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Palms West Hospital

Palms West Hospital. CPOE WITH ADVANCED CLINICALS IMPLEMENTATION. Physician Champions “What I Wish I Had Known Before I Started”. 10-20 hours per week as Pilot Physician Champion How did you get to this number? Monthly PAG meeting Monthly Steering Committee meeting Conference Calls

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Palms West Hospital

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  1. Palms West Hospital CPOE WITH ADVANCED CLINICALS IMPLEMENTATION

  2. Physician Champions “What I Wish I Had Known Before I Started”

  3. 10-20 hours per week as Pilot Physician Champion • How did you get to this number? • Monthly PAG meeting • Monthly Steering Committee meeting • Conference Calls • Assist CEO & CNO with implementation • EBOS build and approval process Responsibilities

  4. Need to set aside time to be the Physician Champion • Prioritize • Building and Approval of Order Sets • Your Practice • Light at the end of the tunnel Time Management

  5. Physician negotiator • “One of the team” • Cheerleader • Liaison with order set build team • Liaison to ceo, cno, cfo • Liaison to med executive committee • Emotional intelligence, persuasive speaker • diplomat • Resource For YOU! Physician Champion Role

  6. Collaborative Working Relationship • Frequent Communication • Consistent Message • Open Access to Each Other Physician Lead & DAC Relationship

  7. Partnership with Executive Sponsors, CEO and CNO • Communication • Support of decisions and implementations during the project What does Physician Champion need from you?

  8. Service Lines: • 175 Bed/Acute care medical-surgical facility • Breast Care Center • Cath Lab • Emergency Room • Obstetrics • Orthopedic and Spine Institute • Outpatient Rehabilitation Services • Pediatrics • Radiology and Diagnostic Imaging • Teaching Affiliate of nova southeastern medical school with Medical Residency Programs Palms West Hospital

  9. Providers Nursing and Clinicians • 500+Physicians • 100+ARNP’s, PA’s, CRNA’s. • Medical Students and Residents • 350+ Nurses • 35+ Unit Clerks • 40+ Techs, Nursing Assistants • Ancillary Staff, including HIM, Lab, Rad, RT, Pharmacy Clinical Staff

  10. Physician Champion: Dr Luis Regalado • Director of Clinical Applications: Stephanie Noel • Master Trainers • EBOS Specialist • Pharmacy EBOS Specialist • Steering Committee • Physician Advisory Group • Core Team • Superusers CPOE Team

  11. Interactive working relationship • Communicate with one another about requests • Share ideas with one another • Consider the relationships each person has with different Providers • Share presentations – facility leaders of the project • Offer Reprieve to one another Team Development

  12. SELECTION OF PHYSICIAN LEADER/CHAMPION AND CORE TEAM, PAG, STEERING COMMITTEE MASTER TRAINERS AND SUPERUSERS • GAP ANALYSIS/WORKFLOW ASSESSMENT • DEVICE ASSESSMENT • TIER A AND B PHYSICIANS • TRAINING Prep Work

  13. Operational & Process Impact 13

  14. Operational & Process Impact 14

  15. Operational & Process Impact 15

  16. Impact On Physicians 16

  17. Your Brain pre-CPOE

  18. Implementation Overview

  19. Open House • Phase 1 Go Live Pdoc Implementation Full facility go live with Nursing and Physician transition to Clinical Review • Phase 2 Go Live: Soft Go Live Implementation Staged Implementation of Hospitalists Hard Go Live: Implementation All Remaining Hospitalists, Specialists, Surgeons CPOE Implementation Timeline

  20. The Four Agreements By Don Miguel Ruiz Lessons Learned

  21. Change is difficult and scary • Residents and Medical Students can be your best asset • Your idea is great, but it’s not my idea • “Culture eats strategy for lunch” • Triage difficult physicians • Meaningful Use Criteria • “Why not 30%?” Use • Cerner vs. Epic vs. Meditech • Not Everyone Knows How to Type • Not Everyone Uses a Computer • Be Flexible • Customize training • Patience is truly a gift • Importance of “Prep Work” Lessons Learned

  22. CPOE Statistics

  23. THANKS FOR COMING REMEMBER WE ARE HERE IF YOU HAVE QUESTIONS Please feel free to contact us Good Luck!!!

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