computerized provider order entry measure 1 - cpoe for … · this document outlines the...

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Computerized Provider Order Entry Meaningful Use 2016

Job Aid

Computerized Provider Order Entry This document outlines the Computerized Provider Order Entry workflow for meeting this measure in

the Clinical Quality Reporting module – the CPS reporting tool for capturing Meaningful Use data for

the 2016 reporting period.

Specific questions about the measure, thresholds, exclusions, and attestation for the 2016 reporting

period should be directed to the 2016 Program Requirements site and the 2016 Tip Sheet.

Measure 1 - CPOE for Medication Orders

Denominator/Numerator Denominator

o Count 1 for every medication order written by the EP during the reporting period. Written by - Eligible professional is the user selected as Authorized By for the

prescription.

Medication order - A prescription for a coded medication (and not a DME nor

OTC) entered into the chart using one of the following Prescribing Methods

available within the application: Electronic, Fax to pharmacy, Print then fax to

pharmacy, Print then give to patient, Print then mail to patient, Print then mail

to pharmacy, Telephone or Handwritten. Requests for administered

medications entered through the medication administration form are also

counted.

Numerator

o Of the medication orders in the denominator, count 1 for every medication order that

was a signed CPOE medication order during the reporting period.

Authorized healthcare professional- Any licensed healthcare professional or

credentialed medical assistant, who is authorized to enter orders into the

medical record, according to state, local and professional guidelines.

Credentialing for a medical assistant must come from an organization other

than the organization employing the medical assistant

CPOE medication order - A medication order entered and signed into the

chart by an authorized healthcare professional using one of the following

Prescribing Methods available within the application: Electronic, Fax to

pharmacy, Print then fax to pharmacy, Print then give to patient, Print then

mail to patient, Print then mail to pharmacy, or Telephone.

Set Up

Enter required Authorized Healthcare Professional user attributes

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2016ProgramRequirements.html

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/2016_EPWhatYouNeedtoKnowfor2016.pdf

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o Authorized healthcare professionals must be designated as Licensed (or

Credentialed Medical Assistant). For chart access, check (Legally authorized to enter

CPOE orders) on the Meaningful Use Attributes section on Chart Access tab.

o In order to be a CPOE-qualified user the licensed health care provider must select the

option from User Management and enter the states they are licensed in and the

effective dates of their licenses

In Administration, go to System | User and Resource Management > Users >

User Management > Edit a user. Select Chart Access tab.

Select Eligible Professional and/or Licensed or Credentialed (Legally

authorized to enter CPOE orders).

For Eligible Professional, select the Program, Stage, Reporting Year,

and Attested fields.

For Licensed or Credentialed, click New and select the licensing state,

then set the Effective and End dates of the license or credential.

NOTE: Qualified healthcare professionals must be designated as Licensed or Credentialed prior to

EHR reporting period.

Workflow Prescribe medication, Refill medication, Remove medication

o User who enters and signs the prescription record must be an authorized healthcare

professional.

o To receive MU credit, an eligible provider must be the Authorizing Provider on the

prescription.

o These prescribing methods do not qualify as CPOE-defined prescribing methods:

Handwritten, Samples Given, Refax, Reprint, Historical.

Best Practices While many organizations have standard policies regarding refilling medications and

producing prescriptions, this Meaningful Use measure identifies the licensed healthcare

professional or credentialed medical assistant as someone who is authorized to enter and

sign orders into the medical record, according to state, local and professional guidelines.

Use Medication Administration HTML encounter form. Administered

medications are now clinical list items that you can access from this new form.

Use Medication Administration custom list. To use the Medication Administration encounter

form, you must first set up and populate Administered Medication Custom Lists in

Administration.

Identify uncoded medications as drug at the time of prescribing so it is included in

calculation.

Uncoded medications on Medication Custom Lists may also be identified as being in the

Drug category.

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Measure 2 - CPOE for Radiology Orders


o Count 1 for every radiology order written by the EP during the reporting period.

Written by - Eligible professional is the user selected as Authorized By for the

radiology order.

Radiology order - Order for any imaging services that uses electronic product

radiation. The EP can include orders for other types of imaging services that

do not rely on electronic product radiation in this definition as long as the

policy is consistent across all patients and for the entire EHR reporting

period.

Numerator

o Of the radiology orders in the denominator, count 1 for every radiology order entered

and signed into the chart by an authorized healthcare professional during the

reporting period.





than the organization employing the medical assistant.

Set Up


















Set Radiology order category/code classifications

o Radiology orders must be assigned the default classification of Radiology for new or

existing services.

o The user must create or edit existing orders in the administration module.

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From Administration > Codes > Charts > Codes and Categories >Select

Services or Test and Procedures.

The user can identify the classification Radiology at the category level

which would apply to all orders in that category

The user can edit or add the Radiology classification at the individual

order directory in the Change codes dialog.

Workflow Use the Centricity Orders module to capture orders that have been classified as Radiology in

the Orders setup. The status of an order must be either Complete or In-Process, but not

Admin Hold.

The user entering and signing the order must be Licensed or Credentialed to enter CPOE

orders, and set up as such in the user account.

Best Practices While many organizations have standard policies regarding ordering radiology services, this

Meaningful Use measure identifies the licensed healthcare professional or credentialed

medical assistant as someone who is authorized to enter and sign orders into the medical

record, according to state, local and professional guidelines.

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Measure 3 - CPOE for Laboratory Orders


o Count 1 for every laboratory order written by the EP during the reporting period.

Written by - Eligible professional is the user selected as Authorized By for the

laboratory order.

Laboratory order - Order for any service provided by a laboratory.

Numerator

o Of the laboratory orders in the denominator, count 1 for every laboratory order

entered and signed into the chart by an authorized healthcare professional during

the reporting period.





than the organization employing the medical assistant.

Set Up








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Set Laboratory order category/code classifications

o Laboratory orders must be assigned the default classification of Laboratory for new

or existing services.

o The user must create or edit existing orders in the administration module.

From Administration > Codes > Charts > Codes and Categories >Select

Services or Test and Procedures.

The user can identify the classification Laboratory at the category

level which would apply to all orders in that category

The user can edit or add the Laboratory classification at the individual

order directory in the Change codes dialog.

Workflow Use the Centricity Orders module to capture orders that have been classified as Laboratory

in the Orders setup. The status of an order must be either Complete or In-Process, but not

Admin Hold.

The user entering and signing the order must be Licensed or Credentialed to enter CPOE

orders, and set up as such in the user account.

Best Practices While many organizations have standard policies regarding ordering laboratory services, this

Meaningful Use measure identifies the licensed healthcare professional or credentialed

medical assistant as someone who is authorized to enter and sign orders into the medical

record, according to state, local and professional guidelines.

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Audit Audit documentation should be retained for six (6) years past the date of attestation.

This measure requires the calculation of a numerator and denominator. These numbers are

calculated by Clinical Quality Reporting (CQR). Be sure to print or save the report and keep

for your records in the event of an audit.

If they require an example of a patient:

o Screen shot a patient’s Medication list window in the chart that was seen during the

reporting period (see below for example).

o Screen shot a patient’s Order for Radiology services ordered during the reporting

period (see below for example).

o Screen shot a patient’s Order for Laboratory services ordered during the reporting

period (see below for example).

Example screen shot for patient with documented prescription during the reporting period

entered and signed by any licensed healthcare professional or credentialed medical

assistant who is authorized to enter orders into the medical record, according to state, local

and professional guidelines.

Example screen shot for patient with documented radiology order during the reporting period

signed by any licensed healthcare professional or credentialed medical assistant who is

authorized to enter orders into the medical record, according to state, local and professional

guidelines.

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Example screen shot for patient with documented laboratory order during the reporting

period signed by any licensed healthcare professional or credentialed medical assistant who

is authorized to enter orders into the medical record, according to state, local and

professional guidelines.

Example screen shot for user being a licensed healthcare provider:

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