Electronic Health Records - MxSecure

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Electronic Health Records Electronic
PrescribingBarriers, Benefits Incentives

• Sponsored by

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Todays Presenter

• Barbara Brownlee, Electronic Health Records
  Specialist, MxSecure
• With MxSecure since 2006
• 30 years in healthcare
• 17 years Sales and Marketing experience
• BS in Medical Technology, Medical College of
  Georgia

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Agenda

• Definition of e-Prescribing
• Process
• Barriers
• Benefits
• Incentives

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Definition

• E-prescribing means the transmission, using
• electronic media, of prescription or
• 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.
• Source eHealth Initiative and The Center for
  Improving Medication Management. Electronic
  Prescribing Becoming Mainstream Practice. June,
  2008.

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E-Prescribing Process

• Clinician prescribes medication using either
• Stand-alone e-Prescribing system
• CPOE system
• CPOE integrated within an EHR system
• Check for interaction, intolerances and formulary
  compliance
• Transmission
• Dispensing

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Barriers

• Cost of systems
• Potential negative impact on physician workflow
  and productivity
• Pharmacy ability to accept electronic Rx
• Inability to electronically prescribe controlled
  substances

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Benefits

• Improved patient care
• Reduction in healthcare costs
• Office efficiency
• Government incentives

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E-Rx Incentive Payments

• CMS incentive table

2009 2010 2011 2012 2013 Beyond
Incentive 2 2 1 1 0.5 None
Penalty None None None 1 1.5 2
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E-Rx Incentive Payments Qualifications

• Eligible professionals must report the electronic
  prescribing quality measure through Medicare Part
  B claims on at least 50 of applicable cases
  during the reporting year
• Estimated allowed Medicare Part B charges for the
  e-Rx measure codes must total at least 10 of
  total Medicare Part B allowed charges.
• Refer to www.cms.gov for details

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Eligible Professionals

• Physician
• Physical or Occupational Therapist
• Qualified Speech-language Pathologist
• Nurse Practitioner
• Physician Assistant
• Clinical Nurse Specialist
• Certified Registered Nurse Anesthetist
• Certified Nurse Midwife
• Clinical Social Worker
• Clinical Psychologist
• Registered Dietitian
• Nutrition Professional
• Qualified Audiologist

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Recent Development from DEA

• Final Interim Rule regarding Electronic
  Prescriptions for Controlled Substances was
  recently published
• Practitioners now have the option to write Rx for
  controlled substances electronically

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Summary

• Defined and looked at process for electronic
  prescribing
• Benefits can outweigh barriers
• Incentives in place today for using electronic
  prescribing

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Questions?

• For more information contact
• MxSecure, Inc.
• 888.580.1010
• sales_at_mxsecure.com
• www.MxSecure.com