Implementation Of An Electronic Prescribing System

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.

The American Recovery and Reinvestment Act made an investment in the year 2009 to encourage the adoption and implementation of the electronic health records (EHRs)(Cite). EHRs incentive payments were authorized through Medicare and Medicaid to clinicians and hospitals when they privately and securely used EHRs for achieving improvements in care delivery by the Health Information Technology for Economic and Clinical Health Act (HITECH). The healthcare organizations are expected to demonstrate meaningful use of EHRs. This rule of meaningful use has been implemented to strike a balance between acknowledging the urgency of adopting EHRs for improving the healthcare system and identifying the challenges that would be put forth

Health information technology or HIT is a huge part of the dashing changes in how medications are prescribed, dispensed, and administered by using technologies electronic devices to share and manage patient information, instead of doing it the old fashion way which was over the phone, having all patients’ records and files on paper, and using the old fax method. Everything is computerized, from managing the

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).

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

In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was enacted as part of the American Recovery and Reinvestment Act (ARRA). The HITECH Act supports the concept of Electronic Health Records and Meaningful Use. Meaningful Use is an effort led by the Centers for Medicare & Medicaid Services (CMS). According to the Centers for Disease Control and Prevention, "Meaningful Use is defined; using certified Electronic Health Record Technology in a meaningful manner; ensuring that the certified EHR technology is connected in a manner provides the electronic exchange of health information to improve the quality of care; and that providers must submit information on quality of care and other measures

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

E-prescribing was included in the Medicare Modernization Act (MMA) of 2003 to facilitate the adoption of EHRs and expedites the government’s plan to build a national electronic health information infrastructure. The overall process starts with the authentication of the prescriber since the system provides functionality specific to a user's role and authorization level within the organization

If I was a Physician that worked in a doctor’s office, I would have nothing but great things to say about e-Prescribing. If my supervisor asked me to present five positive aspects to my team, I would have no problem at all. E-Prescribing is a great new peak in technology that essentially will make the lives of physicians easier. Doctor’s offices are always packed with many people waiting on appointments and e-Prescribing will allow for appointments to run more smoothly, on time, and with less mistakes. The first positive point that I would make about this new technology is that it makes it easier to verify insurance. The tools presented within this system allow for physicians to see what type of medications the patients insurance will cover.

Over the past decade, virtually every major industry invested heavily in computerization. Relative to a decade ago, today more Americans buy airline tickets and check in to flights online, purchase goods on the Web, and even earn degrees online in such disciplines as nursing,1 law,2 and business,3 among others. Yet, despite these advances in our society, the majority of patients are given handwritten medication prescriptions, and very few patients are able to email their physician4 or even schedule an appointment to see a provider without speaking to a live receptionist. Electronic health record (EHR) systems have the potential to transform the health care system from a mostly paper-based industry to one that utilizes clinical

Most of the prescribing procedure takes place in the emergency supervision area, where paper-based prescribing is most excessively used, so this setting holds an appreciable scope for electronic prescribing to be accomplished. E-prescribing has permitted prescribers to electrostatically transmit patient's medication particulars to pharmacy computers.

Regarding your comment on why some facilities do no show interest in using the electronic medication system? I believe that application of such systems requires some trainings and basic computer knowledge. Without a doubt, there are a lot of medication aides in the long-term care facilites who do not have that basic computer knowledge and trainings. This in turn causes application of the electronic systems less appealing by the aides. Additionally, some facilities simply do not have enough budget to train medication aides in this regard. Collectively, I believe lack of basic computer knowledge plus lack of enough budget to train the medication aids could be the potential reasons why some facilities are reluctant to use the electronic medication

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

Electronic health records (EHR’s) have many advantages, but there are plenty of disadvantages. EHR’s were created to manage the many aspects of healthcare information. Medical professionals use them daily and most would feel lost without it. Healthcare organizations were encouraged to adopt EHR’s in 2009 due to the fact that a bill passed known as The Health Information Technology for Economic and Clinical Health Act (HITECH Act). “The HITECH Act outlines criteria to achieve “meaningful use” of certified electronic records. These criteria must be met in order for providers to receive financial incentives to promote adoption of EHRs as an integral part of their daily practice”, (Conrad, Hanson, Hasenau & Stocker-Schneider, 2012).