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Electronic Prescriptions for Controlled Substances (EPCS). Rob Silverman | Kenny Condie | Jamie Crumley August 21, 2012. Objectives – Pharmacist. Objectives – Pharmacist. Objectives – Pharmacist. Objectives – Pharmacy Technician. Objectives – Pharmacy Technician.
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Electronic Prescriptions for Controlled Substances (EPCS) Rob Silverman |Kenny Condie| Jamie Crumley August 21, 2012
WHAT prescriptions are impacted by EPCS? Code of Federal Regulations SECTION 1308 SCHEDULES OF CONTROLLED SUBSTANCES
Driving the Point Home What schedules of controlled substances are impacted by EPCS? • Just C-II • C-II and C-III only • ALL Schedules of legal controlled substances, C-II through C-V
WHY do we have to do this? http://www.deadiversion.usdoj.gov/ fed_regs/rules/2010/fr0331.pdf
CPRS v29 Timeline 8/17/12 IOC Milestone 1/23/12 – 7/30/12 CPRS v29 Develop/TEST 8/17/12 – 11/16/12 V29 Production Test 11/19/12 – 3/8/13 V29 National Release 4/1/12 7/1/12 10/1/12 1/1/13
COMPONENTS CPRS, Pharmacy and Kernel VistA Patches PIV Cards and Card Readers
Provider Setup Chief of Staff’s Office Credentialing Office Pharmacy Service Informatics Service IRM / IT Service Provider’s VistA Account CPRS Parameters / File Properties
Prescription Writing Process Flow • Write prescription as usual • CPRS checks prescriber privileges • DEA# or VA# • Valid Expiration Date • Drug Schedule is Authorized • VistA electronic signature • PIV card and PIN • 2 FACTOR AUTHENTICATION
Prescription Finishing Process Flow • Pharmacist receives pending prescription • VistA pharmacy checks received prescription against the digitally signed version (file #101.52) • PKI Server is used to perform cryptographic comparison
What’s this THIRD PARTY I keep hearing about? How Can I Be Invited?
Outpatient pharmacy received paper Rx’s for stimulants from a nurse practitioner (NP) NP did not have privileges for [C-II n] controlled substances How does EPCS address this situation? Case Study
EPCS and Prescribing Privileges How will EPCS help address the scenario described in the case study? • Record the specific privileges using the XU EPCS EDIT PROVIDER DATA application • Assume all schedules are permitted if no explicit data is defined • Remove the provider’s DEA# and VA# if there is definitive evidence that they have no privileges • All of the above
https://www.deadiversion.usdoj.gov/ webforms/validateLogin.jsp