U.S. adoption of computerized physician order entry systems
Journal
Health Aff (Millwood)
Publication Date
2005 Nov-Dec
Volume
24
Issue
6
Pages
1654-63
Summary:
- HIT Description: CPOE More info...
- Purpose of Study: To determine factors associated with hospital adoption of CPOE systems
- Years of study: 2003-2004
- Study Design: Cross Sectional
- Outcomes: Factors predicting hospital adoption of CPOE systems and rates of CPOE adoption
- Evaluation Method: Data on CPOE adoption were taken from the Leapfrog Group's Hospital Patient Safety Version 1. The survey sampled hospitals in twenty-two geographic areas. Hospitals were chosen based on recommendations from Leapfrog members. The sample included 751 hospitals. More than 60% of hospitals in the sample were located in California (260), New York (114) or New Jersey (72). Survey response rates were described as Òhigh; nearly half of the states had a response rate of more than 70 percent.Ó Federally owned hospitals were excluded (including all VA hospitals). All government hospitals were community based.
- Barriers: For-profit hospital ownership and non-teaching hospital status were associated with decreased rates of adoption
- Factors Associated with Adoption: Factors associated with CPOE adoption included ownership status, teaching mission and size. Government hospitals were nearly three times more likely than not for profit hospitals to have CPOE systems and seven times more likely than for-profit hospitals. Teaching hospitals were nearly three times as likely as non-teaching hospitals to have adopted CPOE. Net hospital income wasn't associated with CPOE adoption.
- Rates of Adoption: Only 4% of hospitals had fully adopted CPOE (defined as full compliance with Leap Frog CPOE standards) and only 17% had made Ògood progressÓ towards full adoption.