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).
The
CPOE 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.
CPOE 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.
