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Computerized Physician Order Entry (CPOE) system – How it improves efficiency of a Healthcare delivery system

Computerized provider order entry (CPOE) is an application that allows healthcare providers to directly enter medical orders electronically. CPOE systems can allow electronic entry of medication, laboratory, admission, radiology, referral, and procedure orders.

 

Developing and implementing CPOE is multidisciplinary effort and involves IT, clinical, business and informatics expertise with the following goals in mind:

  • Reducing the potential for human error.
  • Reducing time to care delivery.
  • Improving order accuracy.
  • Decreasing time for order confirmation and turnaround.
  • Improving clinical decision support at the point of care.
  • Making crucial information more readily available.
  • Improving communication among physicians, ancillary staff and patients.

Health delivery centers continue to strive to improve patient safety and quality of care

CPOE has tremendous benefits that impact overall efficiency of the healthcare delivery system. It enables safer, more consistent patient-centered care that is quantifiable. Time efficiency is a huge benefit of implementing CPOE across an organization. CPOE users find improved efficiency to be even more impactful than its technological advances. Specifically, with enhanced time efficiency, clinicians can communicate more effectively, provide care more accurately, and focus more of their time on patients’ needs. These benefits include:

  • Legible order entry: This allows for a decreased risk of duplicative, incorrect or erroneous orders.
  • Protocol adherence: Various kinds of checks for each order allows for a system to ensure adequate patient preparation and protocol adherence. This, in turn, ensures optimal management practices.
  • Clinical Decision Support system: Various CDS models can be added to the EHR-CPOE systems to allow useful information, including guidelines recommendations, checks, suggestions for suitable management steps based on the available information on the patient condition.
  • Medication-related checks: These include medication reconciliation that checks for duplicative medications, drug-drug interactions, allergies, medication contraindications, and renal- and weight-based dosing.

Specifically, CPOE minimizes or altogether eliminates:

  • The need to maintain physical patients’ charts.
  • Overlooked orders by nurses or unit secretaries.
  • The need for order clarification due to illegibility.
  • The need to manually reenter data, leading to transcription errors.
  • Override rates from electronic drug dispensing systems.

 

Successful CPOE implementation depends on high level of leadership involvement, widespread commitment to the project, availability of resources, access to technology, and comprehensive training and communication. When these ingredients are present to implement CPOE across the organization, it has a tremendous impact.

 

Health delivery centers continue to strive to improve patient safety and quality of care. There is also an increased focus on the efficiency of health care. The Joint Commission defined the important dimensions of performance for quality of care as “patient perspective issues; safety of the care environment; and accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, and timeliness of care.”

 

Overall, CPOE systems with CDS can improve medication safety, quality of care, compliance with guidelines and protocols, while reducing medical errors and spurious healthcare dollar spending at the same time, the cost of healthcare.

How Blockchain Can Improve Healthcare Technology

As per one definition, “Blockchain technology uses secure, encrypted authentication mechanisms to validate information from primary sources and include it in a distributed ledger, ensuring a shared source of truth for validating healthcare provider information.” Blockchain is rapidly impacting healthcare. There are several aspects of healthcare technology that can benefit from blockchain and become more streamlined, efficient, and optimized.

 

Here’s how that can happen:

  • Longitudinal healthcare records – Blockchain can enable patient records to be securely linked and be accessible across different provider organizations to improve care coordination. Blockchain has been shown to be extremely useful for recording transactions. This can be leveraged in medical records, which are riddled with inaccuracy and discrepancies. Ensuring that sensitive medical records are accurate, complete, and only available to authorized individuals makes for an inefficient system that blockchain is poised to revolutionize.

 

  • Automated health claims adjudication – By using a “smart contract” structure, blockchain can help streamline payers’ and patients’ provider payments for a more cost-efficient process.

 

  • Interoperability – Blockchain can overcome current patient data interoperability issues, as it allows efficient ways to gather the information needed to support population health initiatives. Blockchain offers the ability to share patient records across payers and providers industry-wide, reducing costs and minimizing risks. It allows patient data (clinical, demographic, billing, etc.) to be securely transferable and available to any treating physician, health system or payer within the blockchain network. It allows patients to change health insurance providers and choose physicians across various health providers, with there being no need for multiple data entry. Blockchain-powered interoperability can reduce duplicative testing, erroneous treatment, and incomplete medical data.

Blockchain technology can potentially enable patients to more easily and securely gain access to their own medical records

  • Online patient access – Blockchain technology can potentially enable patients to more easily and securely gain access to their own medical records. Currently, patients have almost entirely no control over their own medical data. They are completely managed by healthcare institutions. This makes for an inefficient system and creates mistrust between patients and healthcare institutions.

 

  • Supply chain management – It can also enhance healthcare contract management and reduce costs by allowing through real-time contract tracking and execution.

 

  • Prescriptions – In the current system, patients have their medications prescribed and filled by hospitals and pharmacies, each with their own database, which can result in discrepancies in patient records. A prescription blockchain solves much of the problems that arise from varied systems and records and provides a trustworthy source of patient prescription records. This way, healthcare providers could have an accurate, immediate view into a patient’s medications, resulting in better, more personalized treatment.

Provider data and identity management
Identity and credential management of licensed providers is critical to the healthcare delivery system. This requires maintaining accurate, up-to-date provider database, which is expensive and prone to error. Currently, all payers and providers maintain this data individually, resulting in redundant data and expenses. Blockchain can provide a distributed database of provider credentials accessible to payers and providers made universally available. A credentialing blockchain would eliminate duplicate requests for information from original sources, reducing processing time and enabling real-time updating of records.