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	<title>Comments on: News 7/14/10</title>
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	<link>http://histalk2.com/2010/07/13/news-71410/</link>
	<description>Healthcare IT News and Opinion</description>
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		<title>By: Margalit Gur-Arie</title>
		<link>http://histalk2.com/2010/07/13/news-71410/comment-page-1/#comment-9787</link>
		<dc:creator>Margalit Gur-Arie</dc:creator>
		<pubDate>Fri, 16 Jul 2010 02:10:19 +0000</pubDate>
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		<description>Suzy,

Regardless of the current CPOE situation, CMS is not requiring that anything other than medications is ordered in the CPOE module. Per Dr. Velasco, this is going to hold true for Stage 2 as well. ( I must have missed that one).
So whatever else the nurses enter, or not, is not required for the incentives to be paid out. I presume it is probably required by the hospital administration.</description>
		<content:encoded><![CDATA[<p>Suzy,</p>
<p>Regardless of the current CPOE situation, CMS is not requiring that anything other than medications is ordered in the CPOE module. Per Dr. Velasco, this is going to hold true for Stage 2 as well. ( I must have missed that one).<br />
So whatever else the nurses enter, or not, is not required for the incentives to be paid out. I presume it is probably required by the hospital administration.</p>
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		<title>By: Ferdinand Velasco, MD</title>
		<link>http://histalk2.com/2010/07/13/news-71410/comment-page-1/#comment-9786</link>
		<dc:creator>Ferdinand Velasco, MD</dc:creator>
		<pubDate>Fri, 16 Jul 2010 01:11:43 +0000</pubDate>
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		<description>Margalit,

RE: &quot;when other types of orders are included&quot;

FYI, CMS went ahead and finalized the Stage 2 measure for CPOE in this rule, limiting the order types to medications only:
&quot;...we believe it is reasonable to expect providers to move to a
60 percent threshold at Stage 2 of meaningful use. Thus, for this measure, we are finalizing, for Stage 2 of meaningful use, that EPs, eligible hospitals and CAHs must meet a 60 percent threshold for CPOE. Therefore, we are finalizing a Stage 2 measure for CPOE at §495.6(h) for EPs and §495.6(i) for eligible hospitals and CAHs as “More than 60 percent of all unique patients with at least one medication in their medication list seen by the EP or admitted to the eligible hospital’s or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period have at least medication one order entered using CPOE”.&quot;
(from p. 80; note the grammatical error: the last sentence should read &quot;one medication order entered using CPOE&quot;)</description>
		<content:encoded><![CDATA[<p>Margalit,</p>
<p>RE: &#8220;when other types of orders are included&#8221;</p>
<p>FYI, CMS went ahead and finalized the Stage 2 measure for CPOE in this rule, limiting the order types to medications only:<br />
&#8220;&#8230;we believe it is reasonable to expect providers to move to a<br />
60 percent threshold at Stage 2 of meaningful use. Thus, for this measure, we are finalizing, for Stage 2 of meaningful use, that EPs, eligible hospitals and CAHs must meet a 60 percent threshold for CPOE. Therefore, we are finalizing a Stage 2 measure for CPOE at §495.6(h) for EPs and §495.6(i) for eligible hospitals and CAHs as “More than 60 percent of all unique patients with at least one medication in their medication list seen by the EP or admitted to the eligible hospital’s or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period have at least medication one order entered using CPOE”.&#8221;<br />
(from p. 80; note the grammatical error: the last sentence should read &#8220;one medication order entered using CPOE&#8221;)</p>
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		<title>By: Suzy, RN</title>
		<link>http://histalk2.com/2010/07/13/news-71410/comment-page-1/#comment-9785</link>
		<dc:creator>Suzy, RN</dc:creator>
		<pubDate>Thu, 15 Jul 2010 22:53:27 +0000</pubDate>
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		<description>Margalit,

What do you mean by: &quot;Every other type of CPOE has been removed from the requirements for now&quot;? 

What we are finding is that nurses and NPs and PAs are entering orders denovo or as verbal from the doctor, and because of the wordiness and confusing screens of signing off on verbal orders, the docs are blowing through them quickly and signing without the critical read.  If they choose not to sign, that opens an entire can of worms, which does one thing for sure: WASTE TIME!</description>
		<content:encoded><![CDATA[<p>Margalit,</p>
<p>What do you mean by: &#8220;Every other type of CPOE has been removed from the requirements for now&#8221;? </p>
<p>What we are finding is that nurses and NPs and PAs are entering orders denovo or as verbal from the doctor, and because of the wordiness and confusing screens of signing off on verbal orders, the docs are blowing through them quickly and signing without the critical read.  If they choose not to sign, that opens an entire can of worms, which does one thing for sure: WASTE TIME!</p>
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		<title>By: JM</title>
		<link>http://histalk2.com/2010/07/13/news-71410/comment-page-1/#comment-9778</link>
		<dc:creator>JM</dc:creator>
		<pubDate>Thu, 15 Jul 2010 15:19:50 +0000</pubDate>
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		<description>Only a hospital that wants to open itself up to more than the usual number of lawsuits by patients would allow doctors to dictate orders and not at least review and sign off on them in CPOE.  A computer system can be devised to meet the needs of any hospital but the hospital must set controls for safety such as having doctors input and sign off on orders. They do and must at the University of Michigan Hospital.</description>
		<content:encoded><![CDATA[<p>Only a hospital that wants to open itself up to more than the usual number of lawsuits by patients would allow doctors to dictate orders and not at least review and sign off on them in CPOE.  A computer system can be devised to meet the needs of any hospital but the hospital must set controls for safety such as having doctors input and sign off on orders. They do and must at the University of Michigan Hospital.</p>
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		<title>By: Margalit Gur-Arie</title>
		<link>http://histalk2.com/2010/07/13/news-71410/comment-page-1/#comment-9776</link>
		<dc:creator>Margalit Gur-Arie</dc:creator>
		<pubDate>Thu, 15 Jul 2010 13:39:58 +0000</pubDate>
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		<description>Mary, this is for medication orders ONLY. 
Every other type of CPOE has been removed from the requirements for now.
These folks have prescribing rights in most all States. It will be interesting to see how the language changes in 2011 when other types of CPOE are included.</description>
		<content:encoded><![CDATA[<p>Mary, this is for medication orders ONLY.<br />
Every other type of CPOE has been removed from the requirements for now.<br />
These folks have prescribing rights in most all States. It will be interesting to see how the language changes in 2011 when other types of CPOE are included.</p>
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