Andres Jimenez, M.D., is an advocate of the clinical automation, but he’s not too impressed with the industry track record with electronic health records implementations. By his estimate, about 50 percent of EHR implementations fail. In addition, for all the focus on computerized physician order entry systems, only about 250 hospitals nationwide have achieved “deep” CPOE use, where more than 85 percent of providers are entering orders directly into a CPOE system.

The root cause for the wheels coming off clinical automation projects often is the way hospitals approach EHR training for physicians, contends Jimenez, a practicing spine specialist and CEO of consulting firm ImplementHIT. Jimenez previously served as clinical director of content and online training at Allscripts.

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