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Related Experiment Video

Updated: Jul 6, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Implementing computerized physician order management at a community hospital.

Susan Kraus¹, Terri Rini Barber, Bonnie Briggs

¹Eclipsys Corporation, Atlanta, USA. sue.kraus@eclipsys.com

Joint Commission Journal on Quality and Patient Safety

|March 21, 2008

Summary

Implementing an electronic medical record (EMR) system requires a systematic change management approach. This includes redesigning workflows, clear communication, comprehensive training, and ongoing support for successful technology adoption.

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Area of Science:

Health Informatics
Information Management
Clinical Decision Support

Background:

Four Cleveland Clinic Health System community hospitals initiated an electronic medical record (EMR) project in 2000.
The project aimed to establish an integrated information management environment and enhance clinical decision-making capabilities.

Purpose of the Study:

To detail the implementation of a Computerized Physician Order Management (CPOM) system within a health system.
To evaluate the effectiveness of change management strategies during the transition to a new EMR system.

Main Methods:

A project structure involving executives and multidisciplinary staff was established for decision-making and change management.
Key change management components included communication, workflow redesign, training, and support.
Computerized Physician Order Management (CPOM) implementation was preceded by a 1999 planning phase by regional IT leaders.

Main Results:

Huron Hospital, the initial site, achieved a successful transition, meeting implementation timelines with minimal issues.
Physician direct order entry targets were exceeded, reaching 40% in the first month and 75% within the first year.
The EMR implementation demonstrated a smooth rollout and sustained operational performance.

Conclusions:

A systematic approach to change management is crucial for successful EMR implementation.
Effective strategies encompass workflow redesign, robust communication, thorough training, and dedicated support.
These foundational elements ensure a seamless transition to technology-enabled healthcare processes.