Stamford Health System Womens Breast Center

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Physician Partnering Through Empowerment A
Physician-Driven Advanced Clinical Systems
Implementation Richard Weinberg MD, CMIO Greg
Jordan, Director Application Services Stamford
Health System
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Stamford Hospital Profile

• 305 Licensed Bed Facility
• Fairfield County, CT (Metro NYC)
• Planetree Affiliation
• Magnet Accreditation
• 17,000 Annual Admissions
• 525 Medical Staff
• 4 Residency Programs
• Initial Meditech Live in 2005

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Requisites for Partnership
IS Brand
Leader-ship
Physician Partnership in CPOE
Governance Model
Implementa-tion Focus
MD Attention
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Building the IS Brand
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IT Strategic Imperatives
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IT Project Governance
A centralized structure to approved IT
expenditures provided strategic direction while
developing trust with the physicians.
Executive Steering Committee (ESC)
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Physician Attention
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Implementation Focus

• Physician Projects
• 2005 PACS, Document Imaging, EMR Single
  Sign-on
• 2006 PCS, eMAR Dearborn
• 2007 Zynx CPOE
• 2008 Attending Physician Adoption
• 2009 Physician Documentation

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Physician Partnership

• Change PCM Perception from a Hospital Project to
  a Medical Staff Project
• Organize and Establish Resources Physicians,
  Pharmacists, Nurses and IS Staff
• Investigate Meditech Workflow
• Communicate Progress

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Critical Governance Success Factors

• IS Credibility and Respect
• Medical staff perceives high likelihood of
  success
• Medical staff leader and leadership group
• Effective Governance Model
• CIO, IS and hospital relinquish control of CPOE
  implementation

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SH Governance Model
Stamford Hospital Board of Directors
Medical Executive Committee
Administration
Project Steering Committee Project Sponsors

• CLC
• Patient Safety
• PT
• Utilization Review

IT Leadership Council

• PCM Project Team
• Project Management
• Technology
• Training
• Communications
• Order Set Analyst
• Workflow Analyst
• PCM Analyst
• Physician Adoption Lead
• Clinical Content Analyst

Workflow/HW Device Work Group
Rx Oversight Work Group
Evidence Based Medicine Work Group
Order Set Team
CDS/Rules Team
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SH Governance Model
Stamford Hospital Board of Directors
Medical Executive Committee
Administration
Project Steering Committee Project Sponsors

• CLC
• Patient Safety
• PT
• Utilization Review

IT Leadership Council

• PCM Project Team
• Project Management
• Technology
• Training
• Communications
• Order Set Analyst
• Workflow Analyst
• PCM Analyst
• Physician Adoption Lead
• Clinical Content Analyst

Workflow/HW Device Work Group
Rx Oversight Work Group
Evidence Based Medicine Work Group
Order Set Team
CDS/Rules Team
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MD Leadership Development

• Leadership characteristics
• Credibility
• Experience
• Tenacity
• Flexibility and Firmness
• Some technical knowledge
• AVAILABILITY
• Sense of Humor

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Leadership Group

• Prior work with the Leader
• Track record of effective medical staff
  leadership
• MEC, medical staff committees, hospital
  committees
• Clear understanding of their authority,
  responsibilities and goals
• Aim is to help develop the plan, not just approve
  the IS plan

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Implementation Success Factors

• Sufficient access devices
• Sign-on management
• Support, support, support
• Order set development
• Physician engagement

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Gaining MD Attention

• CPOE . . .
• Resistance is Futile

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Got CPOE? 5 out of 5 doctors agree it promotes
patient safety, eliminates illegible orders AND
can even save a doctor time! Are you ready for
CPOE?
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SH CPOE Roll-Out

• May 1, 2007 pilot unit
• 28 beds, predominantly medical patients
• August 1st 5 addl units, 28-32 beds each
• August 23rd ICU, 16 beds
• September 11th Emergency Department, 22
  stretchers 4 Fast-track

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Status on Sep 30, 2007

• Six Nursing Units in Main hospital bldg (incl.
  tele and int. care), ICU and ED all CPOE live
• 60 order sets developed in Zynx, live in Meditech
  (10 months)
• 68 of orders being entered via CPOE
• 56 of medication orders
• 77 of procedure orders

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Good Luck In Your Search For The Next Best
Medicine . . .
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Thank You!

• Questions?