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Jumping the CPOE generation gap: Queen's Epic Installation.

Sean M Thomas1

  • 1Queen's Medical Center, Honolulu, Hawaii, USA.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|January 24, 2007
PubMed
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Queen's Medical Center successfully implemented a new clinical system using a single vendor and a big-bang approach. This high-risk project demonstrated success in advanced health information technology adoption for community hospitals.

Area of Science:

  • Health Informatics
  • Clinical Information Systems
  • Hospital Information Technology

Background:

  • Queen's Medical Center has a history of pioneering information technology in clinical care.
  • The hospital achieved early success with Computerized Provider Order Entry (CPOE) systems starting in 1995.

Purpose of the Study:

  • To describe the implementation of a next-generation clinical system at a community hospital.
  • To evaluate the success of a single-vendor, big-bang implementation strategy for clinical systems.

Main Methods:

  • A single-vendor solution was selected for upgrading clinical systems in 2003.
  • A "big-bang" (all-at-once) rollout strategy was employed for the new system.

Main Results:

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  • Despite the ambitious and high-risk nature of the project, the implementation was successful.
  • The adoption of the next-generation clinical system was achieved.

    • Conclusions:

    • Community hospitals can successfully implement complex, next-generation clinical systems.
    • A well-managed, albeit high-risk, big-bang approach can lead to successful clinical system rollouts.