Implementing Effective Order Sets in Electronic Health Records
Configuring Electronic Health Records
Building Order Sets
This material (Comp 11 Unit 4) was developed by Oregon Health & Science University, funded by the
Department of Health and Human Services, Office of the National Coordinator for Health Information
Technology under Award Number 90WT0001.
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International
License. To view a copy of this license, visit
.http://creativecommons.org/licenses/by-nc-sa/4.0/
Definition
•
Two order sets
–
Collections of pre-formed orders
–
Groups of orders to manage a disease state or for a
procedure”
•
Computerized order entry
–
Collections of predefined orders
–
Speed up process
–
Reduce errors
–
CPOE
•
Confirmation and Maintenance resource
intensive
2
Benefits
•
Implements evidence based clinical
knowledge
•
Reduces errors and improves quality of
care
•
Reduces variability in health care
processes
•
Improves efficiency
3
Costs
•
Time consuming
•
Requires expertise
•
Must be maintained (reviewed to
incorporate most current research)
4
Types
•
Locally developed sets
–
Custom development and programming
–
Specific tools for authoring and displaying
sets
•
Standardized sets
–
Nationally developed for common disease
states or procedures
–
Interest and dialogue in creating standards
5
Building Order Sets – Summary
•
Implementing effective order sets is an
essential tool in configuring EHRs to meet
the standards of meaningful use
•
Order sets directly impact patient safety,
quality of care, and efficiency of treatment
•
Coordination of care is supported through
the implementation of best practices
which, impacts the health status of
populations
6
Building Order Sets
References - 1
R
e
f
e
r
e
n
c
e
s
Amatayakul MK. Electronic health records: A practical guide for professionals and
organizations. 4th ed. Chicago IL: AHIMA; 2009.
Ash, Joan S., Stavri, P Zoë, Kuperman, Gilad J . The Practice of Informatics: Synthesis of
Research Paper: A Consensus Statement on Considerations for a Successful CPOE
Implementation . J Am Med Inform Assoc 2003;10:229-234 doi:10.1197/jamia.M1204
Bobb, Anne M., Payne, Thomas H., Gross, Peter A . Focus on Computerized Provider
Order Entry (CPOE): Viewpoint Paper: Viewpoint: Controversies Surrounding Use of
Order Sets for Clinical Decision Support in Computerized Provider Order Entry. J Am
Med Inform Assoc 2007;14:41-47 doi:10.1197/jamia.M2184.
Carter JH. Electronic health records: A guide for clinicians and administrators. 2nd ed.
Philadelphia: ACP Press; 2008.
Eichenwald Maki S, Petterson B. Using the electronic health record. Canada: Delmar
Cengage Learning; 2008.
Hebda T, Czar P. Handbook of informatics for nurses & healthcare professionals. 4th ed.
New Jersey: Pearson; 2009.
7
Building Order Sets
References - 2
R
e
f
e
r
e
n
c
e
s
Lehman HP, Abbot PA, Roderer NK, Rothschild A, Mandell SF, Ferrer JA, et al, editors.
Aspects of electronic health record systems. U.S.A: Springer; 2006.
McClay JC, Campbell JR, Parker C, Hrabak K, Tu SW, Abarbanel R./AMIA. Structuring
order sets for interoperable distribution [article on the internet]. C2006. Available
from:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839584/
.
Sheff R./ HCPro. Medical informatics: order sets are a medical staff leader
’
s best friend.
(July 22, 2009).
Medical Staff Leader Insider. 30.
8
Configuring Electronic
Health Records
Building Order Sets
This material was developed by Oregon
Health & Science University, funded by the
Department of Health and Human Services,
Office of the National Coordinator for Health
Information Technology under Award
Number 90WT0001.
9
Welcome to Configuring Electronic Health Records: Building Order Sets.
The component, Configuring Electronic Health Records, provides a practical experience with a laboratory component (utilizing the VistA for Education program) that will address approaches to assessing, selecting, and configuring Electronic Health Records (EHRs) to meet the specific needs of customers and end-users.
Health IT Workforce Curriculum Version 4.0
Effective order sets in electronic health records (EHRs) play a crucial role in enhancing patient safety, care quality, and treatment efficiency through the implementation of best practices. Coordination of care is well-supported by these order sets, ultimately impacting the overall health status of populations.
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Presentation Transcript
Configuring Electronic Health Records Building Order Sets This material (Comp 11 Unit 4) was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0001. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.
Definition Two order sets Collections of pre-formed orders Groups of orders to manage a disease state or for a procedure Computerized order entry Collections of predefined orders Speed up process Reduce errors CPOE Confirmation and Maintenance resource intensive 2
Benefits Implements evidence based clinical knowledge Reduces errors and improves quality of care Reduces variability in health care processes Improves efficiency 3
Costs Time consuming Requires expertise Must be maintained (reviewed to incorporate most current research) 4
Types Locally developed sets Custom development and programming Specific tools for authoring and displaying sets Standardized sets Nationally developed for common disease states or procedures Interest and dialogue in creating standards 5
Building Order Sets Summary Implementing effective order sets is an essential tool in configuring EHRs to meet the standards of meaningful use Order sets directly impact patient safety, quality of care, and efficiency of treatment Coordination of care is supported through the implementation of best practices which, impacts the health status of populations 6
Building Order Sets References - 1 References Amatayakul MK. Electronic health records: A practical guide for professionals and organizations. 4th ed. Chicago IL: AHIMA; 2009. Ash, Joan S., Stavri, P Zo , Kuperman, Gilad J . The Practice of Informatics: Synthesis of Research Paper: A Consensus Statement on Considerations for a Successful CPOE Implementation . J Am Med Inform Assoc 2003;10:229-234 doi:10.1197/jamia.M1204 Bobb, Anne M., Payne, Thomas H., Gross, Peter A . Focus on Computerized Provider Order Entry (CPOE): Viewpoint Paper: Viewpoint: Controversies Surrounding Use of Order Sets for Clinical Decision Support in Computerized Provider Order Entry. J Am Med Inform Assoc 2007;14:41-47 doi:10.1197/jamia.M2184. Carter JH. Electronic health records: A guide for clinicians and administrators. 2nd ed. Philadelphia: ACP Press; 2008. Eichenwald Maki S, Petterson B. Using the electronic health record. Canada: Delmar Cengage Learning; 2008. Hebda T, Czar P. Handbook of informatics for nurses & healthcare professionals. 4th ed. New Jersey: Pearson; 2009. 7
Building Order Sets References - 2 References Lehman HP, Abbot PA, Roderer NK, Rothschild A, Mandell SF, Ferrer JA, et al, editors. Aspects of electronic health record systems. U.S.A: Springer; 2006. McClay JC, Campbell JR, Parker C, Hrabak K, Tu SW, Abarbanel R./AMIA. Structuring order sets for interoperable distribution [article on the internet]. C2006. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839584/. Sheff R./ HCPro. Medical informatics: order sets are a medical staff leader s best friend. (July 22, 2009). Medical Staff Leader Insider. 30. 8
Configuring Electronic Health Records Building Order Sets This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0001. 9
