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
• CPOE and Meaningful Use
• 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 - Fix Computer Errors
     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 loan modification Medication Ordering in the Long Term Care Setting]]