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. Pre-Admission Order Policies
  6. Creating Order Sets
  7. Using Controlled Medical Terminologies
     1. RxNorm
     2. LOINC - Logical Observation Identifiers Names and Codes
     3. Unified Medical Language System - UMLS
     4. Systematized Nomenclature of Medicine - Clinical Terms - SNOMED-CT
  8. Common Mistakes
  9. Regulatory Problems
     1. AMDIS Response to the Federal Tamper-Resistant Rx Law
• Success Factors
• 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
     4. Infection Control Concerns
  3. Emergency Department Setting
  4. Mobile Computers
• Monitoring and Evaluation
  1. Routine Methods
  2. Study Designs
  3. Leapfrog CPOE Standard
  4. Consensus recommendations on Measurements
• Unintended Consequences
  1. Increased Resource Utilization
  2. Emotional Reactions
  3. Increased Reliance on Technology
  4. Prescribers’ Responses to Alerts During Medication Ordering in the Long Term Care Setting