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Objective 4: Computerized Provider Order Entry

Updated: 10/21/2019
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Medicaid Promoting Interoperability - Stage 3

Objective: Use 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.

CPOE is when an EP records medication orders, lab orders and radiology orders within the patient’s chart.
Measure 1: More than 60% of medication orders created by the Eligible Professional (EP) during the EHR reporting period are recorded using Computerized Provider Order Entry (CPOE).
Measure 2: More than 60% of laboratory orders created by the EP during the EHR reporting period are recorded using CPOE.
Measure 3: More than 60% of radiology orders created by the EP during the EHR reporting period are recorded using CPOE.
Denominator for each measure: Number of medications, lab orders and diagnostic imaging orders created by the eligible provider during the EHR reporting period.
Numerator for each measure: The number of orders in the denominator recorded using CPOE.
Exclusions:
  • Any EP that writes fewer than 100 medication orders during the EHR reporting period.
  • Any EP that writes fewer than 100 laboratory orders during the EHR reporting period.
  • Any EP that writes fewer than 100 radiology orders during the EHR reporting period.
Attestation: An EP must submit the numerators and denominators generated by the Medicaid Promoting Interoperability Dashboard. For an EP to successfully attest for Objective 4, they will need to meet the thresholds of the three measures.
Audit Documentation: We recommend that a copy of your Medicaid PI report is placed in your audit folder and retained for a minimum of 6 years after your attestation.  Your audit folder should provide necessary verification if you are selected for a CMS Incentive Program audit.

 

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