The Santa Rosa region of the CHRISTUS Health System, serving San Antonio and surrounding areas, launched computerized physician order entry software in January 2012. By late summer, a pattern was clear. Hospitalists and emergency room physicians--the initial target audience--became the heaviest users and were the reason why 65 to 75 percent of all orders soon were electronic, recalls George Gellert, M.D., regional CMIO.

But to get to the 90+ percent level would require CPOE adoption by low frequency users such as consulting, specialist and subspecialty physicians who have privileges at multiple hospitals also adopting CPOE. And that was going to be tough because not all hospitals in the region are pushing CPOE, which Gellert calls “as big a paradigm and workflow change as this generation of physicians has seen.” And he didn’t want physicians leaving Santa Rosa hospitals and going elsewhere where CPOE isn’t being pushed.

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