Because most CMAs (AAMA) work under the direct supervision of “eligible professionals” (as defined in the rules of the Centers for Medicare and Medicaid Services [CMS]), this post focuses on some common questions surrounding the provisions of the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program that are applicable to eligible professionals, not those provisions that are applicable to “eligible hospitals” and “critical access hospitals.”
Q: What Core Objective pertains to the permissibility of CMAs (AAMA) entering orders into the EHR?
A: The relevant Core Objective under Stage 1 of the Incentive Program is titled “CPOE for Medication Orders.” The Stage 2 Core Objective is “CPOE for Medication, Laboratory, and Radiology Orders.”
Q: What does “CPOE” stand for?
A: CPOE stands for “computerized provider order entry.” CPOE is defined as follows: “A provider’s use of computer assistance to directly enter medical orders (for example, medications, consultations with other providers, laboratory services, imaging studies, and other auxiliary services) from a computer or mobile device.”
Q: What are the measures for these Core Objectives in Stages 1 and 2?
A: For Stage 1, the measure is as follows: “More than 30 percent of all unique patients with at least one medication in their medication list seen by the eligible professional (EP) have at least one medication order entered using CPOE.” The Stage 2 measure is more expansive: “More than 60 percent of medication, 30 percent of laboratory, and 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using CPOE.”
Q: Are there exclusions for these measures?
A: Yes. The Stage 1 exclusion is any EP who writes fewer than 100 prescriptions during the EHR reporting period. Under Stage 2, the exclusion is any EP who writes fewer than 100 medication, radiology, or laboratory orders during the EHR reporting period.