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SureScripts An Introduction to ePrescription

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					            eCW & SureScripts
An Introduction to ePrescription

                           By Nainil Chheda
                          eClinicalWorks LLC.
                            October 16, 2005.
                   nainilc@eclinicalworks.com
SureScripts
Over 85% of the nation’s community
 pharmacies have systems certified to
 connect to the SureScripts electronic
 prescribing network

eClinicalWorks LLC has
 “Completed SureScripts certification & is
 registered as a SureScripts Certified
 Solution Provider™”
What is Electronic Prescribing
Connectivity? Or Why use SureScripts?
 It is the totally electronic transmission of
  prescription information from the prescriber’s
  fingertips to the pharmacist’s eyes…
     Bits and bytes, computer to computer
     Electronic data interchange (EDI)
     NO PAPER! (Unless one so chooses)
 And vice versa—it is bi-directional
     Refill renewal requests
     Change requests
     Other clinical information in the future
   ePrescription Process
                New Prescriptions
                                                                                                                         6
                          2                     3                       4                       5
                                                                                                              Prescription is
                  Patient meets        Rx entered into                                                         received by
                                                            Electronic prescription is    …to patient’s
                   with Doctor       preferred system by routed by SureScripts…                             pharmacy software
                                                                                       pharmacy of choice
      1                              doctor or office staff                                                  and dispensed…
Patient needs
 prescription




                                                                                                                         6
                Renewals
                                                                                                             Authorization is
                      2                     3                       4                       5                  received by
                                                                                                            pharmacy software
                 Patient requests   If needed Pharmacist
                                                           SureScripts delivers
                                                                                  Doctor or office staff     and dispensed…
                                                                 request
                    refill from        sends “renewal”                              approve request
                                                             electronically to
                    pharmacy           request to doctor
                                                              doctor’s office
    eCW & SureScript
                        Physician
                        Practice using
                        eClinicalWorks
                 Rx
                                               SureScript                          Rx
                                                 (EPG)

                                                                                            Pharmacy

   Physicians need electronic
                                        The ePrescribing Gateway         Pharmacy management
    prescribing software that is
                                         (EPG) provides application        system communicates via
    certified with the
                                         to application connectivity       the EPG with physician
    ePrescribing Gateway
                                                                           practices
    (EPG)                               The EPG certifies that the
                                         software applications that       Sending renewals directly to
   Works on existing
                                         physician practices and           computers in physician
    computers or new
                                         pharmacies deploy work            practices instead of faxes
    tablets/PDAs
                                         properly                          and phone calls
   Automate prescribing only or
                                        Most EPGs do not charge          Receiving new prescriptions
    more functions like an EMR
                                         physician practices for           electronically too
   Send new prescriptions and           connectivity to pharmacies
    respond to renewal requests
Why do electronic prescribing?

To Improve…
 Safety
 Efficiency
 Quality of care
Value to patients

Can reduce potential for medication errors
Preserves choice - Patients can continue
 to fill prescriptions at their pharmacy of
 choice
Can save patients wait time
Increases quality of care
Value to pharmacies
Regain control of business - Potential to
 automate over 500 million renewal
 transactions
Elevates professional role of the
 pharmacist - Provides more time for
 patient counseling
Improve customer satisfaction & care -
 More time for patient/pharmacist
 interactions
Value to physicians and staff

Provides more time for patient care, not
 pharmacy calls
Preserves physician’s choice of
 appropriate treatment
Decreases potential for medication errors
 due to illegible prescriptions
Requires minimal to no change in
 workflow
ePrescription Routing Standard
 NCPDP SCRIPT Standard (a proposed
  foundation standard) – Current Version 8.0

 SCRIPT is a standard created to facilitate the
  transfer of prescription data between
  pharmacies, prescribers, intermediaries and
  payors

 The current standard supports messages
  regarding new prescriptions, prescription
  changes, refill requests, prescription fill status
  notification and prescription cancellation
Redeeming the Value of E-prescribing

Reduce staff or trim hours
Increase volume, where available
Redeploy staff to implement new
 specialized programs or services
Absorb productivity gains to enhance
 quality of worklife and improve staff
 satisfaction and retention.
Questions/Comments

Contact Nainil Chheda – ext. 335
SureScripts – http://www.surescripts.com/
Reference:
 1. http://www.asapnet.org
 2. http://www.ehcca.com
 3. http://www.nehimss.org

				
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