Eprescription group presentation about our mission in Nasser

E-prescription group presentation about our mission in Nasser Institute

Our Mission To promote for E-prescription deployment in Nasser Institute through identification of E-prescription and its importance and benefits vs. handwritten prescription l Objectives l Promoting for E-prescribing deployment l Convincing them to deploy E-prescription l Providing them with data about E-prescribing l Promoting for information technology solutions

Our Group Members l Alia Tarek Abaza l Caroline Galal George l Maha Aly Rezk l Maha Mohamed Abd Elkhalek l Eman Yehia Mahmoud l Gihan Mohamed l Lobna Gamal Abdel Nasser l Mohamed Mostafa l Manar Mohamed Kamel Sakr l Mohamed Ahmed Mansour l Mohamed Ahmed Almarsfawy l Nesma Mohamed Kamel Albendary l Nisreen Gamal Attallah l Rania Fawzi Abd El. Geleel

Our Preparation Plan l Make our own blog, wiki page & E-mail to share ideas and collected materials. l Collect data about Nasser Institute. l Collect materials about E-prescription which will help us to promote for it. l Prepare short presentation to promote for E-prescription. l Pick an E-prescribing tool tutorial. l Prepare data collection forms (questionnaire).

Our Promoting Task Will Depend On l Defining E-prescription. l Make short presentation to simply show it works and presenting its advantage and benefits. l Showing a quick tutorial about E-prescription https: //eprescribe. allscripts. com/help/tutorial. aspx l Giving them E-prescribing tool buyer’s guide to help them to evaluate many tools. l Giving them most FAQs about E-prescription. l Collecting some data about handwritten prescriptions. l Follow up with them by supplying them with more data about Eprescription via E-mail and blog

What is E-prescription? l Electronic prescribing or “E-prescribing” is the computer-based electronic generation, transmission and filling of a prescription, taking the place of paper and faxed prescriptions. E-prescribing allows a physician to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. l Electronic prescribing or E-prescribing is the electronic transmission of prescription information from the prescriber's computer to a pharmacy computer. It replaces a paper prescription that the patient would otherwise carry or fax to the pharmacy

How Can It Improve Clinical Workflow? l l E-prescribing supports a shift to a paperless and more informed way for prescribers, payers and pharmacists to make better clinical decisions and improve clinical workflows related to medication management. It can actually : l Reduce healthcare costs l Increase efficiency l Improve patient safety l Provide a single view of prescriptions from multiple clinicians l Eliminate handwritten prescription errors and decrease pharmacy callbacks(150 million yearly) and rejected scripts(30%) l The process is secure and HIPPA compliant l Decrease time of picking up prescriptions.

What E-prescribing can do? Disadvantage of handwritten prescriptions E-prescribing can do l Illegible hand writing l Can be clearly read l look-alike or sound-alike drugs can be l Can’t be mixed up l Can’t provide data about drug-to-drug l Can provide data and alerts about drug - l Allow duplication of drugs l Give alerts in case of duplication of drugs l Can’t provide drug pricing information l Provide drug pricing information confusing interactions, drug allergy reactions drug interactions & drug allergy reactions l Can’t Provide for real-time communications l. Can Provide for real-time communications between doctors, pharmacies and patients l Can’t Provide payer coverage & preferred l Can’t provide patient medication history l Can provide for complete patient drug information medication history

E-prescription Deployment Growth In USA Item 2007 2008 2009 Electronic prescriptions 29 million 68 million 190 million New prescriptions 24 million 55 million 156 million Renewal requests 5 million 13 million 35 million - 131% 180% Active E-prescribers 36000 74, 000 156, 000 Connected pharmacies 41000 46, 000 53, 000 Overall growth • Source: "Advancing Healthcare in America: 2009 National Progress on E-Prescribing, Plus What's Ahead in 2010 and Beyond, " Surescripts, March 2 (www. surescripts. com/downloads/npr/national-progress-report. pdf

How it works Sign in Identify patient Review current patient data Select drug Enter parameters Authorize and sign Review alerts and advices Select pharmacy print or send Rx Pharmacy review and process

E- Prescribing Tool Tutorial l We are going to show tutorial of e. Rx –Now which is the most widespread E-prescribing tool in USA now to show the system easily work. https: //eprescribe. allscripts. com/help/tutorial. aspx

Select patient Choose pharmacy Choose medication

I-phone Guide Application Of e. Rx-now The main screen: find patientschedule-task list Write the patient name

Select the right patient Check for patient problems allergies and active medication taking

Patient' medication history-may prescribe one of them or tap on Choose Med Type at least 3 letters then tap Search

The application is searching for the drug Select the appropriate dosage form and concentration

Type the duration of medication Tap Next button Select the dose

This medication has created a DUR warning which happens to be a Duplicate Therapy you will have the ability to either IGNORE or you can tap CANCEL RX , which means that you will not be processing this to the patient

Choose the pharmacy If you are finished writing prescriptions for this patient, you can tap the Done button

How To Implement E-prescribing Tool l There are two choices available when you consider an Eprescribing system: either l A standalone system l E-prescribing within an EHR system. 1. A Standalone system l Is less costly and less complex to implement, and thus can be implemented more quickly than an EHR system. l E-prescribing systems store and manage patient data specific to the prescribing process (e. g. , medication history, medication allergies )

2. An EHR system with an integrated E-prescribing module: offers the advantage of l Having immediate electronic access to all patient data stored in the EHR system, including diagnoses, problem lists, clinical notes, laboratory and radiology results and orders. l Adding to a clinician’s ability to make the most informed medication choices for their patients. l EHR systems may also often offer a broader range of clinical decision support, including notification of needed screening tests, immunizations, etc. l Physician practices are increasingly using E-prescribing within an EHR system, due to the EHR system’s more comprehensive functionality, which enables greater gains in quality and safety.

Choosing The Right Path to Electronic Prescribing for your Practice l Start by asking whether your practice is ready for standalone electronic prescribing or an electronic health record (EHR) system. l Once you have decide on the type of solutions for your practice, you will have to contact software vendors to find out more about their products. l Compare( evaluate) features of different electronic prescribing systems.

How To Evaluate Features Of The E-prescribing System l We can use E-prescribing system buyer’s guide to compare between features of different E-prescribing systems against the most important functions and features before purchasing. • www. surescripts. com/media/593154/buyersguide_0209. pdf

E-prescribing Implementation Toolset: l Understand the required infrastructure & building blocks. l Set our goals & missions. l Plan work process changes. l Select an easy & applicable E-prescribing system. l Set up the technology. l Train the staff. l Launch the system. l Monitor & remediate shortfalls.

Limitation Of E-prescribing l Increase of Self Medication & OTC drugs l Direct-To-Consumer Advertising (DTC) l System cannot indicate where consumer obtain medication l Lock Of Insurance Coverage l Compliance (patient drug taking behaviour is unclear) l Frank Errors: Error s in prescribing (wrong patient , drug , dose , duration of action) l Wrong diagnosis can’t be eliminated l Taking the place of face to face Encounters l HC professionals need to interact by phone as will as interact electronically

What if every thing goes wrong? Our Backup plan if we failed in convincing them by using E- prescription : (PLAN B) l Persuade them by using E-prescription as a pilot project for few months in one department at least l Evaluate the progress in EMR, Compare the development before & after using the software l Follow up with them via: 1. Receiving E-mails of the recent reports of their progress 2. Sending them the sites of Hospitals which already implemented E-prescription and achieved completely change in their EMR.

http: //www. scribd. com/doc/33079842/S 56 -EPrescribing-Standards-and-Adoption

Distribute most FAQs about E-prescription l We are going to distribute hand out of FAQs about Eprescription which simply answer their inquiries. Collect Data about the most common problems caused by handwritten prescription l We are going to make a survey with short questionnaires for physicians and pharmacists about the most common problems caused by handwritten prescription which facing them and hindering workflow.

For more information and inquiries contact us l Our blog: http: //hiprescription. wordpress. com l Our E-mail: hiprescription@gmail. com

E-prescription Group Health Informatics Fellowship 2010 ITI