U.S. hospitals have a long way to go to reach the federal government’s proposed standard of entering at least 10 percent of orders electronically, according to a survey of computerized physician order entry (CPOE) systems from market research firm KLAS. The report found that only 14 percent of all U.S. hospitals have achieved the expected 10 percent CPOE level required for stage 1 of meaningful use.
The roadblocks to achieving CPOE adoption are even more significant for smaller community hospitals with less than 200 beds, KLAS stated. Less than 12 percent of community hospitals have adopted CPOE, and those who have show generally shallow adoption. If all community hospitals were to implement CPOE in time for the earliest possible payment, more than eight of them would need to go live on CPOE every day from June 1 to July 1, 2011, the Orem, Utah-based KLAS added.
Cerner, Eclipsys and Epic continued to lead in CPOE adoption, according to the report. While Cerner has the most hospital clients with CPOE, Eclipsys and Epic boasted the highest percentage of adoption among their respective customer bases.
According to KLAS, Eclipsys’ CPOE technology maintains the highest physician satisfaction rating of currently marketed products, while both Cerner and Epic customers are shown to be more satisfied the more deeply they adopt CPOE.
McKesson and Meditech's customer bases face a more challenging road, as many of those hospitals are deploying or planning to deploy significant technology upgrades to improve physician adoption, the report stated. KLAS found that their clients need to roll out CPOE more than 30 times faster than they have in the past year if all are to achieve CPOE adoption before July 1, 2011.