10-minute overview of their key messages, leaving the majority of each time block for interactive exploration. Where possible, hosts arranged for committee visitors to shadow care providers engaged in workday activities (e.g., on rounds, at the central nursing station). Shadowing teams were generally composed of one health care provider and one computer scientist (and one staff person), so that teams could operate in parallel.

Information requested in pre-visit reading material included:

  • Organization “facts” (FTEs, admissions, visits, research dollars, and so on)

  • Health care organization's organizational chart

  • Health care organization's strategic plan

  • IT organization chart

  • Information management or IT strategic plan

  • Information system inventory

  • Information technology architecture or standards specifications

  • Most recent wired survey responses

  • Last joint commission visit report

During each visit, the committee visitors sought to see or to hear about as many of the following facility components as possible:

  • Enterprise overview

  • IT/systems overview

  • Question and answer sessions

    • Chief quality/safety officer

    • Risk management

  • Observation points

    • Transition points

      • Bed control, transfer center, life flight

      • Emergency room to inpatient, outpatient to operating room to intensive care unit to intermediate care

      • Medication reconciliation, outpatient to inpatient to outpatientMedication reconciliation, outpatient to inpatient to outpatient

      • Nursing shift change, house officer signout

  • Settings

    • Shadow a nurse during medication administration

    • Shadow a doctor on morning rounds

    • Pharmacy

    • Inventory management

    • Eligibility/billing

  • Content management

    • Charge master, reimbursement contracts

    • Formulary, drug-drug interactions

    • Order sets, pathways

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