Computer Provider Order Entry (CPOE) and Electronic Notes Training
An eAdvance the week of April 9 announcing the availability of online education modules for CPOE and Electronic notes has raised questions about who is meant to use the WebinService training tools and when providers (employed or community-based) will begin training. Please note the current training modules are designed exclusively for nursing, ancillary and super users.
Provider online training is now available.
Computerized Provider Order Entry
Computerized Provider Order Entry (CPOE) refers to the direct entry of medication, diagnostic and care orders by providers and clinicians. CPOE enhances patient care by presenting clinical decision support at the point of order entry and by reducing the number of handoffs before orders are completed. Orders are communicated electronically in most situations; reducing the time to order delivery and preventing errors related to illegibility or miscommunication. The use of CPOE has been shown to improve patient safety and patient outcomes. Implementing CPOE is a core element of the PeaceHealth Patient Safety Plan. It is also a requirement of the Health Information Technology for Economic and Clinical Health (HITECH) act.
At PeaceHealth Southwest, electronic progress notes will be implemented at the same time as CPOE. All providers and clinicians that currently hand-write notes in the paper progress notes will move to the electronic format. The implementation of electronic progress notes will increase access to information and improve communicate regarding patient care.
National studies demonstrate patient benefits
A number of national studies have demonstrated the benefits of CPOE on patient safety, quality outcomes, report turnaround times and length of stay. For example hospitals that enter all orders via a CPOE system tend to outperform their counterparts on a set of objective medication-related outcome measures (American Journal of Medical Quality, May 7, 2010). CPOE is designed to streamline medication ordering by standardizing the process, introducing controls, eliminating bad handwriting and making an order easily traceable to a provider.
Additionally, when supported with decision-support capabilities, as is being done at PeaceHealth Southwest, CPOE can help assure adherence to evidence-based guidelines. CPOE is also expected to accelerate turnaround times for lab reports and the administration of medications, among other benefits. The overwhelming motivation for adopting CPOE technology is patient safety and quality.
CPOE Go-Live & Stabilization (June-September, 2012)