DrFirst Rcopia ePrescribing The Cornerstone of Meaningful Use

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DrFirst Rcopia ePrescribing The Cornerstone of
Meaningful Use

• November 6, 2009
• Presented By
• Lauren Shores Shillinger
• Regional Sales Manager
• DrFirst, Inc.

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Agenda

• DrFirst Overview
• Benefits of ePrescribing
• What to Look for in a System
• E-Prescribing and CMS
• PQRI evolution to E-Rx Incentives
• Timelines and Incentives/Penalties
• How to participate in the CMS E-Rx Incentive
  Program
• 8. Stepping Stone to EMR
• Live Demonstration
• Questions Answers

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AboutUs

• 10 Years of Serving Medical Providers Nationwide
• Surescripts Gold Certified Solution
• Most decorated ePrescribing company in the
  industry
• Partnered with 75 major EMR/PMS Vendors
• Designed by physicians, for physicians
• Sending 2 million scripts per month
• Partnered with the AMA, and endorsed by 3 medical
  societies

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Today, prescriptions still generally follow
traditional routes.
who brings it to the pharmacy.
Rx
A
Provider writes a prescription on a pad
Rx
and hands it to the patient
and for renewals, its a nightmare of fax tag
and phone tag consuming hours of everyones time
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What is ePrescribing?

• Transmission of prescription or
  prescription-related information through
  electronic media
• Most valuable features for improving patient
  safety and office efficiency
• -Clinical and administrative decision-support
  capabilities
• -Formulary eligibility at the point of care.

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Benefits of Electronic Prescribing

• Clinical information displayed during
  prescription process
• Patient Eligibility
• Formulary Information
• Medication History
• Pharmacy Fill History
• Real-time clinical decision support tools
• Drug-Drug Interaction Checking
• Drug-Allergy Interaction Checking
• Appropriate Dosage Checking
• Duplicate Therapy Alerts
• Write a new prescription in seconds-with one
  click, you can
• Access renewal requests from pharmacies
• Renew multiple patients medications
• Write a new prescription from your Favorites list
  

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Benefits of Electronic Prescribing

• Improves efficiency
• Minimizes time spent phoning and faxing to
  clarify prescriptions, authorize renewal requests
  and ensuring formulary compliance
• Inbound and outbound calls reduce by more than
  50
• Increases staff productivity
• Simplifies staff workflow, allowing completion of
  refill authorizations in seconds, not hours
• Enables remote access to patient medications and
  allergies
• Re-allocate staff time to other activities
• Send prescriptions electronically to the
  patients pharmacy of choice, including
  mail-order pharmacies
• Split prescription functionality
• Send starter dose to local pharmacy and
  additional prescription to mail order in a single
  transaction

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Benefits of Electronic Prescribing

• Improves quality of care
• Improves safety and quality of care drug-to-drug
  drug-allergy checking, medication history
• Reduces errors due to misread prescriptions and
  medications with similar sounding names
• Increases patient satisfaction
• Decreases pharmacy wait times while improving
  safety
• Formulary compliance can reduce co-pays

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What To Look For in a System

• Satisfies MIPPA requirements which qualify
  physicians for annual bonuses Physician designed
  software
• Clean and easy-to-navigate interface
• Easy to read menus, logical action sequences and
  simple workflow design
• Patient information protected by strict privacy
  and security measures
• Stepping Stone to EMR
• Integrated with over 75 EMR partners
• Interface with the EMR of your choice

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E-Prescribing and Medicare

• CMS Promotes E-Prescribing because
• Potential to improve Patient Safety
• Legible prescription
• Drug interaction Alerts
• Drug-Allergy Alerts
• Drug Dosage Alerts
• Potential to save Money
• Formulary Compliance
• Generic Substitution

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• Beginning January 1, 2009, CMS has provided an
  incentive to successful e-prescribers.
• The sooner providers participate in the program,
  the greater their incentive payment will be.
• Beginning in 2012, if providers DO NOT become a
  successful e-prescriber, they will be subject
  to a differential payment or financial penalty
  from CMS.
• You need a qualified e-prescribing system to
  participate.
• You should become familiar with the necessary
  G-codes for reporting.
• Providers can prescribe controlled substances and
  still report on the e-prescribing quality measure
  by reporting G-code G8446.

• 6 Major Points You Need to Know

Medicare Incentives 2009
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Transition PQRI to E-Rx Incentive

• PQRI Physician Quality Reporting Initiative
• In 2008 E-Rx was one reportable quality measure
  on the PQRI program
• E-Rx is no longer included in PQRI, but is
  separate
• Beginning 2009, physicians who prescribe for
  Medicare patients are eligible for a 2 increase
  on their Medicare reimbursement payment.
• The federal government implemented the Medicare
  Improvements for Patients and Providers Act
  (MIPPA) as an initial step towards mandating
  e-prescribing technology.
• If you havent begun- you missed 2009 incentives-
  but it is not too late you are still eligible
  for incentive payments!
• Providers who delay utilization of e-prescribing
  technology will be penalized for non-compliance.

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Medicare Incentive Payments by Year

• Incentive Payments are calculated by Calendar
  Year
• 2009 2
• 2010 2
• 2011 1
• 2012 1 Penalties start - 1
• 2013 0.5 Penalty 1.5

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What is a Qualified E-Prescribing System?

• The ability to generate a complete medication
  list that incorporates data from pharmacies and
  benefit managers (if available)
• The ability to select medications, transmit
  prescriptions electronically, and warn the
  prescriber of possible undesirable or unsafe
  situations
• Providing information on lower-cost,
  therapeutically-appropriate alternatives (tiered
  formulary information, if available, meets this
  requirement)
• Providing information on formulary or tiered
  formulary medications, patient eligibility, and
  authorization requirements received
  electronically from the patients drug plan

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• Report one of the G-codes listed below on more
  than 50 of applicable cases for the following
  numerator. Each of the codes (even the code for
  not generating prescriptions) count toward the
  e-prescribing incentive. One of the G codes must
  be reported on the same claim as the denominator
  billing code.

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Eligibility for E-Rx Incentive

• CMS will measure your reimbursement by dividing
  the g-codes by the CPT codes submitted.

• At least 10 of Medicare Part B allowable charges
  are for services with codes
• 90801,90802,90804,90805,90806,90807,90808,90809,92
  002,92004,92012,92014,96150,96151,96152,99201,9920
  2,99203,99204,99205,99211,99212,99213,99214,99215,
  99241,99242,99243,99244,99245,99381,99382,99383,99
  384,99385,99386,99387,99391,99392,99393,99394,9939
  5,99396,99397,G0101, G0108,G0109

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Implementing an E-Rx System

• Integrating an E-Rx System into office
  operations
• Enable all Staff and Providers
• Replace paper documents with System-generated
  documents and screen-shots
• Provide patients with updated medication lists
  from the system to improve compliance
• Send prescriptions during patient encounter to
  increase patient satisfaction

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Act Soon for the Most Revenue

• Its not too late! Adopt e-prescribing soon and
  be sure that you meet federal requirements to
  collect the incentives for 2009.
• The longer you wait, the less likely you will
  meet the requirements!

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MeaningfulUse

• Electronic prescribing is widely recognized as
  fulfilling 5 major components critical to
  promoting meaningful use of electronic health
  records (EHR)
• Improve quality, safety, efficiency, and reduce
  health disparities
• Engage patients and their families
• Improve care coordination
• Improve population and public health
• Ensure adequate privacy and security protections
  for personal health information

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Why Now?

• Starting January 1, 2009 Medicare Part D
  prescriptions must be sent electronically.
  Financial incentives for e-prescribing usage and
  penalties after 2012 for not e-prescribing. (Bill
  HR6331 sec 132)
• Minnesota governor signed law requiring all who
  prescribe or dispense medications in the state
  must use an electronic system by 2011 (Modern
  Healthcare)
• In July 2006, the Institute of Medicine
  recommended all prescriptions be written
  electronically by 2010 (IOM Preventing Medication
  Errors, 2006)

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Stepping Stone to EMR

• Easy to Implement
• Smooth transition to EMR/PMS
• Increased Productivity and Revenue
• Patient Safety
• Pre-Populate your Future EMR/PMS

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• Live Demonstration of the Award Winning DrFirst
  Rcopia ePrescribing System

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Questions and Answers

• Contact Info
• Lauren Shores Shillinger
• Retail Sales Manager
• DrFirst
• Toll Free  [phone], x2652
• Cell  [phone]
• Email  lshores_at_drfirst.com