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Is computerized physician order entry use associated with a decrease in hospital resource utilization in hospitals

Ronald J Teufel1, Abby Swanson Kazley, William T Basco

  • 1Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA. teufelr@musc.edu

Journal of Medical Systems
|April 20, 2011
PubMed

Insights

Computerized Physician Order Entry (CPOE) systems in pediatric hospitals do not significantly reduce costs per case. Hospitals may need other motivations, like financial incentives, to adopt CPOE for medication safety.

Area of Science:

  • Health Informatics
  • Pediatric Healthcare Management
  • Health Economics

Background:

  • Computerized Physician Order Entry (CPOE) implementation incurs substantial hospital costs.
  • Evidence linking CPOE to improved efficiency and reduced resource utilization in pediatrics is limited.
  • Medication safety is a key driver for CPOE adoption, but financial benefits remain uncertain.

Purpose of the Study:

  • To investigate the relationship between hospital CPOE adoption and resource utilization per case in pediatric inpatient settings.
  • To determine if CPOE implementation leads to lower hospital costs in children's healthcare.
  • To provide benchmark data for future evaluations of CPOE's financial impact.

Main Methods:

  • Retrospective cross-sectional study design.
  • Linear regression analysis to assess the association between CPOE use and resource utilization.
  • Analysis focused on inpatient pediatric cases.

Main Results:

  • Hospitals utilizing CPOE did not demonstrate significantly lower costs per case compared to non-CPOE hospitals.
  • No significant reduction in hospital resource utilization per case was observed with CPOE adoption.
  • High implementation and maintenance costs of CPOE present financial barriers.

Conclusions:

  • The study found no direct financial benefit in terms of reduced cost per case associated with CPOE adoption in pediatric hospitals.
  • Hospitals may require additional incentives, particularly financial ones, to drive CPOE adoption in children's healthcare.
  • Further research and clear financial incentives are needed to encourage CPOE implementation for medication safety and potential efficiency gains.

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