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E-prescription group presentation about our mission in Nasser Institute

E-prescription group presentation about our mission in Nasser Institute. Our Mission. To promote for E-prescription deployment in Nasser Institute through identification of E-prescription and its importance and benefits vs. handwritten prescription. Objectives.

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E-prescription group presentation about our mission in Nasser Institute

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  1. E-prescription group presentation about our mission in Nasser Institute

  2. Our Mission To promote for E-prescription deployment in Nasser Institute through identification of E-prescription and its importance and benefits vs. handwritten prescription • Objectives • Promoting for E-prescribing deployment • Convincing them to deploy E-prescription • Providing them with data about E-prescribing • Promoting for information technology solutions

  3. Our Group Members

  4. Our Preparation Plan • Make our own blog, wiki page & E-mail to share ideas and collected materials. • Collect data about Nasser Institute. • Collect materials about E-prescription which will help us to promote for it. • Prepare short presentation to promote for E-prescription. • Pick an E-prescribing tool tutorial. • Prepare data collection forms (questionnaire).

  5. Our Promoting Task Will Depend On • Defining E-prescription. • Make short presentation to simply show how it works and presenting its advantage and benefits. • Showing a quick tutorial about E-prescription https://eprescribe.allscripts.com/help/tutorial.aspx • Giving them E-prescribing tool buyer’s guide to help them to evaluate many tools. • Giving them most FAQs about E-prescription. • Collecting some data about handwritten prescriptions. • Follow up with them by supplying them with more data about E-prescription via E-mail and blog

  6. What is E-prescription? • 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 to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. • Electronic prescribing or E-prescribing is the electronic transmission of prescription information from the prescriber's computer to a pharmacy computer. It replaces a paper prescription that the patient would otherwise carry or fax to the pharmacy

  7. How Can It Improve Clinical Workflow? • E-prescribing supports a shift to a paperless and more informed way for prescribers, payers and pharmacists to make better clinical decisions and improve clinical workflows related to medication management. • It can actually : • Reduce healthcare costs • Increase efficiency • Improve patient safety • Provide a single view of prescriptions from multiple clinicians • Eliminate handwritten prescription errors and decrease pharmacy callbacks(150 million yearly) and rejected scripts(30%) • The process is secure and HIPPA compliant • Decrease time of picking up prescriptions. 

  8. What E-prescribing can do? Disadvantage of handwritten prescriptions E-prescribing can do • Illegible hand writing • Can be clearly read • look-alike or sound-alike drugs can be confusing • Can’t be mixed up • Can’t provide data about drug-to-drug interactions, drug allergy reactions • Can provide data and alerts about drug - drug interactions & drug allergy reactions • Allow duplication of drugs • Give alerts in case of duplication of drugs • Can’t provide drug pricing information • Provide drug pricing information • Can’t Provide for real-time communications between doctors, pharmacies and patients • Can Provide for real-time communications between doctors, pharmacies and patients • Can’t Provide payer coverage & preferred drug information • Can Provide payer coverage & preferred drug information • Can provide for complete patient medication history • Can’t provide patient medication history

  9. E-prescription Deployment Growth In USA • Source: "Advancing Healthcare in America: 2009 National Progress on E-Prescribing, Plus What's Ahead in 2010 and Beyond," Surescripts, March 2 (www.surescripts.com/downloads/npr/national-progress-report.pdf

  10. How it works Sign in Identify patient Review current patient data Select drug Enter parameters Authorize and sign Select pharmacy print or send Rx Pharmacy review and process Review alerts and advices

  11. E- Prescribing Tool Tutorial • We are going to show tutorial of eRx –Now which is the most widespread E-prescribing tool in USA now to show how the system easily work.https://eprescribe.allscripts.com/help/tutorial.aspx

  12. Choose medication • Choose pharmacy • Select patient

  13. I-phone Guide Application Of eRx-now The main screen: find patient-schedule-task list Write the patient name

  14. Check for patient problems allergies and active medication taking Select the right patient

  15. Patient' medication history-may prescribe one of them or tap on Choose Med Type at least 3 letters then tap Search

  16. Select the appropriate dosage form and concentration The application is searching for the drug

  17. Type the duration of medication Tap Next button Select the dose

  18. This medication has created a DUR warning which happens to be a Duplicate Therapy you will have the ability to either IGNORE or you can tap CANCEL RX , which means that you will not be processing this to the patient

  19. If you are finished writing prescriptions for this patient, you can tap the Done button Choose the pharmacy

  20. How To Implement E-prescribing Tool • There are two choices available when you consider an E-prescribing system: either • A standalone system • E-prescribing within an EHR system. • A Standalone system • Is less costly and less complex to implement, and thus can be implemented more quickly than an EHR system. • E-prescribing systems store and manage patient data specific to the prescribing process (e.g., medication history, medication allergies )

  21. 2. An EHR system with an integrated E-prescribing module: offers the advantage of • Having immediate electronic access to all patient data stored in the EHR system, including diagnoses, problem lists, clinical notes, laboratory and radiology results and orders. • Adding to a clinician’s ability to make the most informed medication choices for their patients. • EHR systems may also often offer a broader range of clinical decision support, including notification of needed screening tests, immunizations, etc. • Physician practices are increasingly using E-prescribing within an EHR system, due to the EHR system’s more comprehensive functionality, which enables greater gains in quality and safety.

  22. Choosing The Right Path to Electronic Prescribing for your Practice • Start by asking whether your practice is ready for standalone electronic prescribing or an electronic health record (EHR) system.  • Once you have decide on the type of solutions for your practice, you will have to contact software vendors to find out more about their products.  • Compare( evaluate) features of different electronic prescribing systems. 

  23. How To Evaluate Features Of The E-prescribing System • We can use E-prescribing system buyer’s guide to compare between features of different E-prescribing systems against the most important functions and features before purchasing. • www.surescripts.com/media/593154/buyersguide_0209.pdf

  24. E-prescribing Implementation Toolset: • Understand the required infrastructure & building blocks. •  Set our goals & missions. •  Plan work process changes. •  Select an easy & applicable E-prescribing system. •  Set up the technology. • Train the staff. • Launch the system. • Monitor & remediate shortfalls .

  25. A) Increase of Self Medication &OTC drugs B) Direct-To-Consumer Advertising (DTC) C) System cannot indicate where consumer obtain medication D ) Lock Of Insurance Coverage E) Complience (patient drug taking behaviour is unclear) F)Frank ErrorsError s in prescribing (wrong patient ,drug ,dose ,duration of action) G) Wrong diagnosis H)Tacking the place of face to face Encounters HC professionals need to interact by phone as will as interact electronically A) Increase of Self Medication &OTC drugs B) Direct-To-Consumer Advertising (DTC) C) System cannot indicate where consumer obtain medication D ) Lock Of Insurance Coverage E) Complience (patient drug taking behaviour is unclear) F)Frank ErrorsError s in prescribing (wrong patient ,drug ,dose ,duration of action) G) Wrong diagnosis H)Tacking the place of face to face Encounters HC professionals need to interact by phone as will as interact electronically • Limitation Of E-prescribing • Increase of Self Medication & OTC drugs • Direct-To-Consumer Advertising (DTC) • System cannot indicate where consumer obtain medication • Lock Of Insurance Coverage • Compliance (patient drug taking behaviour is unclear) • Frank Errors:Error s in prescribing (wrong patient ,drug ,dose ,duration of action) • Wrong diagnosis can’t be eliminated • Taking the place of face to face Encounters • HC professionals need to interact by phone as will as interact electronically

  26. What if every thing goes wrong? Our Backup plan if we failed in convincing them by using E- prescription : (PLAN B) • Persuade them by using E-prescription as a pilot project for few months in one department at least • Evaluate the progress in EMR, Compare the development before & after using the software • Follow up with them via: • Receiving E-mails of the recent reports of their progress • Sending them the sites of Hospitals which already implemented E-prescription and achieved completely change in their EMR.

  27. http://www.scribd.com/doc/33079842/S56-E-Prescribing-Standards-and-Adoptionhttp://www.scribd.com/doc/33079842/S56-E-Prescribing-Standards-and-Adoption

  28. Distribute most FAQs about E-prescription • We are going to distribute hand out of FAQs about E-prescription which simply answer their inquiries. • Collect Data about the most common problems caused by handwritten prescription • We are going to make a survey with short questionnaires for physicians and pharmacists about the most common problems caused by handwritten prescription which facing them and hindering workflow.

  29. For more information and inquiries contact us • Our blog: http://hiprescription.wordpress.com • Our E-mail: hiprescription@gmail.com

  30. E-prescription Group Health Informatics Fellowship 2010 ITI

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