Electronic prescribing, or e-prescribing is the computer-based electronic generation, transmission and filling of a prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician, nurse practitioner, or physician assistant to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. A more formal definition of e-prescribing is provided in the Medicare Part D prescription drug program:
E-prescribing means the transmission, using electronic media, of prescriptionor prescription-related information between a prescriber, dispenser, pharmacy benefit manager, or health plan, either directly or through an intermediary,including an e-prescribing network. E-prescribing includes, but is not limited to,two-way transmissions between the point of care and the dispenser.You have basically two choices available when you consider an e-prescribing system: either a stand-alone system, or e-prescribing within an EHR system. To qualify for financial incentives under ARRA prescribers will need to be using a “qualified” e-prescribing system. A “qualified” e-prescribing system must be capable of performing all of the following functions:
- Generating a complete active medication list incorporating electronic data received from applicable pharmacy drug plan(s) if available
- Selecting medications, printing prescriptions, electronically transmitting prescriptions, and conducting all safety checks (safety checks include: automated prompts that offer information on the drug being prescribed, potential inappropriate dose or route of administration, drug-drug interactions, allergy concerns, or warnings or cautions)
- Providing information related to the availability of lower cost, therapeutically appropriate alternatives (if any)
- Providing information on formulary or tiered formulary medications, patient eligibility, and authorization requirements received electronically from the patient’s drug plan
E-Prescribing report to congress
Draft 2010 EHR E-Prescribing Measure Specifications
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