Component 6; Unit 4: Computerized Provider Order Entry (CPOE)

Component 6; Unit 4: Computerized Provider Order Entry (CPOE)

Description:

Defines CPOE, states the purpose of CPOE, lists attributes and functions of CPOE, and explains how CPOE is currently being used in health care. Describe patient generated data and the push toward consumer-mediated data exchange using PHRs. Describes the major value to adopting CPOE applications, identifies the common barriers to adoption, and summarizes the potential impact CPOE has on patient care safety, quality and efficiency, and patient outcomes.

Objectives:

  1. Describe the purpose, attributes and functions of CPOE
  2. Explain ways in which CPOE is currently being used in health care
  3. Discuss the major value to CPOE adoption
  4. Identify common barriers to CPOE adoption
  5. Identify how CPOE can affect patient care safety, quality and efficiency, as well as patient outcomes

Component 6; Unit 4; Lecture 4a comp6_unit4a_lecture_slides

Introduction to CPOE:1) Purpose of CPOE; 2) Attributes and functions of CPOE; 3) Patient generated data ; 4) Consumer-mediated data exchange using PHRs

Component 6; Unit 4; Lecture 4b comp6_unit4b_lecture_slides

Aspects of CPOE: 1) Value to adoption; 2) Common barriers

Potential impact on patient care, safety and quality – (missing video and lecture)

Suggested Readings

California HealthCare Foundation. (2000, September). Computerized physician order entry fact sheet. Retrieved from http://www.chcf.org/publications/2000/10/computerized-physician-order-entry-fact-sheet

Cutler, D.M., Feldman, N.E., & Horwitz. J.R., (2005, November). U.S. Adoption of computerized physician order entry systems. Health Affairs. Retrieved from http://content.healthaffairs.org/cgi/content/full/24/6/1654

Dixon, B.E. & Zafar, A. (2009, January). Inpatient computerized provider order entry (CPOE) Findings from the AHRQ health IT portfolio (Prepared by the AHRQ National Resource Center for Health IT). AHRQ Publication No. 09-0031-EF. Retrieved from http://healthit.ahrq.gov/images/jan09cpoereport/cpoe_issue_paper.htm

Koppel, R., Metlay, J. P., Cohen, A., Abaluck, B., Localio, A. R., Kimmel, S. E., & Strom, B. L. (2005, March 9). Role of computerized physician order entry systems in facilitating medication errors, Retrieved from http://jama.ama-assn.org/cgi/content/full/293/10/1197?ijkey=83e2c4349737ab8b717ca9f12ccdca4a1de9f26a

Poon, E.G., Blumenthal, D., Jaggi, T., Honour, M. M., Bates, D. W., & Kaushal, R. (2004, July). Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Affairs. Retrieved from http://content.healthaffairs.org/cgi/content/full/23/4/184?ijkey=7906721f412a42ba76ec4286f5cf5535f74a507e

Hook, J. H., & Cusack, C. (2008, May). Ambulatory computerized provider order entry (CPOE): Findings from the AHRQ health IT Portfolio. (Prepared by the AHRQ National Resource Center for Health IT). AHRQ Publication No. 08-0063-EF. Retrieved from http://healthit.ahrq.gov/portal/server.pt/gateway/PTARGS_0_890425_0_0_18/08-0063-EF.pdf

Kaushal, R., Jha, A.K., Franz, C., Glaser, J., Shetty, K. D., Jaggi, T., …. Brigham and Women’s Hospital CPOE Working Group. (2006 May-June). Return on investment for a computerized physician order entry system. Journal of the American Medical Informatics Association. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1513660/?tool=pubmed

Metzger, J.B., Welebob, E., Turisco, F., & Classen, D.C. (2008, July/August). The Leapfrog Group’s CPOE standard and evaluation tool. Patient Safety & Quality Healthcare. Retrieved from http://www.psqh.com/julaug08/cpoe.html

Siemens. (2008, July 23). Computerized health records reduce medical errors. [Video file]. Retrieved from http://il.youtube.com/watch?v=fjnyDNZE3RY

Vigoda, M.M., (2008, October). Unintended consequences of computerized physician order entry. Paper presented at the 2008 AHIMA Convention, Seattle, WA. Retrieved from http://library.ahima.org/xpedio/groups/secure/documents/ahima/bok1_042666.hcsp?dDocName=bok1_042666

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