Impact of CPOE usage on medication management process costs and quality outcomes

Trent J. Spaulding, Raghu Santanam

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We assess the impact of computerized physician order entry (CPOE) systems usage on cost and process quality in the medication management process. Data are compiled from 1,014 U.S. acutecare hospitals that have already implemented CPOE. Data sources include the American Hospital Association, HIMSS Analytics, and the Centers for Medicare and Medicaid Services. We examine the association of CPOE usage with nursing and pharmacy salary costs, and evidence-based medication process compliance. Empirical findings controlling for endogeneity in usage show that benefits accrue even when 100 percent usage is not achieved. We demonstrate that the relationship of CPOE usage with cost and compliance is non-linear.

Original languageEnglish (US)
Pages (from-to)229-247
Number of pages19
JournalInquiry (United States)
Volume50
Issue number3
DOIs
StatePublished - 2013

Fingerprint

Medical Order Entry Systems
Costs and Cost Analysis
American Hospital Association
Centers for Medicare and Medicaid Services (U.S.)
Medication Adherence
Information Storage and Retrieval
Salaries and Fringe Benefits
Compliance
Nursing

Keywords

  • CPOE
  • HIT
  • Meaningful use
  • Quality outcomes
  • Salary costs

ASJC Scopus subject areas

  • Health Policy

Cite this

Impact of CPOE usage on medication management process costs and quality outcomes. / Spaulding, Trent J.; Santanam, Raghu.

In: Inquiry (United States), Vol. 50, No. 3, 2013, p. 229-247.

Research output: Contribution to journalArticle

@article{097cb46f61024d74b0ab754fbc88187e,
title = "Impact of CPOE usage on medication management process costs and quality outcomes",
abstract = "We assess the impact of computerized physician order entry (CPOE) systems usage on cost and process quality in the medication management process. Data are compiled from 1,014 U.S. acutecare hospitals that have already implemented CPOE. Data sources include the American Hospital Association, HIMSS Analytics, and the Centers for Medicare and Medicaid Services. We examine the association of CPOE usage with nursing and pharmacy salary costs, and evidence-based medication process compliance. Empirical findings controlling for endogeneity in usage show that benefits accrue even when 100 percent usage is not achieved. We demonstrate that the relationship of CPOE usage with cost and compliance is non-linear.",
keywords = "CPOE, HIT, Meaningful use, Quality outcomes, Salary costs",
author = "Spaulding, {Trent J.} and Raghu Santanam",
year = "2013",
doi = "10.1177/0046958013519303",
language = "English (US)",
volume = "50",
pages = "229--247",
journal = "Inquiry (United States)",
issn = "0046-9580",
publisher = "Excellus Health Plan",
number = "3",

}

TY - JOUR

T1 - Impact of CPOE usage on medication management process costs and quality outcomes

AU - Spaulding, Trent J.

AU - Santanam, Raghu

PY - 2013

Y1 - 2013

N2 - We assess the impact of computerized physician order entry (CPOE) systems usage on cost and process quality in the medication management process. Data are compiled from 1,014 U.S. acutecare hospitals that have already implemented CPOE. Data sources include the American Hospital Association, HIMSS Analytics, and the Centers for Medicare and Medicaid Services. We examine the association of CPOE usage with nursing and pharmacy salary costs, and evidence-based medication process compliance. Empirical findings controlling for endogeneity in usage show that benefits accrue even when 100 percent usage is not achieved. We demonstrate that the relationship of CPOE usage with cost and compliance is non-linear.

AB - We assess the impact of computerized physician order entry (CPOE) systems usage on cost and process quality in the medication management process. Data are compiled from 1,014 U.S. acutecare hospitals that have already implemented CPOE. Data sources include the American Hospital Association, HIMSS Analytics, and the Centers for Medicare and Medicaid Services. We examine the association of CPOE usage with nursing and pharmacy salary costs, and evidence-based medication process compliance. Empirical findings controlling for endogeneity in usage show that benefits accrue even when 100 percent usage is not achieved. We demonstrate that the relationship of CPOE usage with cost and compliance is non-linear.

KW - CPOE

KW - HIT

KW - Meaningful use

KW - Quality outcomes

KW - Salary costs

UR - http://www.scopus.com/inward/record.url?scp=84897948463&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897948463&partnerID=8YFLogxK

U2 - 10.1177/0046958013519303

DO - 10.1177/0046958013519303

M3 - Article

C2 - 25117087

AN - SCOPUS:84897948463

VL - 50

SP - 229

EP - 247

JO - Inquiry (United States)

JF - Inquiry (United States)

SN - 0046-9580

IS - 3

ER -