djbaker73

Ok Cathy. I will definitely keep you posted on the Order Entry implementation. So far it has been quick and crazy. I am the Point of Care Coordinator and we do not go up with that until Jan 2011, but we are preparing now as there is a ton of work to do. I can't even imaging doing all of that building by yourself, but I think you are right about it getting easier as you go! Donna

Hi Cathy, We are going to be building 5 eForms...very basic (header, text area and a few dropdowns). We will not go up with reflexing forms until Point of Care, Jan 2011. Scary thing is that we will have about 5 - 6 days to build the forms, test and train. We currently have Keane as our HIS and this will be our first time with an EMR! We did get to do some eForm building in Mobile and they will be time consuming.....entering one control at a time, but we have a dedicated group of bright, clinical folks who are great! Wish us luck!!

We are preparing for the installation of CPSI Order Entry & Financials. We're going up with 5 eForms as well. Learned how to build those and found it's very time consuming, but if we can get them to work as they should they will be great when we go up with POC in Jan 2011. Of course, we are 3 weeks from go live and still do not have our hands on the test server....nerve wracking! Anyone else lived through a CPSI install. Also looking at their ED Log. Anyone out there used that?

This will be our first time for electronic charting as well. I'm hoping that we're making all of the correct moves ahead of time to assure that we will have it functioning at it's best!

Our hospital is currently in the implementation stage with CPSI. I know that IT is upgrading our wireless system and doing a thorough evaluation of all hardware, etc. Are you using wireless when you are experiencing lags? Who was responsible for and now maintains your flow charts and eForms? Thanks!

I hear you and understand totally. Demos given by sales persons will only give you the "talk" part of a product...they all say that their product can do everything that you need. The only way to assure that the product can not only talk the walk, but walk the walk is to see it in action at a facility similar to your own institution. One thing that the team did learn from doing off site visits is that a system is only as good as the time that you take to use it to the full advantage. In other words some money will have to go into allowing staff extra time to put into implementation. It might be that the product that you have could be doing even more for you than it is...I'm not familiar with it. Hopefully your team will take the time and money to make off-site visits to see the product in action and to assure that staff have training that they need. I'm hoping that we get lots of responses to the post. I'm posting on other forums so will also share what I learn there here as well. Hang in there!

Our hospital will be implementing CPSI in 2010. I'm looking for any current information related to your experience with this system. Many of the posts that I've read are several years old. I am also interested in knowing if you could "do it all over again" in what ways do you think that your implementation could have been improved.

This is a response to Cathylew as I was unable to respond to your private message as the system requires using this forum a certain number of times before allowing you to respond privately. Your response was that you were wondering if implementing an "out of the box" system such as CPSI would jeopardize the job of a nurse informaticist. An institution that would consider letting a nurse informaticist go in this situation would definitely be lacking in the understanding of what nurse informaticist role is in regards to an EMR and would also have little vision for the future. The experience and knowledge that you bring to the table will be crucial to assure that your EMR that is developed with your help will guide your staff to care for the patient utilizing the most current standards of care driven by evidence based practice. As a nurse you know that standards are constantly changing, so to think that a product that is thought to be able to "do it all out of a box" without input from nursing is absurd. (unless it is some sort of Pandora's box!). I have included a link to a very interesting article that can help you and your organization understand how important medical/nursing knowledge is to a successful EMR implementation. The article is from the Cleveland Clinic who has recognized the importance that Nursing has in this arena. They have a "Department of Nursing Informatics." Here's the link and good luck in your search for an HIS. I will share that our hospital visited several sites prior to finding one that used CPSI to it's potential. That site had a "nurse" clinical analyst. Her knowledge and experience are the key reason for their success. http://my.clevelandclinic.org/nursing/informatics.aspx

I am an RN who will be assisting with the Clinical Documentation as we get up and running with CPSI. We will be going live with financials and Order entry in May so we are just getting into learning about implementation. I am curious to know if things have improved in the use of CPSI at your hospital and if you were a part of the implementation would love to hear any suggestions you would have to assist us. Thanks.