Process
Essays

The planning, customization, launch and continued use of a Clinician Provider Order Entry (CPOE) system in a local hospital forms the foundation of this analysis. The processes being used prior to the systems' planning and implementation are detailed to provide a basis of comparison of system contribution and performance. A timeline of the decision makers involved in the process, how and where they identified vulnerabilities in the system and the software selection process are also detailed. The CPOE system today on average handles over 10,000 queries and has resulted in a 78% reduction in order entry errors with a corresponding reduction in costs. Most importantly, it has drastically improved the healthcare providers' effectiveness in treating patients while also augmenting the entire patient experience more positively. Analysis of CPOE Substitute Processes Prior To System Implementation The series of processes and systems that had been in place prior to the CPOE system were manually based, required continual updates and manually recursive checks of accuracy. They also had very steep learning curves for those new employees, from nurses and healthcare providers to administrators to learn and use. The manually-based system had processes in place that were only oriented towards one department as well, and had to have more manually-based modifications to be used in advanced treatment areas incouding cardiology. On top of all these other factors, the manually-based CPOE system had manually-based approaches to filing for reimbursements and managing the more complex order entry and order management functions in conjunction with the leading insurance providers. Manually-based approaches to order management, transaction management and distributed order entry can cost a healthcare provider hours of administrative time and hundreds of thousands of dollars in error-field orders and misplaced and incorrectly submitted orders (Lykowski, Mahoney, 2004). The previous systems also lacked any form of analytics or reporting as to their relative progress as well; there was no way of knowing how many orders had been processed in a given day, week or month without manually counting them. The weakness of manual systems is their inability to create an effective, measurable baseline of performance which can be used for evaluating and improving performance over time (Purbey, Mukherjee, Bhar, 2007).

Medical Care is both a commodity and a service. The process of consuming medical care has a cost, even if the after insurance price is zero to the consumer. For instance, there are hard costs that include the buildings, equipment and supplies that house the medical care or office. There are the wages that are paid for the administration and provision of healthcare, and a cost for every procedure, every drug, and every minute of healthcare operations.

The standard of living and the lifestyle of the general population in today's time has changed and enlarged because of various economic factors for instance mounting disposable income, growth of high income groups in emerging nations and many more. In a very similar manner, the social influence in the modern epoch towards the purchasing of luxurious items has also come to sight that one can reflect their image as an affluent person. As an outcome of it, demand for the luxury goods and services has escalated and intensified largely (Wright, East & Vanhuele 2008).

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