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Crain’s Health Care Leadership Summit

Crain’s Health Care Leadership Summit. Electronic Prescribing Joe H. Hohner, Senior Vice President, Chief of Staff and Chief Information Officer Blue Cross Blue Shield of Michigan October 14, 2010. Table of Contents. Michigan overview…Page 3 Michigan supporters…Page 4 Role of BCBSM…Page 5

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Crain’s Health Care Leadership Summit

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  1. Crain’s Health Care Leadership Summit Electronic Prescribing Joe H. Hohner, Senior Vice President, Chief of Staff and Chief Information Officer Blue Cross Blue Shield of Michigan October 14, 2010

  2. Table of Contents • Michigan overview…Page 3 • Michigan supporters…Page 4 • Role of BCBSM…Page 5 • BCBSM Impact • DrFirst Pilot…Page 6 • PGIP ePrescribing Initiative…Page 7 • Value of ePrescribing…Page 8 • Appendix…Page 9

  3. Michigan overview • Rank second in the country for ePrescribing. • One in five prescriptions were ordered electronically as of December 2009. • One-third of Michigan doctors use ePrescribing, nearly double that of 2007. • SEMI receives first annual 2010 HIT Innovation Award.

  4. Michigan ePrescribing supporters Southeast Michigan ePrescribing Initiative (SEMI) Michigan Health Information Network (MiHIN) Health Information Technology (HIT) Commission Regional RHIOs (sub-state HIEs) Michigan health systems and hospitals

  5. Role of BCBSM • Launched ePrescribing pilot with DrFirst • BCBSM/DrFirst pilot engaged more than 1,200 physicians. • Value Partnerships accelerating the adoption and use of ePrescribing through the Blues PGIP program.

  6. BCBSM Impact –DrFirst Pilot • Enrolled 1,000 physicians in ePrescribing program in partnership with DrFirst • Over 3 million prescriptions transmitted • Over 800,000 safety alerts provided • Doctors receive access to BCBSM’s ePrescribing management system for two years, training, POMIS interface and in some cases $500 towards needed hardware

  7. BCBSM Impact - PGIP Initiative • Improve the safety, quality and cost-effectiveness of the prescribing process • Performance improvement is evaluated by all PCPs in the practice unit having ePrescribing functionality • Vendor meets Medicare requirement standards • Vendor contractually guarantees at least 96% of up time • As of March 2010, over 45% of PCPs have achieved functionality.

  8. Safety – Reduced risk of medication errors Cost savings* – eRx with formulary support can save ~$845,000 per 100,000 patients annually in drug spend, according to study Efficiency –Time managing refills cut in half Payers/PBMs – Enables delivery of information at the time of prescribing Pharmacy** – Reduces staff time by 27% for new prescriptions and 10% for renewals Security– Reduces fraud/tampering Value of ePrescribing *Fischer, Michael, MD, MS, Christine Vogeli, PhD, et al, “Effect of Electronic Prescribing with Formulary Decision Support on Medication Use and Cost.” Archives of Internal Medicine 168(22), pp.2433-2439. December 2008. **http://www.surescripts.com/about-e-prescribing/benefits-of-e-prescribing_for-pharmacies.aspx

  9. Appendix

  10. Michigan ePrescribing Utilization • 2009 Safe-Rx calculations: Eligible prescriptions do not include controlled substances, which were not eligible for e-prescribing under 2009 DEA regulations, or preauthorized refills on existing prescription, because they do not require communication between a physician and a pharmacist. Total benefit transactions reflect adjustment of 15% to reflect the potential for duplicate coverages. • Prescription/medication history data based on available data for Q4 2009 only. No seasonality is assumed. Method will adjust in future years as full-year data becomes available.

  11. % Patient Visits Involving a Prescription Benefit Request Source: http://www.surescripts.com/about-e-prescribing/progress-reports/state.aspx?state=mi

  12. % Eligible Prescriptions Routed Electronically Source: http://www.surescripts.com/about-e-prescribing/progress-reports/state.aspx?state=mi

  13. % Patient Visits Involving a Medication History Response Source: http://www.surescripts.com/about-e-prescribing/progress-reports/state.aspx?state=mi

  14. % Physicians Routing Prescriptions Electronically Source: http://www.surescripts.com/about-e-prescribing/progress-reports/state.aspx?state=mi

  15. % Patients with Available Prescription Benefit/History Information Source: http://www.surescripts.com/about-e-prescribing/progress-reports/state.aspx?state=mi

  16. % Community Pharmacies E-Prescribing Activated Source: http://www.surescripts.com/about-e-prescribing/progress-reports/state.aspx?state=mi

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