April, 2002:  Negley, Ott & Associates, Inc. implemented ON-LINE PHYSICIAN ORDER ENTRY  at New York City Health & Hospitals Corporation (Elmhurst Hospital Center).

Elmhurst Hospital Center is a 525 bed acute care facility in Queens, New York.  They have been using the UltiCare^{® /} Patient1^® (Misys CPR^™ / Misys CPOE^™) system in the outpatient clinics for over four years.  On Sunday, April 7, Negley, Ott & Associates, Inc. (NOA) brought the hospital live for on-line Physician Order Entry for all of their inpatient units. 

This initiative involved approximately 800 physicians, residents, nurse midwives, nurse practitioners and physician attendants.  Some of the key reasons for implementing this functionality were the following:

1. Legibility & Patient Safety
2. Availability of information
3. Order Entry alerts

As a result of the successful implementation of the on-line entry of physician orders, the following benefits have been realized:

1. The system automatically sends notification to the ancillary departments regarding the tests to be performed.  
2. The order is clear and legible and is transmitted real time to the nursing staff as well as the ancillary areas. 
3. There is improved patient safety as a result of the built in alerts for adverse drug reactions, drug to drug interactions and dose range checking that present during order entry. 
4. Duplicate procedures are eliminated as a result of alerts indicating duplicate procedures.
5. Providers can enter orders for inpatients from any hospital location eliminating the need to write orders on various forms.  Consequently, this reduces the need to deliver requisitions to the patient nursing units.