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Meaningful Use

CPOE

Administrator Training

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During the call please mute your line to

reduce background noise.

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Agenda

� Review of Meaningful Use Stage 2 “Orders / Results” Measures

� Demonstration of Orders/Results Process

� Administrator Set Up� CPOE User Permissions

� Configuring Results Tabs

� Entering Service Facilities

� Next Steps

� Q & A

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C1 - CPOE

� Computerized provider order entry for:

� Medications

� Laboratory orders* – New in 2014

� Radiology orders* – New in 2014*Includes orders for services done in office!

� Must be entered by a licensed* healthcare professional* Includes credentialed medical assistants!

� Order must be entered into EHR before any action can

be taken on the order

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C1 - CPOE

� Thresholds:

� > 60% of medications

� > 30% of laboratory orders

� > 30% of radiology orders

� Exclusions, EP writes:

� < 100 medication orders during the reporting period

� < 100 radiology orders during the reporting period

� < 100 laboratory orders during the reporting period

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C1 - CPOE

Orders / Results app for lab and radiology orders

Rx module for medication orders

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C10 – Clinical Lab-Test Results

� Incorporate clinical lab-test results as structured data

� Threshold: > 55% of all clinical lab tests results ordered

during the reporting period whose results are in either:

� A positive/negative format

� Numerical format

� Exclusion: Any EP who orders no lab tests where results

are either in a positive/negative affirmation or numeric

format during the reporting period

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M3 – Imaging Results

� Imaging results are accessible through the EHR

� Results consist of the image itself and any other accompanying

information

� Images do not have to be stored in the EHR

� Images and imaging results that are scanned into the

EHR may be counted in the numerator of this measure.

� Threshold: > 10% of all tests whose result is one or more

images ordered by the EP during the reporting period

� Works in conjunction with CPOE� PACS that communicate via HL7 will automatically match to order

� Scanned results will have to be manually matched

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M3 – Imaging Results

� Exclusions: Any EP who:

� Orders <100 tests whose result is an image during the reporting

period, or

� Who has no access to electronic imaging results at the start of

the reporting period

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CPOE

Demonstration of Orders/Results Process

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User Rights

� Authorized Users

� Users > Profiles > CPOE > CPOE Access | User is

authorized by federal, state, and local guidelines to issue

CPOE orders

� Values:

� Authorized = User can issue orders

� Supervision Required = User can issue orders but does not

count for MU (Default value)

� No Access= Deny access to CPOE module

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User Rights

� Edit Orders / Batch Transmit Orders

� Users > Profiles > CPOE > CanEditOrders | User Can Edit

the CPOE Orders Data

� Values:

� Yes

� No

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User Rights

� Delete Orders

� Users > Profiles > CPOE > Can Delete Orders | Users can

Delete the CPOE Orders Data

� Values:

� Yes

� No

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User Rights

� Match Orders

� Users > Profiles > CPOE > MatchToOrders | User access to

match a result to an open order for a patient

� Values:

� Yes

� No

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User Rights

� Delete Results

� Users > Profiles > CPOE > CanDeleteResults | User Can

Delete Unmatched Results

� Values:

� Yes

� No

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User Rights

� Release Results

� Users > Profiles > CPOE > CanReleaseResults | User can

mark results for release to patients and outside providers

� Values:

� Yes

� No

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User Rights

� Order Match Dialogue Box

� Users > Profiles > CPOE > DisplayMatch | New user setting

DisplayMatch to control Match Orders window display

behavior

� Values:

� Message Center

� Document Tabs

� Scan Place

� All

� None

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User Rights

� Release Checkbox

� Users > Profiles > CPOE > DefaultAutoRelease | Behavior of

the Release Results checkbox

� Values:

� Yes

� No

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User Rights

� Referral Aging and Manifest Report

� Users > Profiles > Reports > SRS_ReferralAging | User Can

View Referral Aging

� Values:

� Yes

� No

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System Settings

� Matching Results

� Documents > Document Tabs

� Results vs. Default Result checkboxes

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Service Facilities

� Data Entry Types

� Misc > Data Entry

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Service Facilities

� Adding Facilities

� File > New Chart > Facility

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Service Facilities

� Configuring Facilities

� Integration > Polling Folders > Service Facility Config button

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Service Facilities

� Configuring Service Facilities

Note: Each facility must have a unique Name, Sending Facility & SendingApplication!

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Reminder

� Electronic transmission of lab orders via Emdeon

requires the patient’s insurance information!

Otherwise, the lab order will be billable to

the patient.

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CPOE Training Plan

� SRS Meaningful Use CPOE Admin Training (this session!)

� CPOE User Training Sessions:

� SRS Meaningful Use CPOE Radiology & Procedure Entry Training

� Entering Historical Procedure and Radiology Orders

� Placing New Procedure and Radiology Orders

� Quick Overview of Order Matching

� SRS Meaningful Use CPOE Lab Order Entry Training

� Placing Lab Orders (Interface and Print Only)

� Batch Transmitting Orders / Manifest Reports

� SRS Meaningful Use CPOE Managing Results Training

� Referral Aging Report

� Matching Unstructured Results

� Discrete Lab Data (Interface and Manual Lab Entry)

Go to http://srssoft.com/mutraining to register!

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Next Steps

� Contact your account manager regarding Emdeon

enrollment and/or PACS interface

� Review workflow and allocate responsibilities

� Schedule training for staff & register

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Q & A