E-Prescribing Research Paper

The stage 1 of the meaningful use includes thirteen core criteria and ten menu set objectives. The first core criteria is the computerized provider order entry (CPOE). CPOE entails the provider’s use of computer assistance to directly enter medication orders from a computer or mobile device. The use of CPOE and the electronic prescription process is a technology that has been found to be helpful in preventing medication prescribing errors in several ways (Mominah & Househ, 2013). Having an accurate electronic patient medication profile will help prescribers and pharmacists review the medication history easily and consequently alert the pharmacist to communicate with the prescriber in case any unexplained change in the prescribed medication to the patient and then conforming the change with the prescriber. Applying CPOE technology reduces medication errors.

These systems will also help cut down on medication errors by comparing the patient’s to medications or interventions so that it is given to the correct patient. Also documents the care given so there would be no human error in the case of questioning whether care had been given as long as the caregiver documents in the record. These features of the electronic health record are in place to promote patient safety by reducing errors.

Electronic Prior Authorization is one of the technology-dependent trends that have encouraged the use of technology systems. Electronic Prior Authorization has two types of prior authorizations; retrospective and prospective, both making impressions on the pharmacy’s and pharmacists, just in different ways. The retrospective model is able to access a prior authorization after a claim is refused, denied, or returned by using the pharmacy software system. For example, the patient's claim could have been denied because the pharmacist did not know the prior authorization information as for the prospective model that uses electronic prescribing within the electronic health records that automatically requires the prior authorizations. Electronic Prior Authorizations make things certain, consistent, and allows more opportunities for all health care

Encourage the use of computer-generated or electronic medication administration records. Plan for the implementation of computerized prescriber order entry systems. Consider the use of machine-readable code (i.e., bar coding) in the medication administration process. Use computerized drug profiling in the pharmacy. Be a demanding customer of pharmacy system software; encourage vendors to incorporate and assist in implementing an adequate standardized set of checks into computerized hospital pharmacy systems (e.g., screening for duplicate drug therapies, patient allergies, potential drug interactions, drug/lab interactions, dose ranges, etc.)”. (Association,

Electronic Health Records (EHRs) are an important component in health care reform, but do they really bring efficiency to the practice? The extent to which practices use EHRs vary from the very basic (entering clinical notes and viewing results) to the intermediate (using e-Prescribing to indicate adverse drug prevention and provide suggestions for alternative drugs) to the advanced use (including lab and radiology order entry with testing guidance, capture of electronic charge, and evidence-based guidelines).

Adoption of e-prescribing at the VA will allow non-VA providers to electronically transmit prescriptions to the VA outpatient pharmacy. This change will bring an opportunity to align itself with the e-prescribing component of Meaningful Use requirement. It will also accommodate an increasing number of prescriptions from providers outside the VA pharmacy since the Choice Act of 2014. What are some specific benefits or ROI resulting from its implementation?

E prescribing can be a part of the EHR in Epic, which would include patient data, and not just prescription information. When e prescriptions are utilized in Epic, the medication is checked for interactions with the patient’s other medications and allergies. Check systems within Epic look for drug-allergy, drug-drug, and how the medication reacts with the disease. In a case study of 17 physicians in an ambulatory clinic conducted by Abramson et al., error rates from prescribing decreased from 35.7 per 100 prescriptions to 12.2 per 100 prescriptions in a year of e-prescribing as reviewed in this study. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 stated that healthcare providers would have access to EHRs to ensure the meaningful use standards per the Centers for Medicaid and Medicare Services (CMS). Meaningful use is attained by increasing the quality of patient outcomes by having access to the medication data, the patient’s history, and diagnosis by the prescriber. Prescribing is safer, when the provider is aware of the patient’s history, current medications, and allergies, therefore better patient outcomes. In the United States, the HITECH Act and the meaningful use standards stated by CMS have increased the use of e-prescribing per Friedman (2009). The CMS made e prescribing a

Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014, October 1). Can utilizing a computerized provider order entry (CPOE) system prevent hospital medical errors and adverse drug events? Perspectives in Health Information Management, 11(Fall): 1b Retrieved from http://perspectives.ahima.org/can-utilizing-a-computerized-provider-order-entry-cpoe-system-prevent-hospital-medical-errors-and-adverse-drug-events/#.Vpg-Q_krLIU

There are so many ways e-prescribing is beneficial to physicians, I am going to discuss my top 5 reasons.

Gawande’s (2015) article “Overkill,” suggests that physicians overprescribe drugs and tests which are ultimately unnecessary for patients. To eradicate such behavior, I would implement an electronic health record (EHR) with the following functions: Computerized provider order entry (CPOE) with a clinical decision support system (CDSS) to assist physicians/clinicians (stakeholders) in their medical practice or at hospitals. These functions will help to alleviate redundant tests and make suggestions about treatment. According to HealthIT.gov (2014), CDSS caters chiefly to drugs, laboratory testing, radiology procedures, and helpful clinical literature (HealthIT.gov, 2014).

This paper will review the implementation of the Electronic Medication Administration Record (eMAR) at Clayton Memorial Hospital, a 420-bed hospital, with a regional cancer center, cardiovascular services, ambulatory services and 24 physician practices in West Palm Beach, Florida. Through implementation of the eMAR, the 5 rights of medication administration are maintained (right patient, right medication, right dose, right route and right time), notifications are at the nurse’s fingertips, errors and warnings are readily available, allergy checking is automatically done, dose checking and other applicable clinical data are accessible. This paper will discuss one hospital’s journey on the path to medication safety.

In order to analyze different aspects of e-prescribing, five key areas were reviewed in depth. The five areas consist of return on investment for implementing an e-Rx, current landscape of e-Rx systems, barriers to e-Rx’s across the board, necessary steps in ensuring successful implementation of e-Rx systems among providers, and current situation at the VA. Understanding the five elements can better equip and engage stakeholders as they prepare for implementation of an e-Rx system. Without establishing a solid understanding and weighing all the pros and cons, the pursuit of an e-Rx system may not guarantee a buy-in from its stakeholders, resulting in a set-back or even a failed

Some advantages could be prevention problems with handwriting, alike drug names, drug interactions, and specification errors; combination with electronic medical records, clinical decision support systems, and adverse drug event reporting systems; faster communication

Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread

Information technology use in HMHP has been implemented in the past few years. The organization as a whole has gone to a system called EPIC that was at first difficult for staff to get used to but now is an asset to the organization. Advances in information technology have introduced new design approaches that support health care delivery and patient education (Demiris et al., 2008). The electronic medication administration record has made it safer for patients when receiving medications in the hospital because of the checks it uses upon administration. Also, the double verification of medication like heparin and insulin help to reduce errors. Physicians entering their own orders and having electronic notes has also made it easier to carry out orders and know what the plan entails. Information technology has also