CPOE which means we can customize to our liking but that is also a major downfall since we don't get annual enhancements determined by the knowledge and experience of many other organizations as in commercial IT solutions. Maybe we have the advantage of making an initial big step that works perfectly for us in that moment in time but we are quickly overtaken by those who choose the standard route and have more market power to effect change once the solution is delivered. They are therefore better able to handle the changing climate in healthcare. Thank you for an interesting blog!<br />- BIDMC MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-36549452316010971592010-08-11T06:27:05.924-04:002010-08-11T06:27:05.924-04:00Given the beating that CPOE systems have taken fro...Given the beating that CPOE systems have taken from docs out there, hopefully this post will convince people that it does perform an important function.<br /><br />nonlocalAnonymousnoreply@blogger.com