Dr. Burke Mamlin presented an overview of the Wishard/Eskenazi Health Services Medical Gopher (Gopher) and G3 systems. The Medical Gopher system was first developed in 1984 as an outpatient order entry system and in 1990 expanded into the inpatient setting. Gopher has been in in continuous use supporting a 350-bed hospital, 12 community health centers, and 79 clinics that provide a variety of services (Duke et al., 2014). Gopher is an electronic medical record (EMR) system and by definition a computerized physician order entry (CPOE) as well. A CPOE is an application that provides functionality that supports the ability to enter medical orders into a computer system that is located within an inpatient or ambulatory setting (Dixon, 2014).
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In 2009 an upgrade was instituted to design and implement a new system which took 4 years to complete (Duke et al., 2014). The guiding principles in the new software was support patient safety, improve quality of care, improve user satisfaction, and promote provider efficiency(Duke, Mamlin, & Martin, 2013). The new system called G3 was developed using Java and JavaScript using the ZK framework. A variety of new features were added to the system such as an integration with real-time natural language processing (NLP) functionality, an instant messaging system, use of shared sessions, and use of saved sessions (Duke et al., 2014). This new G3 system is now integrated with the laboratory, pharmacy, registration. Scheduling, radiology, and billing systems. In the new system CDSS development concentrated on the major areas of contextual alerting, learning behavior, and multimedia content (Duke et al., 2014). There was worry that the new system would result in a loss of speed in navigating between the various functions of the system but that seems not to have been an issue as it has been found that speeds have been comparable between the new and old system (Duke et al., 2014). In 2013 it was found that 1105 individuals on average were using the new Gopher system each day which included 433 physicians, 46 nurse practitioners, and 9 physician assistants. The system supported other types of users including nurses, pharmacists, medical assistants, social workers, physical, occupational, and respiratory therapists, and office staff (Duke et al., 2014). The development of the new G3 system was funded through multiple grants and contract including those from the Regenstrief Foundation, Wishard/Eskenazi Health Services, the Agency for Health-care Research and Quality (R01HS019818), and the Office of the National Coordinator on
In 2009 an upgrade was instituted to design and implement a new system which took 4 years to complete (Duke et al., 2014). The guiding principles in the new software was support patient safety, improve quality of care, improve user satisfaction, and promote provider efficiency(Duke, Mamlin, & Martin, 2013). The new system called G3 was developed using Java and JavaScript using the ZK framework. A variety of new features were added to the system such as an integration with real-time natural language processing (NLP) functionality, an instant messaging system, use of shared sessions, and use of saved sessions (Duke et al., 2014). This new G3 system is now integrated with the laboratory, pharmacy, registration. Scheduling, radiology, and billing systems. In the new system CDSS development concentrated on the major areas of contextual alerting, learning behavior, and multimedia content (Duke et al., 2014). There was worry that the new system would result in a loss of speed in navigating between the various functions of the system but that seems not to have been an issue as it has been found that speeds have been comparable between the new and old system (Duke et al., 2014). In 2013 it was found that 1105 individuals on average were using the new Gopher system each day which included 433 physicians, 46 nurse practitioners, and 9 physician assistants. The system supported other types of users including nurses, pharmacists, medical assistants, social workers, physical, occupational, and respiratory therapists, and office staff (Duke et al., 2014). The development of the new G3 system was funded through multiple grants and contract including those from the Regenstrief Foundation, Wishard/Eskenazi Health Services, the Agency for Health-care Research and Quality (R01HS019818), and the Office of the National Coordinator on