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Objective 4: Computerized Provider Order Entry (CPOE)

Previously known as Meaningful Use Stage 3, CMS renamed the EHR Incentive Programs to Promoting Interoperability in April 2018. The program has evolved over time as providers have adopted EHRs and is focused on interoperability across EHRs and improving patient access to health information, hence the name Promoting Interoperability.

At time of attestation you will need a screenshot of the QIC and a download of the SQL to a CSV file. All information should be saved to your "Book of Evidence". This can be an electronic folder of all documentation for the reporting period.

Objective 4: Computerized Provider Order Entry (CPOE)

Measure 1: Entering Medications in the Patient Chart using CPOE

  • >60% of medications created during the reporting period are recorded using computerized provider order entry.

DENOMINATOR

  • All medication prescribed during the reporting period, this includes controlled and non-controlled medications.
  • Prescription with a Purpose beginning with Med - excluding Med - reference only.
  • Prescription qualifies by Rx start date, not the date written.
  • Will include prescriptions that were sent as a proxy where the provider was the Prescriber.

NUMERATOR

  • Prescription that qualified in the denominator excluding Med - unformatted.

Exclusions for Objective 4/Measure 1:

  • Less than 100 medications written during the reporting period.

Measure 2: Entering Diagnostic Lab Orders in the Patient Chart using CPOE

  • >60% of laboratory orders created during the reporting period are recorded using computerized provider order entry.

DENOMINATOR

  • Diagnostic order requisitions that were saved in the Labs group.
  • Diagnostic order requisition ordered by the attesting provider
  • Diagnostic order requisition order date during the reporting period.

NUMERATOR

  • Qualifying diagnostic order requisition that have a result and result date on or after the order date in the Orders/Results panel.
  • Qualifying diagnostic order requisition that have no result date on or after the order date in the Orders/Results panel.


Exclusions for Objective 4/Measure 2:

  • Less than 100 lab orders during the reporting period.

Note: The requisition status of Pending, Received or Complete and the Result Reviewed checkbox selected are not considered in this calculation.

Measure 3: Entering Diagnostic Imaging Orders in the Patient Chart using CPOE

  • >60% of diagnostic imaging orders created during the reporting period are recorded using computerized provider order entry.

DENOMINATOR

  • Diagnostic order requisitions that were saved in the Imaging group.
  • Diagnostic order requisition ordered by the attesting provider
  • Diagnostic order requisition order date during the reporting period.

NUMERATOR

  • Qualifying diagnostic order requisition that have a result and result date on or after the order date in the Orders/Results panel.
  • Qualifying diagnostic order requisition that have no result date on or after the order date in the Orders/Results panel.

Exclusions for Objective 4/Measure 3:

  • Less than 100 diagnostic imaging orders during the reporting period.
Note: The requisition status of Pending, Received or Complete and the Result Reviewed checkbox selected are not considered in this calculation.

SQL for Objective 4

The QIC does not show patient's that met and the patient's that did not meet the Objective. Run the below SQL below for the detail information. A final run of the SQL should done at time of attestation and saved to a CSV file for audit purposes. If you are not familiar with running SQL's, click here for detail information.

Click a link below to run the SQL for the measures of Objective 4.