I have been receiving questions about which licensed health professionals are permitted by CMS rule to enter medication, laboratory, and radiology orders into the CPOE system. What follows is an excerpt from CMS FAQ 9058, which addresses the matter:
“If a staff member of the eligible provider is appropriately credentialed and performs similar assistive services as a medical assistant but carries a more specific title due to either specialization of their duties or to the specialty of the medical professional they assist, he or she can use the CPOE function of certified EHR technology (CEHRT) and have it count towards the measure. This determination must be made by the eligible provider based on individual workflow and the duties performed by the staff member in question. Whether a staff member carries the title of medical assistant or another job title, he or she must be credentialed to perform the medical assistant services by an organization other than the employing organization. Also, each provider must evaluate his or her own ordering workflow, including the use of CPOE, to ensure compliance with all applicable federal, state, and local law and professional guidelines.”
Many of the individuals about whom I have received questions (e.g., radiologic technologists or athletic trainers) possess state licenses, making them “appropriately credentialed.” However, the central question is whether the individual possesses sufficient knowledge to handle any alerts that may appear when entering orders into the CPOE system. The eligible provider (EP) must make that decision, and that EP will be held accountable for that decision.
Please feel free to contact me with your continued questions on this matter.