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

Trent J. Spaulding, Raghu Santanam

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


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)
Issue number3
StatePublished - Aug 2013


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

ASJC Scopus subject areas

  • Health Policy


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