Transcript E-prescription group presentation about our mission in Nasser

E-prescription group
presentation
about our mission in
Nasser Institute
Our Mission

To promote for E-prescription deployment in Nasser Institute
through identification of E-prescription and its importance and
benefits vs. handwritten prescription
Objectives

Promoting for E-prescribing deployment

Convincing them to deploy E-prescription

Providing them with data about E-prescribing

Promoting for information technology solutions
Our Group Members
 Alia
Tarek Abaza

Maha Aly Rezk

Caroline Galal George

Maha Mohamed Abd Elkhalek

Eman Yehia Mahmoud

Manar Mohamed Kamel Sakr

Gihan Mohamed Mohamed

Mohamed Ahmed Mansour

Lobna Gamal Abdel Nasser

Mohamed Ahmed Almarsfawy

Mohamed Mostafa Albendary

Nesma Mohamed Kamel

Nisreen Gamal Attallah

Rania Fawzi Abd ElGeleel
Our Preparation Plan

Make our own blog, wiki page & E-mail to share ideas and
collected materials.

Collect data about Nasser Institute.

Collect materials about E-prescription which will help us to
promote for it.

Prepare short presentation to promote for E-prescription.

Pick an E-prescribing tool tutorial.

Prepare data collection forms (questionnaire).
Our Promoting Task Will Depend On

Defining E-prescription.

Make short presentation to simply show how it works and presenting
its advantage and benefits.

Showing a quick tutorial about E-prescription
https://eprescribe.allscripts.com/help/tutorial.aspx

Giving them E-prescribing tool buyer’s guide to help them to evaluate
many tools.

Giving them most FAQs about E-prescription.

Collecting some data about handwritten prescriptions.

Follow up with them by supplying them with more data about Eprescription via E-mail and blog
What is E-prescription?

Electronic prescribing or “E-prescribing” is the computer-based
electronic generation, transmission and filling of a prescription,
taking the place of paper and faxed prescriptions. E-prescribing
allows a physician to electronically transmit a new prescription
or renewal authorization to a community or mail-order
pharmacy.

Electronic prescribing or E-prescribing is the electronic
transmission of prescription information from the prescriber's
computer to a pharmacy computer. It replaces a paper
prescription that the patient would otherwise carry or fax to the
pharmacy
How Can It Improve Clinical Workflow?


E-prescribing supports a shift to a paperless and more informed way
for prescribers, payers and pharmacists to make better clinical
decisions and improve clinical workflows related to medication
management.
It can actually :
 Reduce healthcare costs
 Increase efficiency
 Improve patient safety
 Provide a single view of prescriptions from multiple
clinicians
 Eliminate handwritten prescription errors and decrease
pharmacy callbacks(150 million yearly) and rejected
scripts(30%)
 The process is secure and HIPPA compliant
 Decrease time of picking up prescriptions.
What E-prescribing can do?
Disadvantage of handwritten prescriptions
Illegible hand writing
E-prescribing can do

Can be clearly read

look-alike or sound-alike drugs can be
confusing

Can’t be mixed up
Can’t provide data about drug-to-drug
interactions, drug allergy reactions

 Allow

Give alerts in case of duplication of drugs

Provide drug pricing information



duplication of drugs
Can’t provide drug pricing information
Can provide data and alerts about drug drug interactions & drug allergy reactions
Can’t Provide for real-time communications Can Provide for real-time communications
between doctors, pharmacies and patients
between doctors, pharmacies and patients

Can’t Provide payer coverage & preferred
drug information

Can’t provide patient medication history



Can Provide payer coverage & preferred
drug information
Can provide for complete patient
medication history
E-prescription Deployment Growth In USA
Item
2007
2008
2009
Electronic prescriptions
29 million
68 million
190 million
New prescriptions
24 million
55 million
156 million
Renewal requests
5 million
13 million
35 million
-
131%
180%
Active E-prescribers
36000
74,000
156,000
Connected pharmacies
41000
46,000
53,000
Overall growth
• Source: "Advancing Healthcare in America: 2009 National Progress on E-Prescribing, Plus What's Ahead in
2010 and Beyond," Surescripts, March 2 (www.surescripts.com/downloads/npr/national-progress-report.pdf
Growth
of No. &ofconnected
prescriptions
Growth
of
No.
of
E-prescribers
pharmacies
Overall Growth of E-prescriptions
190
200
156000
160000
156
150
200%
131%
120000
74000
100
68
80000
100%
50
40000
0%
00
180%
36000
29
55
41000 46000 53000
0% 24
35
5 13
Electronic
new prescriptions renewal requests
overall growth
active E-prescriber
connected pharmacies
prescriptions
20072007
2008 2009
2007 2008
2008
2009
2009
How it works
Sign in
Identify
patient
Review
current
patient
data
Select
drug
Enter
parameters
Authorize
and sign
Review alerts and advices
Select
pharmacy
print or
send Rx
Pharmacy
review
and process
E- Prescribing Tool Tutorial

We are going to show tutorial of eRx –Now
which is the most widespread E-prescribing tool
in USA now to show how the system easily
work.
https://eprescribe.allscripts.com/help/tutorial.aspx
Select patient
Choose
medication
pharmacy
I-phone Guide Application Of eRx-now
The main screen: find patientschedule-task list
Write the patient name
Select the right patient
Check for patient problems
allergies and active medication
taking
Patient' medication history-may
prescribe one of them or tap on
Choose Med
Type at least 3 letters then
tap Search
The application is searching
for the drug
Select the appropriate dosage
form and concentration
Type the duration of medication
Tap Next button
Select the dose
This medication has created a DUR warning which happens to be a
Duplicate Therapy you will have the ability to either IGNORE or you
can tap CANCEL RX , which means that you will not be processing this
to the patient
Choose the pharmacy
If you are finished writing
prescriptions for this patient,
you can tap the Done button
How To Implement E-prescribing Tool

There are two choices available when you consider an Eprescribing system: either

A standalone system

E-prescribing within an EHR system.
1. A Standalone system

Is less costly and less complex to implement, and thus can
be implemented more quickly than an EHR system.

E-prescribing systems store and manage patient data
specific to the prescribing process (e.g., medication
history, medication allergies )
2. An EHR system with an integrated E-prescribing
module: offers the advantage of

Having immediate electronic access to all patient data stored in the EHR
system, including diagnoses, problem lists, clinical notes, laboratory and
radiology results and orders.

Adding to a clinician’s ability to make the most informed medication
choices for their patients.

EHR systems may also often offer a broader range of clinical decision
support, including notification of needed screening tests, immunizations,
etc.

Physician practices are increasingly using E-prescribing within an EHR
system, due to the EHR system’s more comprehensive functionality,
which enables greater gains in quality and safety.
Choosing The Right Path to Electronic
Prescribing for your Practice

Start by asking whether your practice is ready for
standalone electronic prescribing or an electronic health
record (EHR) system.

Once you have decide on the type of solutions for your
practice, you will have to contact software vendors to find
out more about their products.

Compare( evaluate) features of different electronic
prescribing systems.
How To Evaluate Features Of
The E-prescribing System

We can use E-prescribing system buyer’s guide to
compare between features of different E-prescribing
systems against the most important functions and
features before purchasing.
• www.surescripts.com/media/593154/buyersguide_0209.pdf
E-prescribing Implementation Toolset:

Understand the required infrastructure & building blocks.

Set our goals & missions.

Plan work process changes.

Select an easy & applicable E-prescribing system.

Set up the technology.

Train the staff.

Launch the system.

Monitor & remediate shortfalls .
Limitation Of E-prescribing

Increase of Self Medication & OTC drugs

Direct-To-Consumer Advertising (DTC)

System cannot indicate where consumer obtain medication

Lock Of Insurance Coverage

Compliance (patient drug taking behaviour is unclear)

Frank Errors:
Error s in prescribing (wrong patient ,drug ,dose ,duration of action)

Wrong diagnosis can’t be eliminated

Taking the place of face to face Encounters

HC professionals need to interact by phone as will as interact
electronically
What if every thing goes wrong?
Our Backup plan if we failed in convincing them by
using E- prescription : (PLAN B)

Persuade them by using E-prescription as a pilot
project for few months in one department at least

Evaluate the progress in EMR, Compare the
development before & after using the software

Follow up with them via:
1.
Receiving E-mails of the recent reports of their
progress
2.
Sending them the sites of Hospitals which already
implemented E-prescription and achieved
completely change in their EMR.
http://www.scribd.com/doc/33079842/S56-EPrescribing-Standards-and-Adoption
Distribute most FAQs about E-prescription

We are going to distribute hand out of FAQs about Eprescription which simply answer their inquiries.
Collect Data about the most common problems
caused by handwritten prescription

We are going to make a survey with short questionnaires
for physicians and pharmacists about the most common
problems caused by handwritten prescription which facing
them and hindering workflow.
For more information and inquiries
contact us

Our blog: http://hiprescription.wordpress.com

Our E-mail: [email protected]
E-prescription Group
Health Informatics Fellowship 2010
ITI