Computerized Provider Order Entry

Meaningful Use 2016

Job Aid

Computerized Provider Order Entry

This document outlines the Computerized Provider Order Entry workflow for meeting this measure in
the Clinical Quality Reporting module the CPS reporting tool for capturing Meaningful Use data for
the 2016 reporting period.

Specific questions about the measure, thresholds, exclusions, and attestation for the 2016 reporting
period should be directed to the 2016 Program Requirements site and the 2016 Tip Sheet.

Measure 1 - CPOE for Medication Orders

Denominator/Numerator
Denominator
o Count 1 for every medication order written by the EP during the reporting period.
Written by - Eligible professional is the user selected as Authorized By for the
prescription.
Medication order - A prescription for a coded medication (and not a DME nor
OTC) entered into the chart using one of the following Prescribing Methods
available within the application: Electronic, Fax to pharmacy, Print then fax to
pharmacy, Print then give to patient, Print then mail to patient, Print then mail
to pharmacy, Telephone or Handwritten. Requests for administered
medications entered through the medication administration form are also
counted.

Numerator
o Of the medication orders in the denominator, count 1 for every medication order that
was a signed CPOE medication order during the reporting period.
Authorized healthcare professional- Any licensed healthcare professional or
credentialed medical assistant, who is authorized to enter orders into the
medical record, according to state, local and professional guidelines.
Credentialing for a medical assistant must come from an organization other
than the organization employing the medical assistant
CPOE medication order - A medication order entered and signed into the
chart by an authorized healthcare professional using one of the following
Prescribing Methods available within the application: Electronic, Fax to
pharmacy, Print then fax to pharmacy, Print then give to patient, Print then
mail to patient, Print then mail to pharmacy, or Telephone.

Set Up
Enter required Authorized Healthcare Professional user attributes

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 o Authorized healthcare professionals must be designated as Licensed (or
Credentialed Medical Assistant). For chart access, check (Legally authorized to enter
CPOE orders) on the Meaningful Use Attributes section on Chart Access tab.
o In order to be a CPOE-qualified user the licensed health care provider must select the
option from User Management and enter the states they are licensed in and the
effective dates of their licenses
In Administration, go to System | User and Resource Management > Users >
User Management > Edit a user. Select Chart Access tab.
Select Eligible Professional and/or Licensed or Credentialed (Legally
authorized to enter CPOE orders).
For Eligible Professional, select the Program, Stage, Reporting Year,
and Attested fields.
For Licensed or Credentialed, click New and select the licensing state,
then set the Effective and End dates of the license or credential.

NOTE: Qualified healthcare professionals must be designated as Licensed or Credentialed prior to

EHR reporting period.

Workflow
Prescribe medication, Refill medication, Remove medication
o User who enters and signs the prescription record must be an authorized healthcare
professional.
o To receive MU credit, an eligible provider must be the Authorizing Provider on the
prescription.
o These prescribing methods do not qualify as CPOE-defined prescribing methods:
Handwritten, Samples Given, Refax, Reprint, Historical.

Best Practices
While many organizations have standard policies regarding refilling medications and
producing prescriptions, this Meaningful Use measure identifies the licensed healthcare
professional or credentialed medical assistant as someone who is authorized to enter and
sign orders into the medical record, according to state, local and professional guidelines.
Use Medication Administration HTML encounter form. Administered
medications are now clinical list items that you can access from this new form.
Use Medication Administration custom list. To use the Medication Administration encounter
form, you must first set up and populate Administered Medication Custom Lists in
Administration.
Identify uncoded medications as drug at the time of prescribing so it is included in
calculation.
Uncoded medications on Medication Custom Lists may also be identified as being in the
Drug category.

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Measure 2 - CPOE for Radiology Orders
Denominator/Numerator
Denominator
o Count 1 for every radiology order written by the EP during the reporting period.
Written by - Eligible professional is the user selected as Authorized By for the
radiology order.
Radiology order - Order for any imaging services that uses electronic product
radiation. The EP can include orders for other types of imaging services that
do not rely on electronic product radiation in this definition as long as the
policy is consistent across all patients and for the entire EHR reporting
period.

Numerator
o Of the radiology orders in the denominator, count 1 for every radiology order entered
and signed into the chart by an authorized healthcare professional during the
reporting period.
Authorized healthcare professional- Any licensed healthcare professional or
credentialed medical assistant, who is authorized to enter orders into the
medical record, according to state, local and professional guidelines.
Credentialing for a medical assistant must come from an organization other
than the organization employing the medical assistant.
Set Up
Enter required Authorized Healthcare Professional user attributes
o Authorized healthcare professionals must be designated as Licensed (or
Credentialed Medical Assistant). For chart access, check (Legally authorized to enter
CPOE orders) on the Meaningful Use Attributes section on Chart Access tab.
o In order to be a CPOE-qualified user the licensed health care provider must select the
option from User Management and enter the states they are licensed in and the
effective dates of their licenses
In Administration, go to System | User and Resource Management > Users >
User Management > Edit a user. Select Chart Access tab.
Select Eligible Professional and/or Licensed or Credentialed (Legally
authorized to enter CPOE orders).
For Eligible Professional, select the Program, Stage, Reporting Year,
and Attested fields.
For Licensed or Credentialed, click New and select the licensing state,
then set the Effective and End dates of the license or credential.

NOTE: Qualified healthcare professionals must be designated as Licensed or Credentialed prior to

EHR reporting period.

Set Radiology order category/code classifications

o Radiology orders must be assigned the default classification of Radiology for new or
existing services.
o The user must create or edit existing orders in the administration module.

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 From Administration > Codes > Charts > Codes and Categories >Select
Services or Test and Procedures.
The user can identify the classification Radiology at the category level
which would apply to all orders in that category
The user can edit or add the Radiology classification at the individual
order directory in the Change codes dialog.

Workflow
Use the Centricity Orders module to capture orders that have been classified as Radiology in
the Orders setup. The status of an order must be either Complete or In-Process, but not
Admin Hold.
The user entering and signing the order must be Licensed or Credentialed to enter CPOE
orders, and set up as such in the user account.

Best Practices
While many organizations have standard policies regarding ordering radiology services, this
Meaningful Use measure identifies the licensed healthcare professional or credentialed
medical assistant as someone who is authorized to enter and sign orders into the medical
record, according to state, local and professional guidelines.

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Measure 3 - CPOE for Laboratory Orders
Denominator/Numerator
Denominator
o Count 1 for every laboratory order written by the EP during the reporting period.
Written by - Eligible professional is the user selected as Authorized By for the
laboratory order.
Laboratory order - Order for any service provided by a laboratory.

Numerator
o Of the laboratory orders in the denominator, count 1 for every laboratory order
entered and signed into the chart by an authorized healthcare professional during
the reporting period.
Authorized healthcare professional- Any licensed healthcare professional or
credentialed medical assistant, who is authorized to enter orders into the
medical record, according to state, local and professional guidelines.
Credentialing for a medical assistant must come from an organization other
than the organization employing the medical assistant.

Set Up
Enter required Authorized Healthcare Professional user attributes
o Authorized healthcare professionals must be designated as Licensed (or
Credentialed Medical Assistant). For chart access, check (Legally authorized to enter
CPOE orders) on the Meaningful Use Attributes section on Chart Access tab.
o In order to be a CPOE-qualified user the licensed health care provider must select the
option from User Management and enter the states they are licensed in and the
effective dates of their licenses

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 In Administration, go to System | User and Resource Management > Users >
User Management > Edit a user. Select Chart Access tab.
Select Eligible Professional and/or Licensed or Credentialed (Legally
authorized to enter CPOE orders).
For Eligible Professional, select the Program, Stage, Reporting Year,
and Attested fields.
For Licensed or Credentialed, click New and select the licensing state,
then set the Effective and End dates of the license or credential.

NOTE: Qualified healthcare professionals must be designated as Licensed or Credentialed prior to

EHR reporting period.

Set Laboratory order category/code classifications

o Laboratory orders must be assigned the default classification of Laboratory for new
or existing services.
o The user must create or edit existing orders in the administration module.
From Administration > Codes > Charts > Codes and Categories >Select
Services or Test and Procedures.
The user can identify the classification Laboratory at the category
level which would apply to all orders in that category
The user can edit or add the Laboratory classification at the individual
order directory in the Change codes dialog.

Workflow
Use the Centricity Orders module to capture orders that have been classified as Laboratory
in the Orders setup. The status of an order must be either Complete or In-Process, but not
Admin Hold.
The user entering and signing the order must be Licensed or Credentialed to enter CPOE
orders, and set up as such in the user account.

Best Practices
While many organizations have standard policies regarding ordering laboratory services, this
Meaningful Use measure identifies the licensed healthcare professional or credentialed
medical assistant as someone who is authorized to enter and sign orders into the medical
record, according to state, local and professional guidelines.

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Audit
Audit documentation should be retained for six (6) years past the date of attestation.
This measure requires the calculation of a numerator and denominator. These numbers are
calculated by Clinical Quality Reporting (CQR). Be sure to print or save the report and keep
for your records in the event of an audit.
If they require an example of a patient:
o Screen shot a patients Medication list window in the chart that was seen during the
reporting period (see below for example).
o Screen shot a patients Order for Radiology services ordered during the reporting
period (see below for example).
o Screen shot a patients Order for Laboratory services ordered during the reporting
period (see below for example).

Example screen shot for patient with documented prescription during the reporting period
entered and signed by any licensed healthcare professional or credentialed medical
assistant who is authorized to enter orders into the medical record, according to state, local
and professional guidelines.

Example screen shot for patient with documented radiology order during the reporting period
signed by any licensed healthcare professional or credentialed medical assistant who is
authorized to enter orders into the medical record, according to state, local and professional
guidelines.

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 Example screen shot for patient with documented laboratory order during the reporting
period signed by any licensed healthcare professional or credentialed medical assistant who
is authorized to enter orders into the medical record, according to state, local and
professional guidelines.

Example screen shot for user being a licensed healthcare provider:

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