According to a survey administered by Ann Arbor, Mich.-based College of Healthcare Information Management Executives (CHIME) to its members, adoption of CPOE appears to be more widespread than previously thought, although full use of the systems for order entry by clinicians may take longer than many expect.
Respondents of the survey include 335 CHIME members, 199 of which reported their organizations currently have CPOE “at some level of adoption.” When asked how long they believed it would take from implementation to achieve 100 percent adoption, 26.6 percent of respondents estimated it would take two years, 34.5 percent estimated it would take three years, 17.1 percent estimated it would take four years, and 13.3 percent predicted it would take five years. Only 8.5 percent of respondents said they believed it could be achieved in one year.
Other survey findings show the use of CPOE by clinicians is relatively low. Of systems with CPOE in place, 44.7 percent reported that physicians entered 20 percent or fewer orders on CPOE systems. Of 175 respondents with less than 100 percent adoption by physicians, 113 predict usage will increase by only 20 percentage points over the next year from the current level at their organization. Of the organizations with CPOE in place, 21.6 percent say they expect to achieve 90 percent order entry in the next 12 months.
A complete summary of the findings may be found at CHIME’s Web site.
