We are working to update orderables for drips to include all TJC-required order elements within the order itself (initial dose, titration parameters, max dose), and ran into this issue - the approved titration guidelines differ across the three hospitals in our system. Our IT team is hesitant on creating two (or more) versions of the same order customized per facility due to difficulties with maintenance.

I am wondering if others have worked through a similar process in a multi-hospital system and what approach have you taken to ensure the orderables contain all of the needed elements for titratable drips. By the way, Cerner is our EHR. Thank you in advance.