# Presentation: 351253

## AHIC Presentation 
January 11, 2007

- AHIC Presentation
- January 11, 2007

##  e-Prescribing

- Patient Safety - preventing Adverse Drug Events (ADE)
- Med reconciliation
- Drug-drug interaction checking
- Legibility
- Business process Efficiencies
- Formulary management
- Effective alternative indication
- Improved Patient experience
- Cost reductions within the system

**Notes:**
This slide lists the types of CDS interventions, I.e. the ways knowledge can be delivered to accomplish the objectives.

This workbook figure covers 2 1⁄2 pages, and includes the benefits of each type, a variety of subtypes, and applications and systems in which the intervention type is found (e.g. the IT infrastructure in the worksheet on the last slide).

## Applications

*Types*
- Stand Alone – handheld prescription writer application with potential integration to Practice Management
- Ex include – ZixCorp PocketScript, Dr. First Rcopia
- Modularized - Independent module of EMR
- Ex include – Allscripts TouchScripts eRx, ECW eRx
- EMR/EHR – Full CCHIT-certified application with e-prescribing components
- Ex include – Any CCHIT-certified products with SureScripts certification

## From the Field

- Physician offices
- Office process improvement with combination of SureScripts and RxHub
- Reduction of prescription refill to a four step process that eliminates front office involvement
- Small practices with all involved can improve performance
- Incentives can cover costs
- Legibility improved and rework reduced
*Lack of technical knowledge can permit bad selection practice*
*Selection process by larger group decreases likelihood of adoption*

**Notes:**
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process.  Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.

We can also provide insight into what other practices in the state are doing related to EHRs.  Let’s talk about what is going on in Massachusetts...

## From the Field

- Physician offices
- Stand-alone e-prescribing - Plateau technology
- Doesn’t involve full practice
- Doesn’t integrate to medical record
- Legal record remains a Paper process
- Workflow will be duplicated with e-prescribing only
- Most don’t allow simple drug-allergy checking
- ‘Stuck’ or ‘Failed’ implementations usually don’t restart
- How do I participate? (IPA, Hospital, HIE, stand-alone) ASP vs. in-house, Stark relaxation, Payer-based program
*No easy path to transition to full EMR*
*No standard export of records – transitions costly*

**Notes:**
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process.  Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.

We can also provide insight into what other practices in the state are doing related to EHRs.  Let’s talk about what is going on in Massachusetts...

## From the Field

- Physician offices
- Full EMR with e-prescribing utilization
- More robust patient information
- Linked to allergy and lab info
- Alerts clinically driven
- Age/weight/condition easily assessed
- Better utilization to Evidence-based guidelines with chronic conditions
- Part of legal record
- Modularized applications allow for easy build to EMR
*One of the simplest workflows is to bring up eRx portion of EMR first*

**Notes:**
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process.  Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.

We can also provide insight into what other practices in the state are doing related to EHRs.  Let’s talk about what is going on in Massachusetts...

## e-prescribing

- Discussion