Comp6 Unit4a Lecture Slides

Health Management Information
Systems
Computerized Provider Order
Entry (CPOE)
Lecture a
This material Comp6_Unit4a was developed by Duke University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.
.
Computerized Provider Order Entry
(CPOE)
Learning Objectives
2
1. Describe the purpose, attributes and
functions of CPOE (Lecture a)
2. Explain ways in which CPOE is currently
being used in health care (Lecture a)
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Health Management Information Systems
Lecture a
(CPOE)
Learning Objectives
3
3. Discuss the major value to CPOE
adoption (Lecture b)
4. Identify common barriers to CPOE
adoption (Lecture b)
5. Identify how CPOE can affect patient care
safety, quality and efficiency, as well as
patient outcomes (Lecture b)
Lecture a
Definition of CPOE
4
Lecture a
Computerized practitioner order entry
Order entry application
Assists practitioners with the creation and
management of orders for services and
medications
Computerized provider order entry
Use of computer assistance to directly enter
orders
Order is documented/captured in a digital,
structured, and computable format
CPOE
5
Lecture a
Is part of an integrated clinical information
system
Is a computer application that enables
order entry
Not just an electronic prescribing system
Best coupled with clinical decision support
Purpose of CPOE
6
Lecture a
Automate the ordering process in order to
manage patient care more effectively and
efficiently and as a result improve patient
safety and outcomes
Purpose of CPOE
7
Lecture a
Prevent, reduce, or eliminate medical
errors and adverse drug events (ADEs)
Improve patient safety
Reduce unnecessary variation in health
care
Improve efficiency of health care delivery
Prevent, Reduce, or Eliminate
Medical Errors and ADEs
8
Lecture a
IOM reports
98,000 patients die each year in U.S.
hospitals due to medical errors
Advised rapid adoption of electronic
medication ordering to support clinical
decisions
CPOE seen as a solution

Improve Patient Safety
9
Lecture a
Leapfrog Group
Consortium of major companies and other
large private and public healthcare
purchasers
One of its key patient safety standards
CPOE seen as a way to leap forward
A leap is a recommended hospital quality
and safety practice
Reduce Unnecessary Variation in
Health Care
10
Lecture a
Help the physician make optimal ordering
decisions and improve adherence to
evidence- based practice
Requires configuration of orders and order
sets
Improve Efficiency of Health Care
Delivery
11
Lecture a
Reduction in order verification and
processing times
Electronic communication both directions
Order entered electronically
Order sent electronically
Order received electronically
Status returned electronically
Requires interfaces with existing
information systems
Attributes
12
Lecture a
CIS module
System integration
Electronic health record systems
Ancillary systems
Clinical decision support systems
Order entry
From a computer or mobile device
Pre-configured orders and order sets

Attributes
13
Lecture a
Order processing
Order documentation
System responsiveness
System response time

Attributes
14
Lecture a
Reliability
Probability of failure-free operation
Ability of a program to perform its required
functions accurately and reproducibly

Functions of CPOE
15
Lecture a
Basic: Electronic order communication
Accepts/captures the providers orders for
services
Transmits the order to the appropriate location
Returns status of order
Returns results of order execution
Functions of CPOE
16
Lecture a
Advanced: includes clinical decision
support
Simple: drug-drug interaction checks,
medication dose calculators
Complex: drug to lab value
CPOE and Clinical Decision
Support System(CDSS)
17
Lecture a
Clinical Decision Support System (CDSS)
Uses pre-established rules and guidelines
Integrates clinical data form several sources
Generates alerts and treatment suggestions
Support System(CDSS)
Coupled with a clinical decision support
system
Applies rules-based logic
Supplies real-time feedback
Example
Alert of a drug allergy with a suggested alternative
medication
CPOE needs clinical decision support to
reach its full value

18
Lecture a
Support Systems (CDSS)
19
Lecture a
No single approach to integration
Questions to ask
What kind and how much clinical support?
What about medication alerts, allergies,
routine preventive diagnostics?
How many alerts will users tolerate before
ignoring them?
How difficult should it be for the practitioners
to override the alerts?
CPOE Users
20
Lecture a
Those who enter the orders and those
who process the orders
Physicians
Nurses
Physician assistants
Nurse practitioners
Ancillary staff, e.g., pharmacists, therapists,
laboratory and radiology personnel, dieticians

CPOE Uses
21
Lecture a
Applies to both the inpatient and
ambulatory setting
Order types
Medications
Tests, e.g., laboratory
Procedures
Other clinical processes such as admissions,
referrals
Summary Lecture a
22
Defined CPOE
Identified attributes and functions
Explained ways in which CPOE is
currently being used in health care
Lecture a
References Lecture a
23
Lecture a
References
Booth, C.J. (Ed.). (5
th
Ed.). (1993). IEEE standard dictionary of electrical and electronic terms. New York, NY:
Institute of Electrical and Electronics Engineers, Inc.
Centers for Medicare and Medicaid Services; Medicare and Medicaid Programs; Electronic Health Record
Incentive Program; Proposed Rule, 42 CFR Parts 412, et al. (January 13, 2010). Retrieved from
http://edocket.access.gpo.gov/2010/pdf/E9-31217.pdf
Committee on Quality of Health Care in America, Institute of Medicine. (2001). Crossing the quality chasm: a new
health system for the 21st Century. Washington, DC: National Academy Press.
Dixon, B.E. & Zafar, A. (2009, January). Inpatient computerized provider order entry (CPOE) Findings from the
AHRQ health IT portfolio (Prepared by the AHRQ National Resource Center for Health IT). AHRQ Publication No.
09-0031-EF. Retrieved from http://healthit.ahrq.gov/images/jan09cpoereport/cpoe_issue_paper.htm
First Consulting Group. (2003, January). Computerized physician order entry: Costs, benefits and challenges.
Retrieved from http://www.leapfroggroup.org/media/file/Leapfrog-CPOE_Costs_Benefits_Challenges.pdf
HIMSS. (2003, February). CPOE fact sheet. Retrieved from
http://www.himss.org/content/files/CPOE_Factsheet.pdf
HIMSS dictionary of healthcare information technology terms, acronyms and organizations. (2010). Chicago, IL:
Healthcare Information and Management Systems Society.
Kohn, L. T., Corrigan, J.M., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system.
Washington, DC: National Academy Press.
Shortliffe. E., & Cimino, J.J. (Eds.), (2006). Biomedical informatics: Computer applications in health care and
biomedicine (3
rd
ed). New York, NY: Springer Science + Business Media.
The Leapfrog Group. (2010, June). Leapfrog Group report on CPOE evaluation tool results June 2008 to January
2010. Retrieved from http://www.leapfroggroup.org/media/file/NewCPOEEvaluationToolResultsReport.pdf
The Leapfrog Group. (2011). About us. Retrieved from http://www.leapfroggroup.org/about_us

Comp6 Unit4a Lecture Slides

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Comp6 Unit4a Lecture Slides

Diunggah oleh

Hak Cipta:

Format Tersedia

Health Management Information

Anda mungkin juga menyukai