E-prescription group presentation about our mission in Nasser Institute

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E-prescription group presentation about our
mission in Nasser Institute
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(No Transcript)
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Our Mission

• To promote for E-prescription deployment in
  Nasser Institute through identification of
  E-prescription and its importance and benefits
  vs. handwritten prescription

• Objectives

• Promoting for E-prescribing deployment
• Convincing them to deploy E-prescription
• Providing them with data about E-prescribing
• Promoting for information technology solutions

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

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

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Our Promoting Task Will Depend On

• Defining E-prescription.
• Make short presentation to simply show how it
  works and presenting its advantage and benefits.
  
• Showing a quick tutorial about E-prescription
  https//eprescribe.allscripts.com/help/tutorial.as
  px
• Giving them E-prescribing tool buyers guide to
  help them to evaluate many tools.
• Giving them most FAQs about E-prescription.
• Collecting some data about handwritten
  prescriptions.
• Follow up with them by supplying them with more
  data about E-prescription via E-mail and blog

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What is E-prescription?

• 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.
• 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

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• How Can It Improve Clinical Workflow?

• 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
• Reduce healthcare costs
• Increase efficiency
• Improve patient safety
• Provide a single view of prescriptions from
  multiple clinicians
• Eliminate handwritten prescription errors and
  decrease pharmacy callbacks(150 million yearly)
  and rejected scripts(30)
• Decrease time of picking up prescriptions. 
• The process is secure and HIPPA compliant

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• What E-prescribing can do?

Disadvantage of handwritten prescriptions
E-prescribing can do

• Illegible hand writing

• Can be clearly read

• look-alike or sound-alike drugs can be confusing

• Cant be mixed up

• Cant provide data about drug-to-drug
  interactions, drug allergy reactions

• Can provide data and alerts about drug - drug
  interactions drug allergy reactions

• Allow duplication of drugs

• Give alerts in case of duplication of drugs

• Cant provide drug pricing information

• Provide drug pricing information

• Cant Provide for real-time communications
  between doctors, pharmacies and patients

• Can Provide for real-time communications between
  doctors, pharmacies and patients

• Can Provide payer coverage preferred drug
  information

• Cant Provide payer coverage preferred drug
  information

• Can provide for complete patient medication
  history

• Cant provide patient medication history

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• 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
Overall growth - 131 180
Active E-prescribers 36000 74,000 156,000
Connected pharmacies 41000 46,000 53,000

• 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-progre
  ss-report.pdf

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(No Transcript)
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How it works
Sign in
Identify patient
Review current patient data
Select drug
Enter parameters
Authorize and sign
Select pharmacy print or send Rx
Pharmacy review and process
Review alerts and advices
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• E- Prescribing Tool Tutorial

• We are going to show tutorial of eRx Now which
  is the most widespread E-prescribing tool in USA
  now to show how the system easily work.
  https//eprescribe.allscripts.com/help/tutorial.as
  px

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• Choose medication

• Choose pharmacy

• Select patient

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• I-phone Guide Application Of eRx-now

The main screen find patient-schedule-task list
Write the patient name
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Check for patient problems allergies and active
medication taking
Select the right patient
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Patient' medication history-may prescribe one of
them or tap on Choose Med
Type at least 3 letters then tap Search
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Select the appropriate dosage form and
concentration
The application is searching for the drug
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Type the duration of medication Tap Next button
Select the dose
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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
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If you are finished writing prescriptions for
this patient, you can tap the Done button
Choose the pharmacy
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• How To Implement E-prescribing Tool

• There are two choices available when you consider
  an E-prescribing system either
• A standalone system
• E-prescribing within an EHR system.

1. A Standalone system

• Is less costly and less complex to implement,
  and thus can be implemented more quickly than an
  EHR system.
• E-prescribing systems store and manage patient
  data specific to the prescribing process (e.g.,
  medication history, medication allergies )

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2. An EHR system with an integrated E-prescribing
module offers the advantage of

• 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.
• Adding to a clinicians ability to make the most
  informed medication choices for their patients.
• EHR systems may also often offer a broader range
  of clinical decision support, including
  notification of needed screening tests,
  immunizations, etc.
• Physician practices are increasingly using
  E-prescribing within an EHR system, due to the
  EHR systems more comprehensive functionality,
  which enables greater gains in quality and
  safety.

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• Choosing The Right Path to Electronic
  Prescribing for your Practice

• Start by asking whether your practice is ready
  for standalone electronic prescribing or an
  electronic health record (EHR) system. 
• 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. 
• Compare( evaluate) features of different
  electronic prescribing systems. 

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• How To Evaluate Features Of The
  E-prescribing System

• We can use E-prescribing system buyers 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

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• E-prescribing Implementation Toolset

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

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A) Increase of Self Medication OTC drugs B)
Direct-To-Consumer Advertising (DTC) C) System
cannot indicate where consumer obtain
medication D ) Lock Of Insurance Coverage E)
Complience (patient drug taking behaviour is
unclear) F) Frank ErrorsError s in prescribing
(wrong patient ,drug ,dose ,duration of
action) G) Wrong diagnosis H) Tacking the place
of face to face Encounters HC professionals need
to interact by phone as will as interact
electronically
A) Increase of Self Medication OTC drugs B)
Direct-To-Consumer Advertising (DTC) C) System
cannot indicate where consumer obtain
medication D ) Lock Of Insurance Coverage E)
Complience (patient drug taking behaviour is
unclear) F) Frank ErrorsError s in prescribing
(wrong patient ,drug ,dose ,duration of
action) G) Wrong diagnosis H) Tacking the place
of face to face Encounters HC professionals need
to interact by phone as will as interact
electronically

• Limitation Of E-prescribing

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

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What if every thing goes wrong?

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

http//www.scribd.com/doc/33079842/S56-E-Prescribi
ng-Standards-and-Adoption
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• Distribute most FAQs about E-prescription

• We are going to distribute hand out of FAQs about
  E-prescription which simply answer their
  inquiries.

• Collect Data about the most common problems
  caused by handwritten prescription

• 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.

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• For more information and inquiries

contact us

• Our blog http//hiprescription.wordpress.com
• Our E-mail hiprescription_at_gmail.com

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E-prescription Group Health Informatics
Fellowship 2010 ITI