CPOE

Computer-based Provider Order Entry -- CPOE

• CPOE Definition
• History
• Project Governance
• Readiness Assessment
• Setting up the Project Team
• System Selection
  1. Creating the Request for Proposals
  2. Making Site Visits
• System Configuration
  1. Co-signing rules
  2. Time-out settings
  3. Password Strength - length, frequency of change, etc.
  4. Dealing with Patient Transfers
  5. Creating Order Sets
  6. Using Controlled Medical Terminologies
     1. RxNorm
     2. LOINC - Logical Observation Identifiers Names and Codes
     3. Unified Medical Language System - UMLS
  7. Common Mistakes
  8. Regulatory Problems
• Implementation Strategies
  1. Big Bang vs. Incremental Roll-out
  2. Computer Scribes...for physicians?
  3. Whether, when, and how to remove paper from the process?
• Physical Computing Environment
  1. Office Setting
     1. Effect of Computers in the Examination Room
  2. Inpatient Setting
     1. Wall Mounted Computers
     2. Desktop Computers
     3. Mobile Computers
        1. Laptop Computers
        2. Tablet Computers
        3. Handheld Computers
  3. Emergency Department Setting
  4. Mobile Computers
• Monitoring and Evaluation
  1. Routine Methods
  2. Study Designs
  3. Leapfrog CPOE Standard
• Unintended Consequences
  1. Increased Resource Utilization
  2. Emotional Reactions
  3. Increased Reliance on Technology
• Reviews of related articles from the literature
  1. Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System
  2. Prescribers’ Responses to Alerts During Medication Ordering in the Long Term Care Setting