This report is only required to be met by providers attesting to Medicaid's Meaningful Use program. It is not a part of the Medicare MIPS program. Every Medicaid provider will be attesting to Modified Stage 2 of Meaningful Use in 2015-2017 so this report should be run with that option selected. (MacPractice still maintains the Stage 1 and Stage 2 report options here for our users that require them for Meaningful Use audits.)
Modified Stage 2
Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional that can enter orders into the medical record per state, local, and professional guidelines.
More than 60 percent of medication orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Any EP who writes fewer than 100 medication orders during the EHR reporting period.
More than 30 percent of laboratory orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Any EP who writes fewer than 100 laboratory orders during the EHR reporting period.
More than 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using computerized provider order entry.
Any EP who writes fewer than 100 radiology orders during the EHR reporting period.
The most important factor in meeting this measure is to mark your MacPractice users as CPOE. To do this, go to the References ability and select Users in the sidebar and check Is CPOE, then enter the start and end dates. Because this report is based off of the user being a CPOE, MacPractice highly recommends that each person in your office has their own login user. It will not be acceptable to mark users such as Front Desk, Room 1, Room 2, Server, etc. as CPOE users, because the software has no way of knowing which person (CPOE or not) is logged into that computer.
The Start Date can be as far back as the day the user became a licensed healthcare professional. If you have any questions on whether a user should legally be marked as CPOE, CMS has created an FAQ over this topic.
Once a user is marked as CPOE, prescriptions, labs orders, and radiology/imaging orders entered by that user will increase your percentages in the CPOE Measure report.
For Medication orders -
Denominator: All prescriptions entered in the ePrescribe ability (or manually in the Current Medications folder in the Rx ability with an Ordered date added) within the filtered date range with medication orders entered.
Numerator: Any medication order that was entered into MacPractice as the First Record of Order by a user that is marked as CPOE (with a start date before the date of the medication entry).
For Laboratory and Radiology/Imaging orders -
Denominator: The number of orders of the types Laboratory and Radiology/Imaging respectively.
Numerator: Orders created by a CPOE user (with a CPOE start date before the Ordered Date). The "First record of order" box must be checked on the orders themselves, which should happen by default when the orders are created.
Work flow for offices with Lab Interfaces that import test results
Offices that have an interface (with Quest, Shiel, LabCorp, a local hospital, or any other outside laboratory) for their Laboratory test results to automatically import into MacPractice still must create an order in MacPractice for the CPOE measure requirements. These orders are essentially a placeholder order, created by a CPOE user, that waits with a status of "Pending Results". Once the lab tests come back and are brought into MacPractice from the import folder for your interface, the results will tie themselves to the open order, changing the order status to "Results Available".