Don't be discouraged. You should be patting yourself on the back that "all" your hospitalist are compliant in using CPOE. That in itself is an accomplishment!!!
I hear your frustration but I'm not understanding. You wrote that " As we ran into issues, our hospitalists ask "what are other hospitals doing" and I have to reply - nothing - they resolved the issue by printing the order or having a clerk enter the order electronically. " What exactly is your "issues"? You dont want a req to print out after the docs enter an order?
Are you trying to find a way to notify other staff that an order has been entered without a req printing? You may have to look at mobile devices such as handhelds and PDAs.
You can set up Meditech to send e-mail alerts.
The inclusion of a req printing out in the flow of your CPOE process does not mean you are not following Leapfrog's definition of CPOE. What are your issues specifically related to CPOE? I've worked with MT Magic and Client Server versions and now with CS 5.6. Are you saying you can't do full CPOE until 6.0? What are the issues you are using "work arounds" for?
Come on keep your perspective. I'm currently working with modules I never had any original training in..... answering questions from ICU nurses about PCS and I've never built or trained in PCS and won't get PCS app or Dx training until Oct!!
I'm about to be Lead Project Manager on PCM, currently support PCS, BMV and ORM and again I've never trained or built in those modules!! I miss OE, ITS and EMR! But currently those are not the modules I'm supporting. I'm being asked to do PC tech stuff related to evaluating a dept. for needed drop installation, filling out departments' app request forms and other nit pickie crap that I have not had to do since I entered the specialty 10 years ago!
So if I can keep my perspective so can you!
Quote from mydesygn
I guess I find it really discouraging, we are doing full CPOE. Our hospitalists are entering all orders electronically - labs going to lab dept, nursing orders, xrays, meds.. As we ran into issues, our hospitalists ask "what are other hospitals doing" and I have to reply - nothing - they resolved the issue by printing the order or having a clerk enter the order electronically.
We are using Meditech and many of our current issues will be resolved when we update to the next version but in the meantime, we are working around issues.
I find that many of the many hospital systems vendors define CPOE by the Leapfrog standard of physicians entering medication orders electronically which is really misleading-once you define full CPOE as all orders suddenly the number of CPOE implementations that they advertise drop dramatically.