Computerized Provider Order Entry (Medicaid)

The objective of this measure is to use computerized provider order entry (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.

This page provides information related to the Medicaid Promoting Interoperability program. There is no comparable measure in the Medicare MIPS program..

Ordering Medications

  1. Open a patient’s exam record in ExamWRITER.
  2. Press F6 to open the Medication Order window.
  3. If you are using the ExamWRITER ePrescribing Interface, follow the instructions below; otherwise, if you are using another ePrescribing service, go to step 4. For more information about using the ExamWRITER ePrescribing Interface, view the ExamWRITER ePrescribing Help.
    1. Click the eRX icon.
    2. Click the Pharmacy link to select the pharmacy where you want to send the patient’s medication order.
    3. Click Prescribe in the main navigation bar.
    4. Search for and select a medication.
    5. Select the appropriate option to send and print the order.
  4. If you are using the Medication Order window in ExamWRITER, follow the instructions below:
    1. Select or enter the medication information.
    2. If this medication entry is a duplicate of a handwritten order, deselect the Entered Using CPOE check box.
    3. Click Save Med. Order to add the medication order to the Current Therapeutic Rx table.
    4. Click Print w/Sig/Exit or Print no Sig/Exit to print the medication order and exit the window.

Ordering Lab and Radiology Tests

  1. Open a patient’s exam record in ExamWRITER.
  2. Press F3 to open the Orders window.
  3. Select the Laboratory or Radiology radio button.
  4. Select orders in the box on the left of the Orders window.
  5. Select appropriate dates from the Timeline drop-down boxes
  6. Select an Action.
  7. Select a recall from the OfficeMate Patient Recall drop-down menu.
  8. If this lab or radiology entry is a duplicate of a handwritten order, deselect the Entered Using CPOE check box.
  9. Click Save(s).

    Although it is not required to satisfy this measure, you may record a status for the tests at this point. The order status appears on the clinical summary. To record a status for the order, click Change Status, select a Status and a Date, and click Save.

  10. Click Process.

An EP must satisfy all three measures for this objective through a combination of meeting the thresholds and exclusions.

  • Measure 1. More than 60 percent of medication orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
  • Measure 2. More than 60 percent of laboratory orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
  • Measure 3. More than 60 percent of diagnostic imaging orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.

Denominator

  • Measure 1. Number of medication orders created by the EP during the EHR reporting period.
  • Measure 2. Number of laboratory orders created by the EP during the EHR reporting period.
  • Measure 3. Number of diagnostic imaging orders created by the EP during the EHR reporting period.

Numerator

For each of the three measures, the numerator is number of orders in the denominator recorded using CPOE.

Threshold

For each of the three measures, the resulting percentage must be more than 60 percent in order for an EP to meet this measure.

  • Measure 1. Any EP who writes fewer than 100 medication orders during the EHR reporting period.
  • Measure 2. Any EP who writes fewer than 100 laboratory orders during the EHR reporting period.
  • Measure 3. Any EP who writes fewer than 100 diagnostic imaging orders during the EHR reporting period.

This measure is required to achieve a promoting interoperability score.

The following are suggested roles for completing this measure:

  • Doctor
  • Technician
  • Scribe

Be sure to deselect the Entered Using CPOE check box if the order was handwritten.