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EHR Objective 3: Computerized Provider Order Entry (CPOE)

See EHR 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.

Note: 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.

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: CPOEof 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 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

Determine how medication orders/prescriptions will be created:

  • Legacy eRx (comprehensive version)
  • Paper prescriptions in Open Dental. If using this option, you should also qualify for the EHR Objective 4: ePrescribing exclusion.

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.

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