Content Management Strategy

FrontPage => Stages of Implementation => The Executing Stage or => Building Blocks



Some organizations do not formalize an approach to clinical content development and maintenance at the beginning of CIS implementation, and simply begin with a “starter set” that the vendor supplies or to gather the paper forms that already exist in the organization.

This strategy can be risky.


Gathering the Paper

Most CPOE implementation will have a stage where the team will physically walk the floors and gather as many paper order set forms as can be found.  There is value to this step.  It gives a sense of what tools clinicians may be using for order sets.  It can give a sense of the ammount of variation on a particular diagnosis.  For example, if there are 6 different order forms for "Total Hip", it wll indicate that standardization on that order set may be challenging. 


However, gathering the paper and then returning to the IT department to build those order sets directly into the CPOE application is rarely a good idea.  Unless the paper order sets have been regularly reviewed and the clinical evidence vetted, something that is rarely the case, building these order sets into the computer application will not result in any advances in quality of patient care.


On the other hand, at some point during the implementation, order sets that are built into the system should be converted to paper since they will be required for downtime.



1.  Understand Content needs including metrics to be tracked

2.  Identify and select Content sources

3.  Vet clinical evidence, determine value and scope of use

4.  Implement Content including customization

5.  Check metrics around usage and outcomes

6.  Maintain and update Content


Potential Outcomes for measurement