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Unintended Consequences of Physician Order Entry Implementation Menucha Retreat and Conference Center Conference Participants
This conference was supported by grant LM 06942-01 from the National Library of Medicine. Estimated number of pages to print: 5 Jos Aarts, M.S., Ph.D. candidate Jos is an assistant professor of social medical sciences at the Department of Health Policy and Management at Erasmus University Rotterdam in the Netherlands. He is currently pursuing a Ph.D. on the successful design and implementation of clinical information systems in healthcare. Jos is also chairman of the European Federation for Medical Informatics Working Group–9: ‘Human and Organizational Issues of Medical Informatics’. He has published papers on educational and organizational issues in healthcare. In addition, Jos brings a valuable international perspective to this conference. Back to list Jim Anderson, M.S.E, M.A.T., Ph.D. Jim is a Professor of Sociology at Purdue University. He is a fellow of the American College of Medical Informatics. Author of four books, Jim has won numerous informatics research awards, and served in an international delegation to China, Hungary, and Russian. Dr. Anderson focuses on the use of information technology in health care, and his expertise in risk managment, policy, and law will help shape the work of the conference. Back to list Jim Carpenter, R.Ph., M.S. candidate Jim is a pharmacist with Legacy Health Systems, Good Samaritan Hospital in Portland, Oregon and a graduate of the Oregon Health & Science University's Medical Informatics Masters program. He presented a paper at AMIA 2001 titled: What's So Special About Medications: A Pharmacist's Observations from the POE Study. He has also participated in the POE study as a member of POET and has contributed an invaluable pharmacy perspective to this study. Back to list Homer is the Medical Director for Clinical Information Systems for Kaiser Permanente Northwest. He has been responsible for overseeing the clinical information systems development for the Northwest region. Kaiser’s comprehensive clinical information system (EpiCare) won the Davies Award for 1998 and allows clinicians to electronically document many of the information processes related to outpatient care. Homer is a board certified internist with formal training in Medical Informatics. He brings extensive expertise in outpatient implementation issues. Back to list Brian Churchill, R.N. M.S., Ph.D candidate Brian is the project lead of POE implementation at PeaceHealth Inc.'s five Pacific Northwest hospitals. He has been an R.N. for 24 years with clinical experience in the ICU. He is currently completing his Ph.D. in Public Health and Healthcare Informatics at Oregon State University. Brian has worked with clinical computer systems for nearly 15 years and has spent the last 7 years working on the implementation of the IDX product LastWord. Brian's active and leading involvement in a POE implementation will bring a current and unique perspective to this panel. Back to list Marilyn is the Manager of Clinical Systems for IBM Global Services at El Camino Hospital in Mountain View, CA. She was a pivotal player in the first hospital-wide computerized medical information system (MIS) implementation in the world at El Camino. Marilyn continues to be intimately involved with the success and maintenance of MIS. She has been credited by her colleagues as one of the key people responsible for the overall success of the system. Marilyn represents a critical perspective with her vast hands-on implementation experience. Back to list John is an internist with 16 years clinical experience in primary care and 12 years experience using computerized clinical decision support systems at the point of care. He has worked for Shared Medical Systems (which became Siemens) developing and implementing clinical decision support and computer order entry systems. Presently, he is working for the ACP-ASIM as an independent consultant in the Medical Informatics Department and for Micromedex writing clinical rules in Arden Syntax. John’s combined clinical and technical background brings a valuable broad perspective to this conference. Back to list Jay is Physician Executive for Cerner Corporation, where he supports the implementation of clinical solutions, including CPOE. Jay is also clinical associate professor with the Department of Medical Informatics and Clinical Epidemiology at OHSU. As a clinician and and informatics expert, Jay brings both an academic and a front line perspective to Menucha. Back to list Dick is Chief Medical Information Officer for the Providence Health System, which spans across a four-state area: Alaska, Washington, Oregon, and Southern California. He is an emergency physician and family physician who also trained in Medical Informatics in Salt Lake City, Utah. He moved to Portland, Oregon six years ago to take his present position and has been instrumental in implementing a variety of clinical information systems for Providence. He is presently involved in the planning of a POE implementation. Dick brings valuable clinical informatics and implementation expertise to this conference. Back to list Janet works for IDX Corporation as Lead Software Designer (Order Communications). She has significant experience with the IDX product LastWord and has been involved in a number of POE implementations involving LastWord. Janet brings a unique and important vendor perspective to this conference. Back to list Karen is Director of Systems Support Services at Vanderbilt University Medical Center in Nashville, Tennessee. She was instrumental in the development and implementation of their home-grown Clinician Order Entry system called “Wiz Order”. Her 15-member department is responsible for training and user support for 6 different clinical systems, including Clinician Order Entry (Wiz Order), Electronic Patient Record (MARS/Starchart) and a commercial ADT system. After an unsuccessful implementation of a proprietary system in 1992, her team responded with renewed efforts and a goal to develop a system that clinicians can actually use. They have now successfully implemented Wiz Order on all but two inpatient units and have approximately 67% of total orders entered by physicians. Karen’s perspective will deliver valuable first-hand experience with both implementation failure and success. Back to list Gil is the Director of Clinical Information System R&D at Partners HealthCare System in Eastern Massachusetts (including the widely recognized Brigham and Women’s Hospital). In that capacity, he helps set the clinical systems direction for Partners. His evaluation work has included studying the epidemiology of adverse events and the ability of information systems to reduce the frequency of these events. The order entry application at Brigham and Women's Hospital has been recognized as an important example of how information systems can improve care. Gil will contribute valuable insight in knowledge-based systems, evaluation, and order entry applications. Back to list Jason is currently in the Department of Health Evaluation Sciences at University of Virginia. From 1998 to 2000, Dr. Lyman was a National Library of Medicine Medical Informatics Fellow at OHSU, where he researched the development and evaluation of web-based clinical image database that uses a standard vocabulary, SNOMED, to represent clinical concepts. He also was a qualitative researcher in the areas of physician order entry and information management. Back to list Randy is the Donald A.B. and Mary M. Lindberg University Professor of Biomedical Informatics, Medicine & Nursing, at Vanderbilt University. Dr. Miller is well known for his expertise on medical diagnostic systems and knowledge bases. He is past President of AMIA, and editor of JAMIA. Recipient of awards too numerous to mention, we look forward to his insights about the unintended consequences of implementing CPOE, especially in re decision support. Back to list Paul is a general internist, former Director of Primary Care Programs and currently the Associate Chief Medical Officer for Clinical Information Management with the VA Puget Sound Health Care System (VAPSHCS). He has been with the VA for over 20 years and during this time has been involved in many aspects of the evolution of the VA's clinical information system, including the Computerized Patient Record System (CPRS). He has also worked closely with fellow Menucha participant, Tom Payne, under whose leadership the VAPSHCS was awarded the Nicholas C. Davies award for its implementation of CPRS. He brings both clinical and administrative perspectives to this conference, and is particularly interested in the integration of clinical information technology into health care systems and the lessons that can be learned from the VA's extensive experience in this area. Back to list Marc is Associate Professor of Medicine at Indiana University School of Medicine and Investigator at the Regenstrief Institute for Health Care. His research focuses on the application of clinical decision support at the point of care. He studies the development and use of patient reminders and suggested orders on the process and outcomes of care. His widely published expertise on the effects of computerized order entry and decision support will be a significant asset to this panel. Back to list Tom is presently Medical Director of Medical Center Information Systems and Clinical Associate Professor at the University of Washington. He has won accolades for his leading effort as Associate Chief Medical Officer for Clinical Information Management at the VA Puget Sound Health Care System during the implementation of their computerized patient record system (CPRS). VA Puget Sound received the 2000 Davies Award for its implementation of CPRS and related software. He believes that many of the challenges of designing and implementing these systems involve changing the work patterns of health care professionals. Tom brings extensive expertise and experience in implementation issues as they relate to inpatient and outpatient care. Back to list For a dozen years, Nan was was the Regional Pharmacy Manager for Kaiser Permanente for Oregon and Washington. She is presently Operations Manager for KPNW physician order entry implementation. Her experience in the areas of radiology, pharmacy, laboratory services, and ancillary services has been vital to her success on the Kaiser Permanente Northwest physician order entry implementation team, where Nan was involved in implementing the entire suite of Epic products both nationally and locally. Back to list Michael is Chief of Staff, Director of Surgical Intensive Care, and Medical Director of Enterprise Information Services at Cedars-Sinai Medical Center. He is a Fellow of the American College of Medical Informatics, and has published widely in the field of informatics as well as in neonatology. Dr. Shabot and Cedars-Sinai won the Diana Forsythe Award in 2002, in recognition of research that best exemplifies the spirit and scholarship of Diana Forsythe's work at the intersection of informatics and social sciences. Back to list Mark is CIO of El Camino Hospital in Mountain View, California, where he is playing a prominent role in replacing the hospital's 60s era main building with a new, thoroughly wireless and digital "smart hospital." He came to El Camino in 2001, after serving in various information management positions at several other hospitals and systems vendors. Mark will deliver first hand expertise in improving patient care by using with information systems. Back to list Members of the POET served as facilitators, organizers and recorders for the conference, allowing the expert panel to focus on the topic. POET members at the conference included Joan Ash Ph.D., Cody Curtis, M.B.A., Richard Dykstra, M.D., Kenneth Guappone, M.D., Dean Sittig, Ph.D., and Veena Seshadri, M.A. Back to list |
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Last Modified: October 23, 2007 |