Successful Implementation of Clinical Information Technology: Seven Key Lessons from CPOE

Appl Clin Inform. 2015 Dec 2;6(4):698-715. doi: 10.4338/ACI-2015-06-SOA-0067. eCollection 2015.


Objectives: To identify and describe the most critical strategic and operational contributors to the successful implementation of clinical information technologies, as deployed within a moderate sized system of U.S. community hospitals.

Background and setting: CHRISTUS Health is a multi-state system comprised of more than 350 services and 60 hospitals with over 9 000 physicians. The Santa Rosa region of CHRISTUS Health, located in greater San Antonio, Texas is comprised of three adult community hospital facilities and one Children's hospital each with bed capacities of 142-180. Computerized Patient Order Entry (CPOE) was first implemented in 2012 within a complex market environment. The Santa Rosa region has 2 417 credentialed physicians and 263 mid-level allied health professionals.

Methods: This report focuses on the seven most valuable strategies deployed by the Health Informatics team in a large four hospital CHRISTUS region to achieve strong CPOE adoption and critical success lessons learned. The findings are placed within the context of the literature describing best practices in health information technology implementation.

Results: While the elements described involved discrete de novo process generation to support implementation and operations, collectively they represent the creation of a new customer-centric service culture in our Health Informatics team, which has served as a foundation for ensuring strong clinical information technology adoption beyond CPOE.

Conclusion: The seven success factors described are not limited in their value to and impact on CPOE adoption, but generalize to - and can advance success in - varied other clinical information technology implementations across diverse hospitals. A number of these factors are supported by reports in the literature of other institutions' successful implementations of CPOE and other clinical information technologies, and while not prescriptive to other settings, may be adapted to yield value elsewhere.

Keywords: CPOE adoption; CPOE/health informatics implementation; clinical information technology implementation; health information technology implementation.

MeSH terms

  • Contracts
  • Hospitals / statistics & numerical data
  • Humans
  • Medical Order Entry Systems* / organization & administration
  • Medical Order Entry Systems* / statistics & numerical data
  • Outcome Assessment, Health Care*
  • Physicians / legislation & jurisprudence
  • Physicians / statistics & numerical data