CPOE adoption milestone still out of reach for most U.S. hospitals

June 17, 2010

OREM, Utah – June 17, 2010 – 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 the annual computerized physician order entry (CPOE) report from KLAS.

Like its predecessors, the 2010 CPOE report features data gathered from virtually every hospital in the United States (excluding military or Veterans Administration facilities) that was live with a commercial CPOE product through 2009. Titled CPOE: Traffic Jams on the Road to Meaningful Use, the report finds that only 14 percent of all U.S. hospitals have achieved the expected 10 percent CPOE level required for stage 1 of meaningful use.

“Clearly it is rush hour for hospitals trying to achieve meaningful use,” said Jason Hess, KLAS general manager of clinical research and author of the CPOE report. “While some EMR vendors have continued to be very successful moving customers to CPOE, even the market leaders are going to have to run faster than historical adoption trends for their installed bases to receive the earliest possible government reimbursement payments.”

Once again Cerner, Eclipsys and Epic continue to lead in CPOE adoption. While Cerner has the most hospitals live with CPOE, Eclipsys and Epic boast the highest percentage of adoption among their respective customer bases. Further, client satisfaction at CPOE sites has remained relatively high for these vendors. The Eclipsys CPOE solution maintains the highest physician satisfaction rating of currently marketed products in the KLAS study, while both Cerner and Epic customers are shown to be more satisfied the more deeply they adopt CPOE.

According to the KLAS report, the McKesson and MEDITECH 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. 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. Still, both vendors did see a relatively significant increase in the number of live CPOE sites in 2009.

For its part, Siemens is gaining speed with its Soarian solution. Stuck at just three CPOE sites since 2005, Siemens grew to ten Soarian hospitals live with CPOE this year. Providers noted that Soarian CPOE works but is still maturing.

The roadblocks to achieving CPOE adoption are even more significant for smaller community hospitals under 200 beds. 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, 2010, to July 1, 2011.

As one provider at a community hospital commented, “I went to one of [my vendor’s] user conferences and waited to hear that they are getting their customers to meaningful use levels. I would have liked to hear about facilities that are already successful, but instead, all I heard was their promise that their customers won’t get penalized.”

CPOE: Traffic Jams on the Road to Meaningful Use highlights CPOE solutions from Cerner, CPSI, Eclipsys, Epic, GE, Healthland, HMS, McKesson, MEDITECH, QuadraMed and Siemens. The report is available to healthcare providers online for a significant discount off the standard retail price. To purchase the full report, healthcare providers and vendors can visit www.KLASresearch.com/reports.

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