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U.S. hospital CPOE adoption reaches 50 percent – benefi ts to follow By Doug Thompson | Senior Director, Research and Insights, The Advisory Board Company


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We have just arrived at an important tipping point in U.S. healthcare IT. As of the end of 2013, half of U.S. hospital EMRs have reached EMRAM Stage 4 (or


above)*, the level at which they can begin to produce substantial benefi ts. T e key capabilities added in Stage 4 are computerized physician order entry, or CPOE, and CPOE-driven decision sup- port, including evidence-based medicine protocols. T ese capabilities drive much of the expected benefi t of an EMR: of the seven EMR benefi ts most frequently mentioned in literature, six (ADE prevention, faster order turnaround, increased use of hospital preventive care, and reductions in lab testing, drug utilization, and lengths of stay) are directly associated with CPOE and/or CPOE-driven decision support. Of course, reaching EMRAM Stage 4 only requires that one inpatient service area be using CPOE, so there’s more work to be


Solutions


MEDITECH and Vitera now included MEDITECH and Vitera Healthcare Solutions have connected to the Surescripts network to provide their users


with Direct secure messaging capabilities integrated within their existing EHR software. Hospitals and IDNs served by these EHRs will be able to select Surescripts as their health information service provider (HISP) to connect to care providers within a healthcare community through a single point of connectivity. MEDITECH is one of the world’s largest EHR vendors, serving approximately 2,300 hospitals internationally, including 1,400 hospitals across the United States. Vitera Healthcare Solutions serves more than 415,000 healthcare providers with end-to-end clinical and fi nancial technology solutions, including easy-to-use EHR, billing and practice management solutions. Surescripts www.rsleads.com/402ht-180


Enterprise-wide info access and CPOE T e Paragon hospital infor- mation system (HIS) allows physicians to access all pa-


tient care information and electronically submit patient orders seam- lessly. T is solution supports care communication and charge capture via the physician’s natural workfl ow; provides a personalized gateway to an array of data from all settings of care, including clinical, imag- ing, fi nancial and scheduling; and provides integrated direct order management and clinical decision support. Paragon was named Best in KLAS for Community HIS for the seventh consecutive year in 2012. McKesson


www.rsleads.com/402ht-181


Liaison Healthcare, MedcomSoft partner for lab, radiology connectivity Liaison Healthcare is connecting Medcom- Soft’s Record EHR platform to more than 120 labs and imaging departments cur- rently integrated within the Liaison EMR- Link Lab Hub. MedcomSoft’s complete EHR software solution enables healthcare providers to use one single platform to


achieve the automation of the majority of tasks required for the ef- fi cient and eff ective management of their practices and practice pa- tients. EMR-Link integrates with EHRs to deliver increased workfl ow effi ciency and ease of use while providing instant integration with over 120 national and regional laboratory vendors and a host of other service providers. Liaison Healthcare www.rsleads.com/402ht-182


INDEX OF ADVERTISERS Advertiser Page


Agfa Healthcare Corp. .......................................................5 Baxter Healthcare ..........................................................IFC Canon USA, Inc. ...............................................................1 CDW ............................................................................. BC Comcast Cable ................................................................21 Elsevier/Medai ................................................................11 McKesson Paragon HIS ...................................................25 Midmark Corporation ......................................................15 Plustek Technology Inc. ....................................................3 This index is provided as a service.


The publisher does not assume liability for errors or omissions. www.healthmgttech.com HEALTH MANAGEMENT TECHNOLOGY February 2014 27


done in these hospitals to gain full use of CPOE. But the bigger issue is what hospitals are doing to reap the benefi ts of their newly enhanced technical capabilities. Unless a hospital is able to use the capabilities of the EMR to innovate – to substantially change the way they do their work – they wind up not just realizing less benefi t than expected but actually increasing overall costs ... exactly the opposite of what was intended by the meaningful-use program. T is type of innovation is not just about coming up with good


ideas. It requires senior executive leadership, including a substantial resource commitment, and a structured innovation approach to drive ideas from concept to successful implementation through measured cycles of improvement. *Current EMRAM scores show stages 4-7 at 49.3 percent as of Q3


2013. Source: HIMSS Analytics, www.himssanalytics.org/emram/ scoreTrends.aspx.


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