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EHR Objective 3: Computerized Provider Order Entry (CPOE)

Modified Stage 2

Measures

CPOE means that an order is entered by a licensed provider. To count as CPOE in Open Dental, a provider must be logged on.

Measure 1: More than 60% of medication orders created by EP during reporting period are recorded using CPOE.

Measure 2: More than 30% of medical laboratory orders created by EP during reporting period are recorded using CPOE. Medical lab orders are usually for blood work.

Measure 3: More than 30% of radiology orders (x-rays) created by EP during reporting period are recorded using CPOE.

In version 15.4 and greater, there is a new and simplified method of creating and approving CPOE radiology orders. All x-ray procedures are automatically counted as radiology orders, and procedures added or approved by an EHR provider count as CPOE. See Enter and Approve CPOE Radiology Orders.

Exclusions Available? Yes.  Providers qualify for an exclusion for a measure if they order less than 100 of the order type during the reporting period. 

Resources

2017 Spec Sheet (PDF)

Webinar: CPOE of Lab Orders

Calculations

Note: There are 3 calculation options for CPOE medication order but you will only report one.

CPOE_MedOrdersOnly

  • Denominator: All medication orders created by the provider and entered during the reporting period.
  • Numerator:  Medication orders in the denominator entered using CPOE.

CPOE_LabOrdersOnly:

  • Denominator: The number of medical laboratory orders for an 'ordering provider', created by a provider, with a date/time start during the reporting period.
  • Numerator:  Orders in the denominator entered entered by a provider.

CPOE_RadiologyOrdersOnly (version 15.4 and greater):

  • Denominator: The number of completed radiology procedures (by default CDT codes D0210 - D0340 and D0364 - D0386) associated with the provider plus any lab orders with a 'RAD' LOINC code for the provider with a date/time start during the reporting period.
  • Numerator:  Orders in the denominator approved or entered by the provider.

CPOE_RadiologyOrdersOnly (version 15.3 and earlier):

  • Denominator: The number of radiology orders (orders with a 'RAD' LOINC code) ordered for the provider with a date/time start during the reporting period.
  • Numerator:  Orders in the denominator entered by a provider.

Setup

EHR General Setup
Determine how medication orders/prescriptions will be created:

Instructions

To create CPOE orders, a provider must be logged on to Open Dental.

Medication Orders: Must have count, instructions, refill and start date. Once created, orders list in the patient's Medication List, sorted by start date. 

Lab Orders

Radiology Orders

Access 2011 CPOE Lab/Radiology Orders - On the EHR Dashboard, click Labs/Rads under 2011 Ed.

For old stage 1 and 2 information see EHR CPOE Medication Orders and EHR CPOE Radiology and Laboratory Orders.

 

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