eHealth Initiative EPrescribing Webinar Series Presents:

1
eHealth Initiative E-Prescribing Webinar Series
Presents

• Understanding and Communicating the Benefits of
  Electronic Prescribing to Consumers
• January 28, 2009

2
OVERVIEW OF WEBINAR AGENDA

• - Welcome and Introductions
• Mark Gorden, Director of Policy, eHealth
  Initiative
• - Thanks to Our Collaborators SureScripts-RxHub
  and ICW
• Presentations/Speakers
• Jennifer Gladieux Senior Legislative
  Representative, Government Relations Advocacy
  AARP
• Casey Kozlowski, RPh, MBA, Manager, Health Care
  Automation Technology, Walgreens
• Russ Thomas, Executive Vice President and Chief
  Operating Officer, Availity, L.L.C.

3

• The Benefits of
• E-prescribing for Consumers
• Jennifer Gladieux, AARP

4
Consumers want doctors to e-prescribe

• AARPs Health _at_ Home survey 9 in 10 older
  Americans want e-prescribing to
• check medication history,
• determine insurance coverage, and
• send Rx directly to the pharmacy.
• Full survey at www.aarp.org/research/housing-mobi
  lity/indliving/healthy_home.html

5
AARP strongly supports e-prescribing

• E-prescribing
• Reduces errors and saves lives.
• IOM it can prevent 1.5 million errors/7000
  deaths each year.
• Preventing Medication Errors. 2006. Institute of
  Medicine.
• Saves money by increasing use of low-cost
  drugs/system efficiency.

6
Consumers Guide to E-Prescribing

• eHealth Initiatives comprehensive Consumers
  Guide to E-Prescribing.
• Clearly explains e-Rx benefits.
• Can promote patient acceptance.
• 11-page guide and 1-page pamphlet on the web
  under Electronic Prescribing Report at
  www.ehealthinitiative.org

7
Problem Most Physicians Are Not E-prescribing

• Less than 1-in-10 physicians are now
  e-prescribing.
• Thats why AARP supports carrots-and-sticks to
  encourage adoption.
• Congress created such incentives in Medicare in
  2008.

8
Medicare Improvements for Patients Physicians
Act

• Bonus payments for physicians who use
  e-prescribing from 2009-2013
• and
• Penalties for physicians who dont starting in
  2012.

9
CMS e-Rx Standards Pave the Way for Progress

• Formulary and benefits standards
• tell physicians/pharmacists what insurer covers
  so they can find alternatives and reduce delays
  in getting a covered drug.

10
CMS e-Rx Standards Pave the Way for Progress

• Medication history standards
• Tell physicians/pharmacists what medications
  someone is already taking to avoid harmful
  interactions.

11
CMS e-Rx StandardsPave the Way for Progress

• Additional standards underway to
• tell physicians/pharmacists about prior
  authorization policies, and
• let physicians know when a patient hasnt filled
  a prescription.

12
Challenge E-prescribing Controlled Substances

• DEA currently bans e-prescribing controlled
  substances.
• Perplexing, as e-prescribing should make it
  easier to identify abuse.
• Proposed rule to allow e-Rx for controlled
  substances needs improvements.

13
Challenge Data Mining

• Good data mining
• identifying adverse reactions and inappropriate
  use.
• Bad data mining
• marketing high-cost drugs to doctors using
  low-cost alternatives,
• potential patient privacy abuses.

14
Challenge Data Mining

• GAO is studying
• whether patient privacy protected,
• if data is de-identified and can be
  re-identified.
• But data mining already widespread
• Not increased by e-prescribing,
• No reason not to e-prescribed.

15
Benefits of Electronic Prescribing toConsumers

• Casey Kozlowski, RPh, MBA
• Walgreen Co.

16
Overview

• Convenience
• Compliance
• Higher Standards of Care
• Consumer Outreach

17
Convenience

• Allows patients to make only one trip to pharmacy
• Gives the pharmacy a head start on filling Rx,
  often meaning the Rx is ready when the patient
  arrives.
• More informed prescribing leads to fewer
  insurance/DUR issues, reducing delays.
• ePrescriptions can be sent without the patient
  being present in physician's office

18
Compliance

• The number of prescriptions filled increased with
  the adoption of electronic prescribing.
• ePrescriptions were picked up by patients at an
  equal to or greater rate than non-electronic
  prescriptions.
• The Institute for Safe Medication Practices
  estimates that approximately 125,000 deaths have
  been reported annually because of non-adherence
  to prescription medication.
• Industry experts estimate that up to 20 percent
  of all new prescriptions go unfilled.

Unsold Data is for Walgreens only. All other
data provided by IMS
19
Higher Standard of Care

• Electronic Prescribing has the potential to
  reduce medication errors by as much as 551
• DUR/Allergy checks done at point of care
• Patients do not need to recall medication history
  for the physician

1Institute for Safe Medicine Practices. A Call to
Action Eliminate Handwritten Prescriptions
Within Three Years, 2000.
20
Consumer Campaign

• 10 million consumers reached in first week
• 26,000 pharmacies displaying signage
• Over 22,000 visitors to website
• Broad coverage cutting across trade, regional and
  national media

21
Consumer Web Site www.LearnAboutEprescriptions.c
om
21
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Consumer Empowerment

• A positive experience with electronic prescribing
  is the best way to get patients educated and
  excited.
• The more patients are exposed to electronic
  prescribing, the more likely they are to
  encourage their physicians to use it.
• Word of mouth is the best advertisement for
  electronic prescribing.
• Eventually, patients will come to expect
  electronic prescribing from their physicians.

23
Understanding and Communicating the Benefits of
Electronic Prescribing to Consumers

• Russ Thomas, EVP and COO
• Availity, LLC
• January 28, 2009

24
The Broken Paper System
Decision Support Safety Problems

• Illegibility
• Formulary confusion
• Clinical blind-spots
• Patient non-compliance
• 190,000 hospitalizations / year
• 1.5 million harmed, 7,000 dead / year

25
The Broken Paper System
Time Money Wasted

• Workflow inefficiencies
• Administrative hassles
• 2 hrs / physician / day wasted
• 15,700 / physician / year
• 900 million Rx processing calls / year

26
Availity CarePrescribe

• Offered at no charge to providers in Florida and
  Texas
• Powered by Prematics (technology partner)
• A distinctly different solution
• Leverages existing portal used by majority of
  Florida and Texas practices
• Web version available to all physicians
• Handheld devices provided to high prescribers
• Easy to use, intuitive navigation
• Complete, end-to-end e-prescribing network
• Integrated provider workflow
• Patient demographics downloaded from practice
  management system
• Includes service, support, and training
• Secure for providers and patients

27
CarePrescribe Benefits

• Access important Rx information
• Patient-Specific Rx History
• Up-to-Date Formulary
• Patient Co-Pay
• Adverse Drug Alerts
• Lower Cost Alternatives
• Gain efficiencies
• Reduce pharmacy callbacks, rework
• Streamline fills and renewals
• Lower administrative costs

• Improve care
• More informed decisions
• Enhance patient safety
• Lower patient out-of-pocket costs
• Improve patient satisfaction
• Ensure Security and Reliability
• HIPAA compliant
• Protect patient information

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E-Prescribing Benefits

• Improved medication adherence
• Improved formulary compliance
• Decreased occurrence of adverse events
• Improved patient and provider satisfaction

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Q A

• Please identify which speaker you would like to
  answer your question

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Thanks for Your Attendance!

• Be sure to visit the Electronic Prescribing
  Resources section of the eHI website
  www.ehealthinitiative.org/eRX
• All future eHI e-prescribing webinars listed
  under the Education Tab of the above
• All eHI e-prescribing webinars are archived on
  the Education page free downloads of
  presentations nominal charge for audio
  recordings
• Join us for our next eHI e-prescribing webinar on
  February 5th
• For more information or assistance, contact Mark
  Gorden at Mark.Gorden_at_ehealthinitiative.org