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GreenLight Network    LEAD

The Challenge: A major barrier to adoption of patient safety solutions is the lack of financially responsible decision-support information. This program provides models and examples that hospital leadership teams need in order to confidently "greenlight" investments in patient safety. The "accountable care movement" represents a seismic shift in the multi-trillion dollar market from provider-centered volume driven forces to patient-centered value-driven forces. Profit centers will become cost centers overnight – challenging even the most sophisticated.

The Greenlight Network: World class organizations and individual experts from quality, certification, and purchasing organizations provide clinical, operational, and financial expertise and data. Employers and consumers will play an important role in our work and will be fully represented.

The Collaborative Initiatives:
Greenlight Provider Models: Our leadership decision-support investment models will address clinical, operational, and financial performance for typical hospitals and ambulatory care systems. They provide structure and flexibility: the structure to address specific patient safety gaps, while providing the flexibility of givens, assumptions, and variables to adjust forecasts for care providers' unique situations. The ultimate objective is to provide what is necessary for CFOs and finance teams to vote "yes" to greenlight investment in patient safety initiatives, with the confidence in the ROI and financial impact of those programs. "CFO-validated factors" will be developed through a consensus process with input from leading CFOs.

Consumer and Payer Decision Support Tools: Our work will provide critical information so that patients and purchasers can choose the right providers at the right price so that they will receive the right care in every community every single day. To view collaborator organizations' video clips from the TMIT documentaries, click here.

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CPOE Flight Simulator

TMIT has been leading updates and research on the Computerized Physician Order Entry (CPOE) Evaluation Tool which it provides to The Leapfrog Group for use in its national scorecard.

The CPOE Evaluation tool is the first-ever methodology for evaluating the effectiveness of clinical decision support (CDS) in computerized physician order entry (CPOE) used in hospitals and physician practices. In May 2008, The Leapfrog Group released via the web a limited version of The Leapfrog CPOE Evaluation Tool provided to it by TMIT. The CPOE Evaluation Tool provides:

  • For a locally-performed evaluation of a hospital's CPOE system using test patients and test orders;
  • Hospitals with feedback on how well their CPOE system helps users writing electronic medication orders to avoid common, serious prescribing errors; and
  • Leapfrog with information for incorporation into scoring related to the standard.

The TMIT funded updates and research on the Evaluation tool have two main objectives:

  1. To update and expand the library of test patients and test orders, using expert advisory groups focusing on inpatient adult and pediatric content.
  2. To host and make available to AHRQ-funded research projects the use of the evaluation tool (inpatient and ambulatory) as a means for benchmarking or scoring the effectiveness of CDS in implemented ambulatory EHRs or inpatient CPOE applications.

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