Medical Practice Management Technologies

Paper Summary:

This paper examines how adverse drug events result in more than 770,000 injuries and deaths each year and how computerized physician order entry (CPOE) is widely acknowledged as an important tool in preventing this problem. It looks at how many health care organizations are evaluating the purchase of large, integrated clinical information systems to replace existing paper processes and support CPOE; these systems make use of not only the Internet, but also freestanding peripherals and other equipment, such as handhelds. In addition to automating a number of clinical processes, including medication ordering, prescribing, and administration, such systems contain alerts and knowledge-based guidance that warn clinicians about potential medication errors.

Outline
Introduction
Current State of the Technologies
Former Methodology
Implementation and Impact
A Note About Integrating Handhelds
Impact on Practice
Cost/Benefit Analysis
Stakeholder Analysis
Role of Government
Assessment

From the Paper:

"A look at the situation at Montefiore Medical Center (MCC) in New York City will provide a case in point for computerized physician ordering systems. MMC is a not-for-profit, urban academic health system containing approximately 1,000 beds housed in three facilities. It employs about 2,000 full-time and part-time physicians, plus almost 800 medical house officers, a total of about 1,800 nursing personnel, and more than 9,000 administrative personnel and support personnel, as well as other ancillary functions. The pharmacy department alone employs some 85 pharmacists plus 70 support personnel. In addition to the enormous staff, a large proportion of MMC's patients are in capitated contracts."

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