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Electronic Health Records - MxSecure

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Title: Electronic Health Records - MxSecure


1
Electronic Health Records Electronic
Prescribing Barriers, Benefits Incentives
  • Sponsored by

2
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

3
Agenda
  • Definition of e-Prescribing
  • Process
  • Barriers
  • Benefits
  • Incentives

4
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.

5
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

6
Barriers
  • Cost of systems
  • Potential negative impact on physician workflow
    and productivity
  • Pharmacy ability to accept electronic Rx
  • Inability to electronically prescribe controlled
    substances

7
Benefits
  • Improved patient care
  • Reduction in healthcare costs
  • Office efficiency
  • Government incentives

8
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
9
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

10
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

11
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

12
Summary
  • Defined and looked at process for electronic
    prescribing
  • Benefits can outweigh barriers
  • Incentives in place today for using electronic
    prescribing

13
Questions?
  • For more information contact
  • MxSecure, Inc.
  • 888.580.1010
  • sales_at_mxsecure.com
  • www.MxSecure.com
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