APR 15, 2009 11:17am ET

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Leapfrog: CPOE Still Rare at Hospitals

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Only 7% of U.S. hospitals meet The Leapfrog Group’s standard for fully implementing computerized physician order entry, according to the group’s latest annual survey.

The Washington-based employer consortium’s 2008 voluntary hospital survey includes 1,276 hospitals. Based on preliminary survey data, Leapfrog had estimated late last year that CPOE use stood at 8%. Leapfrog also announced last year that a study of 100 hospitals with CPOE found that many faced serious challenges when implementing the systems. To read a story on that study, and other CPOE trends, click here.

The 2008 Leapfrog Hospital Survey also found:
*Efficiency standards, defined as highest quality and lowest resource use, are met by only 24% of hospitals for heart bypass surgery, 21% for angioplasty, 14% for heart attack care and 14% for pneumonia care.
*Some 65% of participating hospitals do not have all the recommended policies in place to prevent common hospital-acquired infections.
*Some 75% do not fully meet standards for 13 evidence-based safety practices.

Individual hospital’s results can be viewed and compared at leapfroggroup.org.

--Howard Anderson

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A major success factor for accountable care organizations will be linking caregivers across the spectrum of care delivery. If history is any indication, that's going to be an industrywide struggle.

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