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e-Prescribing for the Hospitalist

e-Prescribing for the Hospitalist. April 11, 2012 Karen Day, Instructional Analyst IT Peggy Beeley , MD. e-Prescribing. Latest figures show 85% of US Pharmacies are capable of using e-prescribing 25% of prescriptions are written electronically

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e-Prescribing for the Hospitalist

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  1. e-Prescribing for the Hospitalist April 11, 2012 Karen Day, Instructional Analyst IT Peggy Beeley, MD

  2. e-Prescribing • Latest figures show 85% of US Pharmacies are capable of using e-prescribing • 25% of prescriptions are written electronically • e-Prescribing requires a clearing house agency: Sure scripts • e-Prescribing is part of Meaningful Use Services

  3. Benefits of e-Prescribing • Improved Documentation • Expedites filling of prescriptions, reduces admin time in handling refills by nurses or refill lines • Improves Medication reconciliation, including from most outside pharmacies • A requirement of CMS e-prescribing incentive program that we must meet to secure UNMs participation

  4. Benefits of e-Prescribing • Verifies Formulary Drugs through same data base • Allows review for need of refills at the time of visit, thus reducing call backs • Prescription is generally ready at time patient presents • Reduces Medical Errors, drug interactions

  5. Reduction of Medical Errors by Electronic Prescribing • Estimated 100,000 individuals die of medical errors each year. • Systematic Review of 25 studies that addressed Medical Errors • Study design was variable, almost all showed reduction in errors decreased by 30%-83% • Meaning of these findings for patient outcome is not determined Ammenwerth, et al JAMIA 2008

  6. Phoned Prescriptions at UNM • Study to track phoned in prescription not recorded in EMR • 2 three week periods studied • Total of 217 prescriptions were called in with 53% not recorded in PCO • Internal Medicine 38%, FM 18% and Psych 20% • e-Prescribing did not impact how many prescriptions are called in during study period

  7. UNMH ePrescribe • Implemented at UNMH June 13, 2011 • Current Statistics • 3,000 prescriptions written daily • 1,000 are ePrescribedi.e. electronically sent to a pharmacy • 3-5 errors experienced per day • pharmacy staff monitors these errors and are responsible for follow-up

  8. Karen Day, Instructional Analyst • Description of how e-Prescribing works • Short Training Course for e-Prescribing feature through Power Chart • Questions

  9. Recommendations • Commit to use e-prescribing preferentially over hard copy prescriptions (except for scheduled drugs for now) for discharging patients • Send prescriptions the day before discharge to ensure prescriptions are ready • Must stay current (prescribe within 180 day period) or your name may be deleted from clearing house data base

  10. Bibliography • Ammenwerth, et al. The Effect of Electronic Prescribing on Medical Errors and Adverse Drug Events: A Systematic Review. Journal of American Informatics Association; 2008 Vol 15 • Corley, Sarah: Top Health Inform Manage 2003, vol 24 • National Association of Boards of Pharmacy

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