December 5, 2011
Earlier this year, you received notification the NYEE would be moving to a paperless format in the Operating rooms. As of January 1, 2012, it will be required that ALL post operative orders, discharge orders and immediate post operative notes be entered via Meditech/CPOE (Computerized Provider Order Entry) Through your cooperation, we have already achieved a level greater than 85% of our surgical volume being electronically documented. This represents over 200 physicians presently using the EMR!
After January 1, 2012, paper documentation will neither be available nor accepted.
We are aware that the transition to electronic order entry will be challenging; however it is critical to the strategic plan for rollout of the Electronic Medical Record at the Infirmary. To aid physicians who have yet to make the transition, we will provide the necessary education, support and tools.
The Information systems Department staff has been and will continue to be available to physicians in the OR in order to provide necessary training and support.
You may contact the IS Department at 212-979-4273 or by email at firstname.lastname@example.org for assistance and information on On-Line Tutorials.
Additionally: IS can provide instruction for the electronic submission of Operative Reports so that you will no longer have to phone in to the dictation system, review, correct, etc.
The cooperation of the physicians who have already embraced and adopted electronic order entry and documentation is greatly appreciated. However, it is essential that you review the basic guidelines. They outline updates and changes in the minimal responsibilities and regulatory requirements for physicians, of the Department of Health and the Joint Commission. (TJC). Particular attention is called to the MATRIX for Post Op order management, both inpatient and ambulatory. Examples that may be incorporated into your order sets are provided:
It is inevitable that these first steps into the EMR will meet with stumbling blocks and unanticipated problems. We are prepared to listen to suggestions and critiques and to support you in this undertaking. We are committed to moving into the electronic age and the time has come to take this major step.
J. Robert Rosenthal, M.D., FACS
Senior Vice President for Medical Affairs
Chief Medical Officer