Tennessee eHealth Network and ePrescribing Training

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Tennessee eHealth Network and ePrescribing
Training
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Why are we here?

• What is ePrescribing and why do we need it?
• What are the benefits to eprescribing?
• How do I overcome obstacles to eprescribing?
• How do I incorporate eprescribing into my
  practice?
• What is the eHealth Network and how do I use it?

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ePrescribingIntroduction

• Scripts per patient in Tennessee in 2006
• 16.9

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ePrescribing Why do we need it?

• 1.5 million Americans injured by Medication
  Errors

• Miscommunication due to illegible handwriting
• Unclear abbreviations and dose designations
• Unclear telephone or verbal orders
• Ambiguous orders and fax-related problems
• Complex benefits plans
• Complex prescription regimens and dosages
• Wide range of drug choices for treating a medical
  problem
• High incidence of Adverse Drug Events (ADEs) and
  error rates
• Institute of Medicine (IOM) 2006 report

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ePrescribing Benefits to Prescribers

• Fewer call backs from pharmacies
• Access to patient specific formulary information
• Access to medication history
• Faster and easier access to information (early
  detection and patient education)

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ePrescribingOvercoming Obstacles

• Financial burdens
• Workflow changes
• Pharmacy connectivity
• Medication history
• Failure to Recognize Current System
  Deficiencies
• Negative Past User Experiences
• Inability to e- prescribe controlled substances

NOT the Reality!
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ePrescribingProcess
1. Select patient
2. Select Drug and Decision Support
3. Send to Pharmacy or Print
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ePrescribing Decision Support
Show patient specific drug interactions based on
local and PBM-provided drug history
Show patient reported drug allergy information
and warnings
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ePrescribing Refill Process

• Patient calls pharmacy to request a prescription
  renewal

Pharmacy software routes the refill request to
your computer
You or your staff review the request and approve
or deny with a few keystrokes
Authorization arrives at the pharmacist's
computer within seconds
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ePrescribing Best Practices
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Vendor Resources EMR and ePrescribing Solutions
www.ePrescribeTennessee.com
www.cchit.org
www.surescripts-rxhub.com
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Tennessee ePrescribing Initiative
Who is ePrescribe Tennessee? ePrescribe Tennessee
is collaborative of Tennessee's leading
prescribing stakeholders. What is the Mission
of ePrescribe Tennessee? ePrescribe Tennessee is
striving to increase patient safety and meet the
needs of the Tennessee public by establishing a
collaborative framework that helps achieve an
understanding of the benefits of electronic
prescribing, while fostering education and
implementation efforts to accelerate physician
adoption and cooperation among prescribing
constituents.
www.ePrescribeTennessee.com
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ePrescribing Additional Resources
Announcing Connectivity to Patients and Pharmacies
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ePrescribingPharmacy Connectivity

• The State is offering incentive grant funding to
  independent pharmacies to connect to the eHealth
  network.
• The Pharmacy Association of Tennessee in
  conjunction with be performing community outreach
  and education to the pharmacies in your area that
  are not currently eprescribing.
• SureScripts-RxHub will forward your prescription
  to those pharmacies that have not yet adopted
  eprescribing.

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Health Grant and ePrescribing Requirements

• Connect to eHealth network and use
  HIPAA-compliant authentication
• ePrescribe for 2 years
• Participate in educational seminars about
  ePrescribing and eHealth Network
• Look up TennCare patients for Wellness and EPSDT
  compliance
• ePrescribing application must be
  SureScripts/RxHub Certified
• Any EMR applications purchased with grant funds
  must be CCHIT certified

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eHealth Network
DEMO
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Questions?
Thank you for your participation.