| • | Objective: Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. |
| • | Measure: More than 30 percent of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE. Optional Alternate: More than 30 percent of medication orders created by the EP during the EHR reporting period are recorded using CPOE. |
| • | Exclusion: Any EP who writes fewer than 100 prescriptions during the EHR reporting period. |
What is the criterion to record the Denominator and Numerator Values?
Criteria to record Denominator value
| • | An encounter should have been started or an existing encounter should have been edited within reporting period for an active patient. |
| • | Medication should have been prescribed/managed/renewed during reporting period (with or without CPOE). |
*Note: Number of denominator increase will depend on the number of medications ordered during reporting period, for example, if 3 medications are ordered (2 with CPOE and 1 without CPOE), the number of denominator increase will be 3.
Criteria to record Numerator value
| • | Medication should have been prescribed/managed/renewed during reporting period (with CPOE only). |
*Note: Number of numerator increase will depend on the number of medications prescribed/managed/renewed during reporting period, for example, if 3 medications are prescribed (2 with CPOE and 1 without CPOE), the number of numerator increase will be 2.
How can I increase Denominator in InSync?
Ensure that an encounter is started/edited and the medication is prescribed/managed/renewed (with or without CPOE) within reporting period.
To start/edit an encounter:
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Click the Start Encounter button or expand the Show Encounters panel and click the icon. |
To prescribe/manage/renew a medication (with CPOE):
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Expand the Medications panel. Do the following: |
| o | To prescribe a medication, click the Prescribed Medications button. |
| o | To manage a medication, click the Manage Medications List button. |
| o | To renew a medication, click the Prescribed Medications button. |
| • | On the NewCrop page, search a drug and select the sig details. |
| • | Click the “Take Complete Rx to Review Page” button. |
| • | Click the “Finish/Add to Current Meds” button. |
* Note: Instead of above step, it is recommended to perform the following steps in order to qualify for Core 4-Prescribing (eRX) Measure in addition.
| o | Click the “Take Complete Rx to Review Page” button. |
| o | Click the “Transmit Rx” button. |
| o | Select a pharmacy from the list. |
| o | Click the “Transmit Rx/Add to Record” button. |
*Note: You can also prescribe/manage/renew medication for an in-progress encounter from the Charting section either by clicking the Medications/Allergies link or by accessing Treatment Plan > Medications/Allergies link.
To prescribe a medication (without CPOE):
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Expand the Medications panel. |
| • | Click the Prescribed Medications button. |
| • | On the NewCrop page, click the Orders link from top left corner. |
| • | Type the medication name. |
*Note: You can also order a medication for an in-progress encounter from the Charting section either by clicking the Medications/Allergies link or by accessing Treatment Plan > Medications/Allergies link.
How can I increase Numerator in InSync?
Ensure that the medication is prescribed/managed/renewed (with CPOE only).
To prescribe a medication (with CPOE):
| • | From the top menu bar, click Patient Search. |
| • | Click Facesheet adjacent to the patient name. |
| • | Expand the Medications panel. |
| • | Click the Prescribed Medications button. Do the following: |
| o | To prescribe a medication, click the Prescribed Medications button. |
| o | To manage a medication, click the Manage Medications List button. |
| o | To renew a medication, click the Prescribed Medications button. |
| • | On the NewCrop page, search a drug and select the sig details. |
| • | Click the “Take Complete Rx to Review Page” button. |
| • | Click the “Finish/Add to Current Meds” button. |
* Note: Instead of above step, it is recommended to perform the following steps in order to qualify for Core 4-Prescribing (eRX) Measure in addition.
| o | Click the “Take Complete Rx to Review Page” button. |
| o | Click the “Transmit Rx” button. |
| o | Select a pharmacy from the list. |
| o | Click the “Transmit Rx/Add to Record” button. |
*Note: You can also prescribe a medication for an in-progress encounter from the Charting section either by clicking the Medications/Allergies link or by accessing Treatment Plan > Medications/Allergies link.
