


Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibsectetur adipiscing elit. Pellentesque dapibussectetur adipiscing elit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam risus ante, dapibus a mosectetur adipiscing elit. Pellentesque dapibus efficitur lasectetur adipiscing elit. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system. With her team in place, one of the CIO's first activities was to complete an inventory of all applications. No other significant staff changes were made. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed. The clinics and doctors' offices are now being converted to the hospital administrative systems. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff thus there is no data dictionary or specific standard language. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. Except for physicians, most in- house clinical or care-related documentation is online. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Over time, additional modules were added. The system began in the early 1970s with a financial module. What are 5 open ended question that could be used to gather feedback from the clinical staff ? using this case studyĪ small community hospital in the Midwest has used a homegrown information system for years.
