Extracting Actionable Recommendations for Modifying Enterprise Order Set Templates from CPOE Utilization Patterns.

As part of an enterprise-wide rollout of a new EHR, Intermountain Healthcare is investing significant effort in building a central library of best-practice order sets. As part of this effort, we have built analytics tools that can capture and determine actionable opportunities for change to order set templates, as reflected by aggregate user data. In order to determine the acceptability of this system and set meaningful thresholds for actual use, we extracted recommendations for additions, removals, and change in initial order selection status for a series of thirteen order sets. We asked local clinical experts to review the changes and classify them as acceptable or not. In total, the system identified 362 potential changes in the order set templates and 186 were deemed acceptable. While further enhancement will co sharpen the efficacy of the intervention, we expect that this type of utility will provide useful insight for content owners.