Core 1: CPOE for Medication, Radiology, and Lab Orders

Objective 

Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into a medical record per state, local and professional guidelines.  

 Measures

Measure 1: Medication - 60% or more of medication orders

  • DENOMINATOR: Number of medication orders created by the eligible professional during the EHR reporting period. 
  • NUMERATOR: The number of orders in the denominator recorded using CPOE
  • THRESHOLD: The resulting percentage must be more than 60% in order for an eligible professional to meet thing measure.
  • EXCLUSION: Any eligible professional who writes less than 100 medication orders during the EHR reporting period is excluded from this measure. 

How To (Website):

 

Step 1: 

  1. Open up a patient's chart from Patient Lists or use the spotlight search:

Step 2: Click on "Medication list":

 

Step 3: Click on the edit button toward the medication (if it is an existing med) or click on “+ Add Medication” and enter the name of the drug:

Step 4: Choose the “Ordered status” from the dropdown (Status such Discontinued and Paper Rx will not earn you credit for this measure):

 

 

Step 5: Then click on “Save” to save your changes:

 

 

 

Measure 2: Laboratory - 30% or more of laboratory orders 

  • DENOMINATOR: Number of laboratory orders created by the eligible professional during the EHR reporting period. 
  • NUMERATOR: The number of orders in the denominator recorded using the CPOE.
  • THRESHOLD: The resulting percentage must be more than 30% in order for an eligible professional to meet this measure.
  • EXCLUSION: Any eligible professional who writes less than 100 laboratory orders during the EHR reporting period is excluded from this measure.

How To (Website)

Step 1: 

  1. Search for the patient you want to enter the labs in the spotlight search in the upper right corner, or through your patients list:

Step 2: When in the patient's file click on "Lab Orders":

 

Step 3:  Next, enter the result values into the given fields and select the “Lab Order Status”:

Step 4: Scroll to the bottom of the page and click on "Submit Order" to complete the process:

 

Measure 3: Radiology - 30% or more of radiology orders

  •  DENOMINATOR: Number of radiology orders created by the eligible professional during the EHR reporting period. 
  • NUMERATOR: The number of orders in the denominator recorded using the CPOE.
  • THRESHOLD: The resulting percentage must be more than 30% in order for a eligible professional to meet this measure.
  •  EXCLUSIONAny eligible professional who writes less than 100 radiology orders during the EHR reporting period is excluded from this measure.

How To (Website):

Step 1: Search for the patient you would like to enter the imaging order by using the spotlight search in the upper right corner, or through your patients list:

 

 

Step 2: When in the patients file click on "Clinical Dashboard" then scroll to the bottom and click on “Imaging Orders” (option under “Additional Options”):

Step 3: Enter in the result values into the given fields:

 

Step 4: Scroll to the bottom of the page and click on "Submit Order" to complete the process:

Exclusions

See under Measure for exclusionary details.

For additional information from the CMS regarding Core 1: CPOE for Medication, Radiology, and Lab Orders click here.

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