With 780 physicians scattered across over 50 sites throughout Wisconsin, the Marshfield Clinic faces a tough challenge with EHR adoption. The multi-specialty group is using a homegrown system that has been certified for meaningful use. At HIMSS13 in New Orleans, executives from the group described how it’s tackling the increased adoption requirements pertaining to order entry for Stage 2 of the incentive program. “We have had a lot of variation in how orders are done,” said Lori Polzin, business analyst. “Paper, verbal, and different ways at different sites.”

The group needed to revise its system to A) make order entry more user-friendly; and B) incorporate evidence-based medicine concepts in the workflow. Marshfield had order entry in its earlier iteration of the system to handle lab and radiology orders, but many times staff entered the directives on behalf of physicians. And while CMS will permit some orders to be administered by medical assistants, Marshfield is aiming for entry directly by physicians.

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