Objective 4: Computerized Provider Order Entry (CPOE) - Med, Lab & Radiation Orders

Computerized provider order entry (CPOE) refers to the process of providers entering and sending treatment instructions – including medication, laboratory, and radiology orders – via a computer application rather than paper, fax, or telephone.

For 2019 Stage 3, the Objective requires EPs to use CPOE for medication, laboratory, and diagnostic imaging orders directly entered by any licensed healthcare professional, credentialed medical assistant, or a medical staff member credentialed to and performing the equivalent duties of an credentialed medical assistant, who can enter orders into the medical record per state, local, and professional guidelines.

An EP must satisfy all 3 measure for this objective, either by meeting the thresholds or exclusions.

  • (1) More than 60% of medication orders created by the EP during the EHR reporting period are recorded using CPOE.
  • (2) More than 60% of laboratory orders created by the EP during the EHR reporting period are recorded using CPOE.
  • (3) More than 60% of diagnostic imaging orders created by the EP during the EHR reporting period are recorded using CPOE.

Exclusions for each measure include:

  • (1) Any EP who writes fewer than 100 medication orders during the EHR reporting period.
  • (2) Any EP who writes fewer than 100 laboratory orders during the EHR reporting period.
  • (3) Any EP who writes fewer than 100 diagnostic imaging orders during the EHR reporting period.

Objective Measures 2018 Medicaid PI Modified Stage 2 2019 Medicaid PI Stage 3
Objective 4: CPOE-Med, Lab & Radiation Orders
Required Meds more than 60%
Labs/Rads more than 30%
Exclusion if denom <100
Required more than 60%
Exclusion if denom <100

Resources

Computerized Provider Order Entry (Objective 4 of 8)