Results and Impact of Electronic Prescribing (e-Rx) Use

Ken Majkowski

A National Web Conference

Agency for Healthcare Research and Quality
November 2, 2007

Index of Slides : Text Mostly Version

  1. Results and Impact of Electronic Prescribing (e-Rx) Use; 3rd teleconference in a series of four on the Medicare Modernization Act e-RX Pilot Evaluation November 2, 2007
  2. ePrescribing Pilot Findings Ken Majkowski, Pharm D Vice President, Clinical Affairs and Product Strategy November 2, 2007
  3. Background
  4. RxHub Overview
  5. RxHub Success Factors
  6. RxHub Services
  7. No Title
  8. No Title
  9. No Title
  10. ePrescribing Pilot Participants
  11. Outcomes to Discuss
  12. Standards
  13. Formulary & Benefits Findings
  14. RxHub Master Person Index Coverage – October 2007
  15. ePrescribing Case Studies
  16. Medication History Findings
  17. Summary - Med History Focus Group Findings
  18. Long Term Care Findings
  19. Outcomes
  20. Conclusion
  21. Conclusion
  22. Thank You
  23. Studies of E-Prescribing Adoption and Use in the New Jersey E-Prescribing Action Coalition
  24. Medicare Modernization Act
  25. Conceptual Model
  26. New Jersey E-prescribing Action Coalition
  27. Methods: Adoption and Use Analysis
  28. Enrollment and Activation
  29. Factors Associated with Participation
  30. E-Prescribing Usage
  31. Factors Associated with eRx Use
  32. Methods: Qualitative Case Study
  33. Case Study Results
  34. Unsuccessful site
  35. Successful site
  36. Shifts in Work
  37. Methods: Prescriber Survey
  38. Overall Experiences with E-prescribing
  39. Conclusions
  40. Maximizing the Effectiveness of E-Prescribing Between Physicians and Community Pharmacies: Implementation
  41. OVERVIEW
  42. Evaluation Strategies:
  43. Patient Perspectives
  44. Variation in patient preference for e-prescribing
  45. Physician comments on patient preference
  46. Patients knowledge about e-prescribing
  47. Physician comments on consistency of e-rx use
  48. Patient expectations of prescription readiness
  49. Patient satisfaction with e-prescribing as dispensed at pharmacy
  50. Clinician perspectives
  51. How use of e-prescribing software has affected job compared to other methods
  52. Perceptions on how e-prescribing has impacted quality and safety
  53. E-prescribing compared to other methods in terms of communication w/ pharmacies
  54. Pharmacy relationship
  55. Pharmacy perspective
  56. Pharmacist perceptions
  57. More work to be done…..
  58. Industry perspective: Codified SIG
  59. Industry perspective: Codified SIG
  60. SUMMARY
  61. Summary
  62. Bibliography
  63. Northeast Ohio CMS eRx Project
  64. NEO eRx Project Participants
  65. NEO eRx: Workflow Overview
  66. No Title
  67. No Title
  68. Small Practice Adoption: Magic Mix
  69. Pre-Project eRx Adoption (All of UHMP)
  70. Pre-Project eRx Adoption (by Practice)
  71. eRx (Study) and Control Practices
  72. eRx and Control Practices
  73. e-Prescribing @ 25 UHMP Practices
  74. eRx / prescriber / mo (10/06 by practice)
  75. Surrogate-Based e-Prescribing
  76. Renewal Workflow Findings
  77. Characterizing Rx-Related Phone Calls
  78. eRx Impact on Call Types
  79. NEO eRx: Workflow Overview
  80. Eligibility Checking Workflow
  81. Jan à Dec ’06: 176K + responses / 300K checks (~59% hit rate)
  82. RxHub MPI Coverage in NEO (2006)
  83. Eligibility Checking Transactions ‘06
  84. Medication History Transfer Workflow
  85. Medication History Transfer Workflow
  86. June à Sept ’06: 46K med hx transfers (only 500 “views”)
  87. Medication History Actual “Views”
  88. Prescription Routing Transactions
  89. Prescription Routing Workflow
  90. NEO eRx: Workflow Overview
  91. Medication History (SureScripts)
  92. Medication History Test
  93. Med History Transfers vs. Views
  94. RxFILL / NoFILL
  95. RxFill / NoFILL Testing
  96. ePrior Auth (X12 278 + 275)
  97. Prior Authorization Testing
  98. Summary: Adoption and Workflow
  99. Summary: Standards

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