New HIMSS CPOE Wiki Illustrates Complexity

Posted on November 10, 2010 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today, I got an email about the new HIMSS CPOE wiki that was just launched. I barely want to link to it since it makes me laugh. Plus, it’s not a true wiki since only members that have been approved can edit the wiki. It’s not open like the EMR and HIPAA wiki and other real wiki pages. That said, if you still want to take a look, here’s the link.

To be honest, I haven’t looked through much of the information on the wiki. First, because I was turned off by my inability to be able to edit the wiki if I saw fit. Second, because I saw this diagram on the main page which completely turned me off to it.

Here’s the diagram (click on it to see the full size image):

My blood pressure starts to rise just looking at the diagram. The number of lines that cross over with arrows going every which way is hard to follow. There are two starting points and no clear end point. It’s amazing the complexity they’ve put into what should be a clear diagram that tells a simple story. I should mention that the diagram is suppose to be the navigation diagram for the wiki, but it seems like their plan was for the navigation to be a model for someone going through the steps of a CPOE implementation.

Is there any wonder why CPOE hasn’t been implemented? Although, I can’t help but wonder if CPOE is this complex to implement or whether the people creating the diagram are what made the CPOE implementation so complex.

Maybe I should ask some of the CPOE workgroup members. After all, there names and emails are available to anyone on this page of the wiki.

I would have commented on the wiki itself since it says it has the capability for commenting. Only problem is that it says, “You don’t have permission to comment on this page.” Oh well, at least I have a blog where I can comment.