One of these objectives includes the transmittal of 40% of prescriptions electronically and the use of CPOE
for at least 30% of medications orders (HHS, 2012).
survey item was a new addition in 2007 and many facilities did not respond to that item in its first year.
The proportion of order requests that notified the laboratory about a patient's warfarin or heparin treatment status after implementation of the CPOE
were compared using [chi square] analyses.
Impact of CPOE
usage on medication management process costs and quality outcomes.
Indeed, in a 2010 survey by the College of Health Information Management Executives (CHIME), more than half (52 percent) of CIOs said their biggest concern was getting clinicians to enter orders into their CPOE
system to meet thresholds stipulated by meaningful use objectives.
In contrast to the strong support and enthusiasm for encouraging EHR technology use among policy makers, extant literature has demonstrated mixed effects of CPOE
and other EHR technologies on efficiency and process compliance (Menachemi and Collum 2011).
Although we used an order elimination and free-text method to make it difficult to order cycloserine levels, other methods to clarify orders in CPOE
include pop-up boxes, physician decision support, and typographic changes to the order names.
Recently meaningful use has provided economic incentives to hasten the adoption of CPOE
, and many hospitals are rapidly building clinical content for their CPOE
applications and struggling with the most efficient mechanism to introduce them to their clinicians.
both necessitates, and facilitates, changes in the workflows, thinking processes, and behavior of all clinical departments.
Most national studies examining CPOE
systems have used data from one of two sources: Health Care Information and Management Systems Society (HIMSS) Analytics (see, e.g., Teufel, Kazley, and Basco 2009) or the Leapfrog Group (see, e.g., Hillman and Givens 2005).
During the 6-month intervention period from November 2009 to May 2010, there was a mean decrease of about $15,692 per test for the lab tests in which cost data was displayed in the CPOE
as compared with a baseline period exactly 1 year earlier.
Hospital teaching status also was a significant predictor of CPOE
performance, but only accounted for 10 percent of the observed variation in hospital performance.