Case Study

SIH — Order Set Governance & Optimization Program

Designing a sustainable governance framework to standardize, optimize, and sustain clinical decision support across Epic and Provation.

  • 2023–2026
  • Epic × Provation
  • Governance • Optimization • Clinical Workflow

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 Duplicate and outdated content existed across Epic and Provation, creating clinical risk, version control issues, and inefficiencies in approvals.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.
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