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What Is ?Electronic Prescribing?". Providers' use of computer systems to generate or renew prescriptionsA type of computerized physician order-entry (CPOE)May be part of an electronic health record (EHR) vs. stand-alone e-prescribing system?e-prescribing" is a synonymdoesn't necessarily imply on
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1. Electronic Prescribing A Pathway to Advanced HIT? Douglas S. Bell, MD, PhDRAND HealthDavid Geffen School of Medicine at UCLA Thank you, _____.
Its really an honor to be here and to share with you the work weve done and that were now doing on electronic prescribing systems.
Thank you, _____.
Its really an honor to be here and to share with you the work weve done and that were now doing on electronic prescribing systems.
2. What Is Electronic Prescribing? Providers use of computer systems to generate or renew prescriptions
A type of computerized physician order-entry (CPOE)
May be part of an electronic health record (EHR) vs. stand-alone e-prescribing system
e-prescribing is a synonym
doesnt necessarily imply online (internet) systems First, lets DEFINE what we mean by electronic prescribing.
Its: Providers use of computer systems to generate or renew prescriptions.
So these are systems that providers use, which means were not talking about back-end systems, like the point of sale systems, that pharmacies run.
Ill be using E-prescribing often as a synonym for this concept. So when you see the e dont think that I mean anything more specific, than just any use of computers to actually generate prescriptions.
First, lets DEFINE what we mean by electronic prescribing.
Its: Providers use of computer systems to generate or renew prescriptions.
So these are systems that providers use, which means were not talking about back-end systems, like the point of sale systems, that pharmacies run.
Ill be using E-prescribing often as a synonym for this concept. So when you see the e dont think that I mean anything more specific, than just any use of computers to actually generate prescriptions.
3. E-Rx: A Focus for Transformation Safety: Medication errors are prevalent
Costs: Pharmaceuticals a growing component of health care costs
Office efficiency
Rx management inefficient for most MD offices
e-Rx may be easier to implement than full EHR
A step toward EHRs So eRx can improve errs
But beyond medication errors, an entry point, like a start drug that hooks them in on hit
Leads ultimately to the hard stuff
So eRx can improve errs
But beyond medication errors, an entry point, like a start drug that hooks them in on hit
Leads ultimately to the hard stuff
4. Risks of Harm from Outpatient Prescribing This is the potential payoff. (was seen as low-hanging fruit )This is the potential payoff. (was seen as low-hanging fruit )
5. Talk Overview Design theory: How does it work?
Review RANDs expert consensus recommendations for e-prescribing
Variance in implementation among systems
MMA-mandated pilot studies
Testing 6 initial standards that support advanced e-prescribing features
6. Design Theory E-prescribing Featurese.g. DDI alerts, formulary info, electronic transmission enable Change in prescriber work processes produce Changes in drug use Appropriateness Costs (patients, payors) Patient adherence produce Health outcomes