Implementation of a computerized information system in a long-term care facility

The successful implementation of computerized nursing information systems requires the completion of many tasks and the participation of many persons. In 1989, Pulliam and Boettcher described a six-step process for introducing computerized information systems into long-term care facilities. This article describes the process, particularly the implementation phase, as it actually happened in a 124-bed facility in a mid-Atlantic state. This facility found that successful implementation requires a systems coordinator who is a professional nurse who understands the needs of the patients, can integrate information with the computer system, and can provide on-going support for the users.