A Process for Creating and Maintaining Order Sets

• Each specialty established an Expert Panel responsible for identifying desired order sets, creating them (on paper) and insuring broad consensus from the specialty/division.
• Order sets were reviewed by our CPOE Advisory Group for consistency, adherence to our standard practices, errors, technical feasibility, etc...
• Once approved by this group they were sent to our Medical Care Evaluation Committee which consists of all the Quality Chairs from each department for final endorsement.
• After this they were built in the system and then all the Expert Panels reconvened to perform final usability testing and QA checking prior to go live.
• We have a calendar for annual order set review and a process in place for folks to submit their requests for changes to existing order sets or creation of new ones.

Results: In our first 17 days following go live, 125 of the 139 order sets had been used at least once!

Staff required to maintain this process: We have 1.4 FTEs overseeing the ongoing development and QA of our order sets (.8 Project Manager and .6 Analyst) with strict oversight from an ongoing CPOE Advisory group that consists of the Assoc. CMIO, the staff MD who oversaw the original development (she also chairs the Med. Care Eval. Committee and oversees Utilization Mgmt.), IT, Pharmacy (as needed) and the CMIO.