Measure 1 CPOE for Medication Orders
Measure 1 of 15 Core
Stage 1
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CPOE for Medication Orders
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Objective
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Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines.
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Measure
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More than 30 percent of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE.
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Exclusion
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Any EP who writes fewer than 100 prescriptions during the EHR reporting period.
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Definition of Terms
Computerized Provider Order Entry (CPOE) - CPOE entails the provider's use of computer assistance to directly enter medication orders from a computer or mobile device. The order is also documented or captured in a digital, structured, and computable format for use in improving safety and organization.
Unique Patient - If a patient is seen by an EP more than once during the EHR reporting period, then for purposes of measurement that patient is only counted once in the denominator for the measure. All the measures relying on the term " Unique Patient" relate to what is contained in the patient's medical record. Not all of this information will need to be update or even be needed by the provider at every patient encounter. This is especially true for patients whose encounter frequency is such that they would see the same provider multiple times in the same EHR reporting period.
Attestation Requirements
Numerator / Denominator / Exclusion
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DENOMINATOR: Number of unique patients with at least one medication in their medication list seen by the EP during the EHR reporting period.
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NUMERATOR: The number of patients in the denominator that have at least one medication order entered using CPOE.
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EXCLUSION: EP's who write fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement. EP's must enter the number of prescriptions written during the EHR reporting period in the Exclusion box to attest to exclusion from this requirement.
The resulting percentage must be more than 30 percent in order for an EP to meet this measure.
Additional Information
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The provider is permitted, but not required, to limit the measure of this objective to those patients whose records are maintained using certified EHR technology.
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Any licensed healthcare professionals can enter orders into the medical record for purpose of including the order in the numerator for the objective of CPOE if they can enter the order per state, local and professional guidelines.
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The order must be entered by someone who could exercise clinical judgement in the case that the entry generates any alerts about possible interactions or other clinical decision support aides. This necessitates that the CPOE occurs when the order first becomes part of the patients medical record and before any action can be taken on the order.
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Electronic transmittal of the medication order to the pharmacy, laboratory, or diagnostic imaging center is not a requirement for meeting the measure of this objective. However, a separate objective (EPCMU 04) addresses the electronic transmittal of prescriptions and is a requirement for EP's to meet MU.
