|Chief Information Officer Daniel Nigrin, MD,
MS, and Senior VP of Patient Care Operations Eileen Sporing,
What is the CHAMPS project?
CHAMPS—Children’s Hospital Applications Maximizing Patient
Safety—is a multi-year, multi-phase project designed to replace
many of the key computer-based systems that we use to care for patients.
These systems—including Results Reporting, Electronic Clinical
Documentation (ECD) and the Ambulatory Prescription Writer, among
others—will be replaced with a comprehensive source of patient
information that will be all available on everyone’s local
What is the goal of the project?
This primary goal, is to enhance patient safety, which is an extremely
important topic—in this institution and nationwide. One compelling
patient safety issue is medication error. Based on published reports,
medication errors leading to injury can occur at a rate of three
per every 100 patient admissions. The majority of these errors happen
because the appropriate information is not available to clinicians
at the time medication decisions are made. Today’s research
demonstrates that by implementing technology-based patient care
systems, errors can be reduced at every step of the medication administration
How can a computer system improve the safety
of care provided to patients?
Our new systems will have the most impact on medication safety—not
just the ordering of medications, but really the whole medication
administration process. In addition to ensuring that a safe and
correct order is placed by physicians from the outset, these systems
will enable us to address the “Five Rights” of medication
administration by nurses—right patient, right drug, right
dose, right route and right time.
In essence, the new systems will provide patient information—such
as lab results, medication administration records and allergy information—to
nurses and other clinicians, allowing them to benefit from real-time
decision support at the point of care. The systems will allow every
clinician to have immediate access to all information on a given
patient, improving communication among the care team and reducing
the risk of information falling between the cracks. The result will
be systems that can streamline processes, improve patient care and
Why did Children’s select the Cerner
Corporation for this project?
chosen after a lengthy and comprehensive selection process. The
bottom line is that Cerner has the most integrated set of systems.
Whether it be surgical scheduling, the lab system, the pharmacy
system, or the order entry system, Cerner consistently did better
than all of the other vendors across the whole range of systems
they can implement. They also had more of a focus on pediatrics
than the other vendors—with a special subdivision entirely
devoted to pediatric institutions and children’s hospitals—and
they are interested in working with us to develop the products we
How long will it take to implement CHAMPS?
It will be rolled out in three phases over the next three years.
The first phase, which began this April, involves the replacement
of our lab, pharmacy and Results Reporting computer systems. New
features will be added to the lab and pharmacy systems to improve
department operations and to position the hospital to implement
computerized provider order entry (CPOE). The first phase is expected
to be completed by late summer 2005.
During the second phase, CPOE will go live, and we will begin to
roll out inpatient nursing documentation. This phase will have the
biggest impact on physicians and nurses, as well as on patient safety
itself. With these new systems, clinicians will be required to enter
patient orders—which are currently written on paper—directly
into the computer, with warnings of potential drug interactions
presented directly to them through the computer at the time the
order is entered. Additionally, nursing notes and medication administration
records currently recorded on flow sheets and in paper patient charts
will also be entered directly into the computer. Also in this phase,
communication among clinicians will be improved through computer-generated
rounds and shift reports. The second phase is expected to be completed
by late spring/early summer 2006.
|“The systems will allow
every clinician to have
immediate access to all
information on a given
the care team and reducing
the risk of information
falling between the cracks.”
The third and final phase will incorporate additional clinical
documentation capabilities in both the inpatient and outpatient
settings. This will include physician documentation and structured
clinical documentation based on templates. A case-tracking/
peri-procedure documentation system will also be incorporated during
this phase, along with a scanning application for medical records.
We expect to complete this phase by early summer 2007.
Will there be training for staff?
A variety of trainings will be offered as this project unfolds—in
classroom settings, in one-on-one settings on the individual units
and in computer settings that employees can complete on their own
time. We fully recognize that training people before, during and
after the implementation dates is one of the most important aspects
of this project.
How can people learn more about the CHAMPS
Employees can go to the “Hot Projects” section on the
internal Web site and click on “CHAMPS/Clinical
System” to visit the CHAMPS web page. The site includes
general project information as well as links to the Cerner Corporation,
and will be updated as work on the project progresses.