SIH — Order Set Governance & Optimization Program
Designing a sustainable governance framework to standardize, optimize, and sustain clinical decision support across Epic and Provation.
Project Overview
Led the enterprise-wide redesign of the order set governance and annual review process at Southern Illinois Healthcare (SIH). The initiative established a sustainable, data-driven framework for reviewing, standardizing, and maintaining clinical order sets across Epic and Provation. This work supported evidence-based care, reduced redundancy, and improved clinical efficiency while aligning with The Joint Commission standards and organizational quality goals.
Challenge / Problem
SIH’s prior order set review process was fragmented and inconsistent, with limited governance ownership and cross-department visibility. Duplicate and outdated content existed across Epic and Provation, creating clinical risk, version control issues, and inefficiencies in approvals. Without a structured annual review cycle or integrated governance model, maintaining compliance and content accuracy proved unsustainable.
Approach
Anne designed and implemented a unified Order Set Governance and Optimization Program that brought together clinical, IT, and quality stakeholders under a single, standardized process. Key initiatives included:
- Developing a cross-functional governance framework defining clear ownership, decision-making paths, and approval roles.
- Building an Epic and Provation alignment strategy to ensure content consistency and synchronization between systems.
- Implementing a centralized tracking model using Epic reporting, ServiceNow, and Smartsheet to manage review cycles, approvals, and performance metrics.
- Creating a Program Management toolkit with RACI matrices, KPI dashboards, and standardized documentation templates to support long-term sustainability.
- Coordinating cross-specialty engagement and governance committees to foster clinical accountability and transparency.