Services

Dr. Kremsdorf has been deeply involved in organizational change and the deployment of clinical information systems since 1985, most recently serving as President and CEO of CliniComp, Intl. He was Vice President, Clinical Information Systems for a 48 hospital delivery system. In addition, he practiced Pulmonary and Critical Care Medicine for 20 years in the community and academic settings. 

These varied experiences are drawn upon to respond to Clients' different needs. In fact, even at a single organization different constituencies will need to hear and think about issues in disparate ways. 

There are four clusters of engagement types sought by Five Rights Consulting:

 

Experience-guided Facilitation

Who:

  • Organizations that are trying to establish their direction for improving patient care and safety using clinical information systems

  • Organizations that have started and are now mired in controversy or have lost momentum

  • Organizations where a few of the leaders have a clear vision, but there is skepticism or a follower-deficiency-state

What:

Dr. Kremsdorf established the consensus for clinical information systems at a 48-hospital system and has a clear understanding of the methodologies needed to help organizations to focus on what is important. His work was cited for excellence by The Advisory Board and this publication is representative. He works with your organization using the skills described under The Five Rights of Effective Clinical Informatics Leadership to clarify the concerns of your various constituencies, to have them educate one another of their needs. He applies structured methods to prioritize their needs, a process described as The Five Rights of Effective Clinical Process Redesign

As a facilitator, he uses his knowledge and experience to ask pointed questions and to help the group to see patterns in their thinking that were not initially apparent. 

 

Having an organizational consensus on the current status of its implementation of clinical information systems is an important starting point for planning. Dr. Kremsdorf has personally evaluated this status in over 50 hospitals, by interviewing physicians and nurses about the ways in which they use technology to assist them in patient care and scrutinizing the tools they use. Many provider organizations find that such an independent, outside, evaluation is essential to bring credibility to the process.

 

Presentations

Organizations embarking  on new initiatives need domain knowledge. Via Presentations on-site or at an array of public conferences, Dr. Kremsdorf has the proven ability to scope out the audience's needs and to connect with them. With his broad knowledge and experience base, the content will be interesting. As a feet-on-the-ground clinician and implementer, his comments reflect real-life experiences and practical do's and don'ts.

 

Whether it is educating the Board about potential future directions or enlightening the Medical Staff about opportunities for improvement, you can be confident that learning and enthusiasm will result.

 

Clinical Informatics Leadership Coaching

Using technology to improve patient care is relatively new. Consequently,  many folks in leadership roles simply have not done it before! If you are an organization experiencing turmoil or inertia, or a vendor observing same in a client or prospective client, some focused Coaching might be of assistance. Drawing on the experiences of having "been there" and having Coached others, Dr. Kremsdorf can help selected leaders think through complex problems. The Five Rights of Effective Clinical Informatics Leadership describe the skills needed for success. This page describes how the service offering works.

 

Medication Safety Tools

Starting in 2001, Dr. Kremsdorf developed his criteria for the information technology support of medication safety, drawing on the literature and his experience. Two key functional areas are highlighted: Computer Physician Order Entry and Medication Administration. Most importantly, the criteria are very detailed and the clinical importance of each is carefully explained. Using the descriptions, one can become very knowledge, very quickly.

 

In addition, the products from 10 key vendors are evaluated using the same standards, facilitating comparisons. Whether you simply use the criteria and make your own judgments or validate those made by Five Rights, you get a huge head start in your Medication Safety technology search. 

This information is available in a report, "Medication Safety Tools 2003: Evaluation of Vendor Offerings" .

 

Examples of Recent Engagements:

Providers

      • Academic Medical Center tried CPOE unsuccessfully, needed to regroup with new direction

      • Community hospital with some success in clinical information systems needed more consensus to move to next level of sophistication

      • Community hospital with strong medication safety culture wanted to incorporate technology as an aid to patient safety
      • Academic/community hospital and large aligned physician groups unable to articulate the problem or the solution
      • Assisted in the selection and coaching of the Medical Director, Clinical Information Systems

Vendors

      • Coaching corporate CEO on product direction choices
      • Technology-driven engineering company assisted to re-focus its product direction
      • Large company acquiring a new product assisted in re-positioning product line
      • Plenary speaker at Patient Safety Conference hosted by vendor
      • Facilitated focus groups of physicians about needs for clinical information systems, CPOE

  www.5rights.com