tag:blogger.com,1999:blog-8434050931789572015.post9213164211917370606..comments2023-08-30T22:42:22.226-04:00Comments on DirkMD - CMIO Perspective: Why not let docs have their own order sets?Dirk Stanley, MD, MPHhttp://www.blogger.com/profile/09568427937893548660noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-8434050931789572015.post-48129727282220494692011-03-10T01:05:40.550-05:002011-03-10T01:05:40.550-05:00Agreed - And most people don't appreciate the ...Agreed - And most people don't appreciate the cost of maintaining an order set. IMHO they should, like policies, only be built when there is a clear need to standardize a particular process. Letting docs "make their own" is a quick fix for not investing in informatics, but you will lose out on the ability to make changes, cut costs, and improve care quickly.Dirk Stanley, MD, MPHhttps://www.blogger.com/profile/09568427937893548660noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-45865937826616930812010-11-27T10:11:11.725-05:002010-11-27T10:11:11.725-05:00Standardization is very important to creating high...Standardization is very important to creating highly reliable outcomes. Unfortunately good evidence is only available for about 20-30% of health care. This does not mean that we should encourage a 'free for all approach' because we can't currently prove one way is better than another. We need to use the EHR as a tool to organize continuous investigations to discover best care. Unfortunately most organizations are so focused on impementing an EHR and 'getting the dollars' for Meaningful Use that they are not properly focusing on creating the clinical infrastructure for achieving consensus and love of change. Intermountain Health Care remains the best example of how to use informatics and EHR to discover new best practices, rapidly implement them across the organization and achieve improved outcomes measured in lives saved. Dr. James feels they have the potential to publish 1000 articles a year based on their continuous improvement process. Buying and installing an EHR will not transform your organization alone; investment in physician informatics leaders, and unparalleled medical staff engagement is an absolute requirement to achieve better outcomes.rvaughnMDhttps://www.blogger.com/profile/09958728840526322073noreply@blogger.com