CPOE TEST PLATFORM UPDATE: SCHEDULED MAINTENANCE SEPTEMBER 3-11
Adult and general hospitals will not have access to the CPOE Test from September 3-11 while Leapfrog performs a platform update. The CPOE Test, both the Sample and Adult Inpatient Test, will be available again starting on September 12.
Leapfrog will publish updated CPOE Test Instructions on September 12 that describe the changes to the platform. There will be no changes to the content (Test Patients or Test Medication Orders), the time limits to complete each step, or the scoring.
Important Notes for Hospitals That Have Already Taken the CPOE Test for the 2022 Survey Cycle:
- You do not need to re-take a test. Re-taking an Adult Inpatient Test is optional and only recommended for hospitals that have made major updates to their CPOE system since the last time they took a test in the 2022 Survey Cycle. The technology update will have no impact on your current CPOE Test score or your current publicly reported Survey Results.
- Print a copy of your CPOE Test Results. After the technology update is complete, hospitals will not be able to access previous Test Results. We urge hospitals to log into the Survey Dashboard, click the "View Results" link on the Survey Dashboard next to Section 2, and print their previous Test Results today.
- Review Updated Instructions. If you do plan to re-take the Adult Inpatient Test, be sure to review the updated instructions posted on September 12 and take a Sample Test prior to taking the Adult Inpatient Test.
Important Notes for Hospitals That Have NOT Taken a CPOE Test for the 2022 Survey Cycle:
- Do not schedule the test September 3-11. The CPOE Test will be offline from September 3-11.
- Review the instructions and take a Sample Test. Be sure to review the updated instructions posted on September 12 and take a Sample Test prior to taking the Adult Inpatient Test.
Who should take a CPOE Evaluation Tool?
Adult and general hospitals participating in the Leapfrog Hospital Survey.
In order to achieve Leapfrog's CPOE standard, adult and general hospitals must (1) ensure that licensed prescribers enter at least 85% of inpatient medication orders via a computer system that includes decision support software to reduce prescribing errors, and (2) demonstrate, via a test, that its inpatient CPOE system can alert prescribers to at least 60% of frequent serious medication errors known to cause harm to patients. More information is available in the scoring algorithms document.
What is the CPOE Evaluation Tool?
The CPOE Evaluation Tool was designed by medication safety experts and researchers at Brigham and Women's Hospital and the University of Utah to test the ability of inpatient CPOE systems to alert licensed prescribers to frequent serious medication errors known to cause harm to patients. In addition, the Tool was designed to help hospitals improve on their use of clinical decision support to reduce adverse drug events and improve medication safety. The Tool was first included in the Leapfrog Hospital Survey in 2008.
The CPOE Evaluation Tool includes both a Sample Test and an Adult Inpatient Test. All hospitals are urged to complete the Sample Test prior to the Adult Inpatient Test. Only a hospital's score on the Adult Inpatient Test is used to determine their overall performance on Leapfrog's CPOE Standard.
The timed Test provides users with a set of Test Patients, along with a corresponding set of Test Orders, that users enter into their hospital’s CPOE and related clinical systems. The prescriber conducting the Test records the advice or information they received, if any, from their hospital’s CPOE system onto the Orders and Observation Sheet, and then completes the Online Answer Form. Users receive immediate scoring and feedback summarizing the results of the Test. The Tool includes ten Order Checking Categories including inappropriate drug combinations, drug allergy, single and daily dose limits, and others. More information about the Order Checking Categories included in the CPOE Evaluation Tool is available in the CPOE Guidance Document.
How Do I Access the CPOE Evaluation Tool?
Hospitals can access the CPOE Evaluation Tool from the Survey Dashboard once they have completed and affirmed Section 2 Medication Safety - CPOE via the Online Hospital Survey Tool. Hospital must return to complete and submit the rest of the Survey (Sections 1 and 3-10) prior to the deadline.
How is the Test Conducted?
Once you affirm Section 2 in the Online Survey Tool, the “Take CPOE Tool” button will appear on the Survey Dashboard. Click the button and select a Sample or Adult Inpatient Test from the drop-down menu.
Time Limits and Steps
Steps 1 - 2 must be completed within 3 hours.
Step 1: (a) Print a list of Test Patients and (b) log out of the Tool.
Steps 3 - 6 must be completed within 3 hours.
Important Note 1:
Any remaining time from Steps 1 and 2 does not carry over to this portion of the test.
We recommend leaving at least 45 minutes to perform Step 5.
Step 3: (a) Print the Orders and Observation Sheet and (b) log out of the Tool.
Note: Do not record any advice or information on the Orders and Observation Sheet that was sent directly to a pharmacist.
Step 7 has no time limit.
Step 7: View and print your results.
The same time limit applies to both the Sample and Adult Inpatient Tests. For each test started, you have:
- 3 hours elapsed time to complete Steps 1-2, then
- 3 hours elapsed time to complete Steps 3-6
Elapsed time runs continuously, 24/7, and is not interrupted or suspended during “non-business hours.” If you exceed these time limits, the Tool will "time out" and consider the Test “incomplete.” The Test will be recorded in the Online Survey as “Incomplete Evaluation” and Leapfrog will not give credit to your hospital for taking that Test. It is not possible to go back to a previous step in the Test.
More detailed information, including how to plan for the Test, is available in the CPOE Evaluation Tool Instructions.
How is the CPOE Evaluation Tool scored?
Nine of the ten order checking categories included in the CPOE Evaluation Tool represent an area where a serious adverse drug event (ADE) could occur if the CPOE system’s clinical decision support fails to alert the prescriber. The tenth order checking category includes Test Orders that, if presented interruptedly, could contribute to alert fatigue. More information about the CPOE Evaluation Tool scoring is available in the scoring algorithms document.
How Will the Results Be Used?
Results from the CPOE Evaluation Tool will be combined with a hospital’s CPOE implementation status to determine its overall score on the CPOE standard. More information is available in the scoring algorithms document.