Objective 4: Computerized Provider Order Entry (CPOE)

Objective: Use computerized provider order entry (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 a credentialed medical assistant, who can enter orders into the medical record per state, local, and professional guidelines.

An EPClosed Eligible Professional: a Medicaid provider who qualifies for the Medicaid Promoting Interoperability Program must satisfy all three measures for this objective through a combination of meeting the thresholds and exclusions.
Measure 1: More than 60 percent of medication orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Denominator Number of medication orders created by the EP during the EHR reporting period.
Numerator The number of orders in the denominator recorded using CPOE.
Exclusion Any EP who writes fewer than 100 medication orders during the EHR reporting period.
Measure 2: More than 60 percent of laboratory orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Denominator Number of laboratory orders created by the EP during the EHR reporting period.
Numerator The number of orders in the denominator recorded using CPOE.
Exclusion Any EP who writes fewer than 100 laboratory orders during the EHR reporting period.
Measure 3: More than 60 percent of diagnostic imaging orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Denominator Number of diagnostic imaging orders created by the EP during the EHR reporting period.
Numerator The number of orders in the denominator recorded using CPOE.
Exclusion Any EP who writes fewer than 100 diagnostic imaging orders during the EHR reporting period.

To be included in the denominator:

  • Patient must have a prescription created by or on behalf of the EP in Rcopia during the reporting period

To create a prescription in Rcopia, go to Encounter > Medications > Manage/ Prescribe Meds > Prescribe a Medication

To be included in the numerator:

  • Patient must have a prescription created by or on behalf of the EP in Rcopia during the reporting period

A prescription can be created by following the steps outlined in the denominator.

To be included in the denominator:

  • Patient must have a lab order created during the reporting period

AND

  • EP must be the Ordering Provider for the lab order
  1. Go to Encounter > Orders/Procedure > Orders/Referrals and click the Add button in the Orders section
  2. Select a lab order from the user Favorites list or click Search CPT Master List to search for and select a lab order code
  3. Select EP as the Ordering Provider
  4. Click Add to create the lab order

To be included in the numerator:

  • Patient must have a lab order created during the reporting period

AND

  • EP must be the Ordering Provider for the lab order

A lab order can be created by following the steps outlined in the denominator.

To be included in the denominator:

  • Patient must have a diagnostic imaging order created during the reporting period

AND

  • EP must be the Ordering Provider for the diagnostic imaging order
  1. Go to Encounter > Orders/Procedure > Orders/Referrals and click the Add button in the Orders section
  2. Select a diagnostic imaging order from the user Favorites list or click Search CPT Master List to search for and select a diagnostic imaging order code
  3. Select EP as the Ordering Provider
  4. Click Add to create the diagnostic imaging order

To be included in the numerator

  • Patient must have a diagnostic imaging order created during the reporting period

AND

  • EP must be the Ordering Provider for the diagnostic imaging order

A diagnostic imaging order can be created by following the steps outlined in the denominator.

  • For Measure 1, the prescription created in Rcopia does not have to be sent electronically to receive numerator credit.

Return to 2019 Medicaid Promoting Interoperability Objectives

 

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