Meaningful Use CPOE Administrator Training

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1 Meaningful Use CPOE Administrator Training 1

2 During the call please mute your line to reduce background noise. 2

3 Agenda Review of Meaningful Use Stage 2 Orders / Results Measures Demonstration of Orders/Results Process Administrator Set Up CPOE User Permissions Configuring Results Tabs Entering Service Facilities Next Steps Q & A 3

4 C1 - CPOE Computerized provider order entry for: Medications Laboratory orders* New in 2014 Radiology orders* New in 2014 *Includes orders for services done in office! Must be entered by a licensed* healthcare professional * Includes credentialed medical assistants! Order must be entered into EHR before any action can be taken on the order 4

5 C1 - CPOE Thresholds: > 60% of medications > 30% of laboratory orders > 30% of radiology orders Exclusions, EP writes: < 100 medication orders during the reporting period < 100 radiology orders during the reporting period < 100 laboratory orders during the reporting period 5

6 C1 - CPOE Orders / Results app for lab and radiology orders Rx module for medication orders 6

7 C10 Clinical Lab-Test Results Incorporate clinical lab-test results as structured data Threshold: > 55% of all clinical lab tests results ordered during the reporting period whose results are in either: A positive/negative format Numerical format Exclusion: Any EP who orders no lab tests where results are either in a positive/negative affirmation or numeric format during the reporting period 7

8 M3 Imaging Results Imaging results are accessible through the EHR Results consist of the image itself and any other accompanying information Images do not have to be stored in the EHR Images and imaging results that are scanned into the EHR may be counted in the numerator of this measure. Threshold: > 10% of all tests whose result is one or more images ordered by the EP during the reporting period Works in conjunction with CPOE PACS that communicate via HL7 will automatically match to order Scanned results will have to be manually matched 8

9 M3 Imaging Results Exclusions: Any EP who: Orders <100 tests whose result is an image during the reporting period, or Who has no access to electronic imaging results at the start of the reporting period 9

10 CPOE Demonstration of Orders/Results Process 10

11 User Rights Authorized Users Users > Profiles > CPOE > CPOE Access User is authorized by federal, state, and local guidelines to issue CPOE orders Values: Authorized = User can issue orders Supervision Required = User can issue orders but does not count for MU (Default value) No Access= Deny access to CPOE module 11

12 User Rights Edit Orders / Batch Transmit Orders Users > Profiles > CPOE > CanEditOrders User Can Edit the CPOE Orders Data Values: Yes No 12

13 User Rights Delete Orders Users > Profiles > CPOE > Can Delete Orders Users can Delete the CPOE Orders Data Values: Yes No 13

14 User Rights Match Orders Users > Profiles > CPOE > MatchToOrders User access to match a result to an open order for a patient Values: Yes No 14

15 User Rights Delete Results Users > Profiles > CPOE > CanDeleteResults User Can Delete Unmatched Results Values: Yes No 15

16 User Rights Release Results Users > Profiles > CPOE > CanReleaseResults User can mark results for release to patients and outside providers Values: Yes No 16

17 User Rights Order Match Dialogue Box Users > Profiles > CPOE > DisplayMatch New user setting DisplayMatch to control Match Orders window display behavior Values: Message Center Document Tabs Scan Place All None 17

18 User Rights Release Checkbox Users > Profiles > CPOE > DefaultAutoRelease Behavior of the Release Results checkbox Values: Yes No 18

19 User Rights Referral Aging and Manifest Report Users > Profiles > Reports > SRS_ReferralAging User Can View Referral Aging Values: Yes No 19

20 System Settings Matching Results Documents > Document Tabs Results vs. Default Result checkboxes 20

21 Service Facilities Data Entry Types Misc > Data Entry 21

22 Service Facilities Adding Facilities File > New Chart > Facility 22

23 Service Facilities Configuring Facilities Integration > Polling Folders > Service Facility Config button 23

24 Service Facilities Configuring Service Facilities Note: Each facility must have a unique Name, Sending Facility & Sending Application! 24

25 Reminder Electronic transmission of lab orders via Emdeon requires the patient s insurance information! Otherwise, the lab order will be billable to the patient. 25

26 CPOE Training Plan SRS Meaningful Use CPOE Admin Training (this session!) CPOE User Training Sessions: SRS Meaningful Use CPOE Radiology & Procedure Entry Training Entering Historical Procedure and Radiology Orders Placing New Procedure and Radiology Orders Quick Overview of Order Matching SRS Meaningful Use CPOE Lab Order Entry Training Placing Lab Orders (Interface and Print Only) Batch Transmitting Orders / Manifest Reports SRS Meaningful Use CPOE Managing Results Training Referral Aging Report Matching Unstructured Results Discrete Lab Data (Interface and Manual Lab Entry) Go to to register! 26

27 Next Steps Contact your account manager regarding Emdeon enrollment and/or PACS interface Review workflow and allocate responsibilities Schedule training for staff & register 27

28 Q & A 28

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