a fully implemented, effective cpoe system. the cpoe requirement became more challenging to meet in 2008 because the leapfrog introduced a new requirement: hospitals must test their cpoe systems with leapfrog's cpoe evaluation tool. so the number of hospitals in the survey considered to be fully meeting the standard dropped to 7% in 2008 from 11% the previous year. though the adoption rate seems very low in 2008, it is still an improvement from 2002 when only 2% of hospitals met this leapfrog standard.