Vermont ePrescribing Program

1
The E-Prescribing Advantage

• Vermont ePrescribing Program
• Initial Kick-off Meeting
• March 12, 2009
• Tom Groom
• SVP, Business Development

2
Surescripts Overview

• Surescripts is the result of a 2008 merger
  between the countrys two leading health
  information networks RxHub and SureScripts.
• Surescripts gives healthcare providers
• Secure, electronic access to prescription
  information that can save their patients lives,
• Improve efficiency and reduce the cost of
  healthcare for all.
• Available during emergencies or routine care, the
  Surescripts network is used every day by
  thousands of physicians, physician assistants,
  nurse practitioners and other prescribers across
  all 50 states.
• The Surescripts network connects these
  prescribers to all of the nations major chain
  pharmacies, the nations leading payers and
  independent pharmacies nationwide.

Founders
Surescripts
3
Surescripts Services

• Prescription Benefit Access to more than 220M
  member records uniquely identified using
  demographic elements. Information includes
  patient pharmacy eligibility, benefit and
  coverage, and formulary at the point of care.
  Patient eligibility is also available to
  pharmacists at the point of dispensing.
• Prescription History Drug history for all
  patient coverages and includes original
  prescription and refills. Data can indicate
• Information is available for outpatient,
  inpatient and emergency departments.
• Prescription Routing Electronic delivery of
  prescriptions between prescribers and pharmacies
  and refill requests between pharmacists and
  prescribers.

• Patient compliance with prescribed regimens
• Therapeutic interventions
• Drug-drug and drug-allergy interactions
• Adverse drug reactions
• Duplicate therapy

Surescripts
4
Payer Member Records March 2009
220M Member Records Accessible through Surescripts

• Authorized access provided to 27 data sources
  (payer system platforms)
• 49 states have patient accessibility of 50 or
  greater (includes D.C. and Puerto Rico)
• Average multiple coverage rate is 15
  nationwide
• Accessible patient age stratification
• 18 - 64 yrs 60
• 65 yrs 19

Includes lives accessible in production, does
not include lives under contract Based on
eligibility requests received by
SureScripts-RxHub in 2008
Surescripts
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Prescription Benefit

• Provides electronic delivery of patient
  prescription benefit information from payers to
  prescribers in the ambulatory care setting.

• Patient Eligibility Data
• Name, Address, Date of Birth, Gender
• Cardholder, Group, Health Plan, PBM
• Retail/Mail Benefit Status, Student Status
• Patient Formulary Data
• Formulary Status, Medication Alternatives
• Drug Coverage, Co-pay

Surescripts
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Prescription History
Provides electronic delivery of patient
prescription history from payers and pharmacies
to prescribers.

• Prescription History Data
• Date Range of History
• Drug Name (Brand/Generic)
• Oldest Fill Date, Most Recent Fill Date
• Number of Fills, Days Supply, Quantity Dispensed
• Pharmacies/Prescribers

Surescripts
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Prescription Routing
Provides the exchange of electronic prescriptions
between prescribers and pharmacists

• Physician and pharmacy distribution lists
• New prescription routing to retail and mail order
  pharmacies
• Prescription Renewal/Refill routing from pharmacy
  to physician
• Prescription Change request
• Prescription Fill Status from pharmacy to
  physician (future)

Surescripts
8
Medication History for Hospitals

• Provides clinicians convenient access to
  up-to-date medication history for patients they
  are treating in an inpatient setting
• Person search
• Dispensed claims medication history
• Delivered to the acute care setting via strategic
  distribution partners (DrFirst, Emerging Health,
  GE Healthcare, Healthcare Systems, InterMedHx,
  Regenstrief, Siemens, others)
• HL7 Interface
• ADT
• RDS
• ORU

Surescripts
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Surescripts Participants March 2009
Payers Aetna Argus BCBS Alabama CatalystRx CVSCa
remark RxAmerica Excellus Express
Scripts HealthTrans InformedRx Laker Software
Navitus McKesson/Relay Health Medco Health
Solutions MedImpact MedMetrics Health
Partner PharmaStar Pharmacy Data Management,
Inc. Prescription Solutions Prime Therapeutics
BCBS Illinois BCBS Florida BCBS Texas
BCBS Oklahoma BCBS New Mexico BCBS Kansas
BCBS Nebraska RESTAT SXC Independent Health
MC-21 Presbyterian Health US Scripts Walgreens
Health Initiatives WellPoint
Medicaid (Fee For Service) ACS New Mexico EDS,
an HP Company Arkansas Delaware
Connecticut MediCAL First Health Services
Corporation New Hampshire Michigan Nevada
South Carolina MedMetrics
Hospital Distributors DB Motion DrFirst Emerging
Health GE Healthcare Healthcare
Systems HealthVision Integrated
Informatics InterMedHx Regenstrief
Institute Siemens Healthcare Standard
Register Emergency Preparedness Laker SW
ePAP ICERx.org
Retail Pharmacy Networks ACME Albertsons Aurora CV
S Caremark Duane Reade eRx Network FredMeyer Fred
s Frys Giant Giant Eagle Good Neighbor Hannaford
Happy Harrys Harris Teeter HyVee Kerr
Drug Kmart Longs Drugs MediCap Medicine
Shoppe Meijer Osco Pathmark
QFC Ralphs Rite Aide RNA Safeway Sams
Club SavMor Savon ShopRite Smiths StopShop Sweet
bay SXC RxExpress Target Times Ukrops Walgreens W
al-Mart Winn Dixie and thousands of
Independent Pharmacies
Connectivity Partners Laker SW Health Vision SXC
Mail Pharmacy Networks CVS Caremark Express
Scripts Medco Health Services Prescription
Solutions Prime Therapeutics Walgreens WellPoint,
NextGen
BOLD - Participant in production ITALICS -
Participant in certification NORMAL - Participant
contracted
Surescripts
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Surescripts Participants March 2009
Standalone Electronic Prescribing Systems
Electronic Medical Record (EMR) Systems
ACS Heritage AllscriptsMisys AlphaSante
Group Cerner DAW Systems Dental
Associates DrFirst eHealth Solutions Gold
Standard H2H iMedX InstantDx iScribe LighthouseMD
MedPlus MediVoice Navimedix NetSmart
Tech. NewCrop OA Systems Prematics RelayHealth RxN
T Zix Corporation
4Medica ABELSoft Agastha Allscripts Altos
Solutions ASP.MD Athenahealth Axolotl Bizmatics BM
A Enterprises Cerner ChartConnect CliniPath Clinit
ech Clinx, LLC ClinixMIS CPSI CureMD Design
Clinicals digiChart Doc-U-Chart Doctations e-MDs e
Clinical Works Eclipsys
EHS EncounterPRO Epic EScribe EMR Essence
Group Glenwood Systems gloStream gMed Health
Systems Research Henry Schein Medical
Systems HealthPort iMedica Ingenix Integrated
Health Care Solutions InteGreat Integritas iSALUS
Kryptiq Leum Software LSS Data Systems Marshfield
Clinic MD Web Solutions McKesson MedAppz MedComSof
t MedConnect
MEDENT Medi-EMR Medical Communication
Systems MedicaLinx MedicSoft Meditech MedNet
System MedPlexus NextGen Nightingale Noteworthy Po
laris Management Practice Partner Prime Clinical
Systems Pulse Systems Purkinje RxNT SAGE
Software SmartEMR/VIPA Health SOAPware/DOCs Sonix
Healthcare Solutions SRS Software SSIMED STI
Computer Services Synamed US Health Record
Systems Waiting Room Solutions Wellogic Wenatchee
Valley Medical Center Workflow
BOLD - Participant in production ITALICS -
Participant in certification
Surescripts
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For More Information
The E-Prescribing Resource Center www.surescripts.
com A Comprehensive Resource Center for Payers,
Prescribers and Pharmacists
Thank You!