Author: Linda E. Swayne, Jack Duncan, Peter M. Ginter

 

Ed/Year: 7th Edition 2013

 

Publisher: John Wiley & Sons

 

E-prescription

According to the US Department of Health and Human Services, electronic prescribing, also called e-prescribing, is the computer-based electronic generation, transmission, and filling of a prescription that replaces paper and faxed prescriptions. E-prescribing allows the providers to electronically transmit a new prescription or renewal authorization to a community or mail-order pharmacy. E-prescribing delivers eligibility, formulary, and medication history data and provides additional clinical decision support.

 

The health care system is large and complex, and information technology is critical for it’s functioning. The applicability of Information Technology to connect the various actors and to make the system smart, efficient, cost effective, safe, and sustainable is inescapable.

 

E-Prescribing is one such aspect of the health care system where the benefits of Information Technology are seen for the following reasons:

 

E-prescribing, with formulary decision support, could allow prescribers to select lower cost generic medications and ease the financial burden on patients.

Improved patient safety due to reduced errors, not only allows for the wellbeing of the patient, but reduced malpractice lawsuits and hence may reduce insurance costs for the providers.

Prescribers can meet therapeutic guidelines that are cost effective for the patient.

E-prescriptions allow for more number of prescriptions to reach the pharmacy and higher first fill medication adherence by patients, thus eliminating higher health care costs at a later date due to neglect.

The average medical practice spends several hours a day managing prescriptions renewal requests by phone or fax. Physicians can expect considerable savings in lost time.

Significant health care cost reduction may be achieved. Electronic medication information helps enforce drug formulary conformance, informs the physician of the member copayment impact of selected drugs, and prevents rejected prescriptions at the pharmacy.

 

Resources:

Ratanawongsa, N., Lenny L. S. Chan, Fouts, M. M., & Murphy, E. J. (2017). The challenges of electronic health records and diabetes electronic prescribing: Implications for safety net care for diverse populations. Journal of Diabetes Research, 2017 doi:10.1155/2017/8983237

 

Kaushal, R., Kern, L. M., Barrón, Y., Quaresimo, J., & Abramson, E. L. (2010). Electronic prescribing improves medication safety in community-based office practices. Journal of General Internal Medicine, 25(6), 530-6. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1007/s11606-009-1238-8

 

Beard, R. J., & Smith, P. (2013). Integrated electronic prescribing and robotic dispensing: A case study. Springerplus, 2(1), 1-7. doi:10.1186/2193-1801-2-295

 

Ellsworth, M. A., M.D., Aakre, C. A., M.D., Dziadzko, Mikhail,M.D., PhD., Peters, S. G., M.D., Pickering, Brian W,M.B., B.Ch, & Herasevich, Vitaly,M.D., PhD. (2016). Early computerization of patient care at mayo clinic. Mayo Clinic Proceedings, 91(7), E93-E101. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1016/j.mayocp.2016.04

 

Lan, H., Thongprayoon, C., Ahmed, A., Herasevich, V., Sampathkumar, P., Gajic, O., & O’Horo, J. C. (2015). Automating quality metrics in the era of electronic medical records: Digital signatures for ventilator bundle compliance. BioMed Research International, 2015, 1-6. doi:10.1155/2015/396508

 

E-Prescribing

E-prescribing is the transmission of prescription or prescription-related information using electronic media between a prescriber, dispenser, pharmacy benefit manager, or health plan, either directly or through an intermediary, including an e-prescribing network.

 

In an effort to understand the benefits and cautions about e-prescribing, conduct thorough research. For your assignment, create a 4- to 6-page report in Microsoft Word document consisting of your research findings covering your responses to the following questions:

 

Evaluate three pros and three cons of e-prescribing.

Summarize the e-prescription standards as described by the National Council for Prescription Drug Programs.

Evaluate the projected cost and time savings as estimated by the United States Department of Health and Human Services.

Comment on the controversy surrounding the 2013 e-prescribing penalty.

Use the following resources, and 2 outside resources and your text book for this assignment.

 

Ratanawongsa, N., Lenny L. S. Chan, Fouts, M. M., & Murphy, E. J. (2017). The challenges of electronic health records and diabetes electronic prescribing: Implications for safety net care for diverse populations. Journal of Diabetes Research, 2017 doi:10.1155/2017/8983237

 

Juszczyk, D., Charlton, J., McDermott, L., Soames, J., Sultana, K., Ashworth, M., . . . Gulliford, M. C. (2016). Electronically delivered, multicomponent intervention to reduce unnecessary antibiotic prescribing for respiratory infections in primary care: A cluster randomized trial using electronic health records-REDUCE trial study original protocol. BMJ Open, 6(8) doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1136/bmjopen-2015-010892

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