The document defines electronic prescribing as the electronic transmission of prescription information between a prescriber, dispenser, pharmacy benefit manager, or health plan. It outlines some barriers to e-prescribing such as costs and potential impacts on workflow, as well as benefits like improved patient care and reduced healthcare costs. The document also discusses government incentives for e-prescribing and notes that an interim final rule now allows electronic prescriptions for controlled substances.

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2. Barbara Brownlee, Electronic Health Records Specialist, MxSecure With MxSecure since 2006 30 years in healthcare 17 years Sales and Marketing experience BS in Medical Technology, Medical College of Georgia

3. Definition of e-Prescribing Process Barriers Benefits Incentives

4. E-prescribing means the transmission, using electronic media, of prescription or prescription-related information between a prescriber, dispenser, pharmacy benefit manager, or health plan, either directly or through an intermediary, including an e- prescribing network. E-prescribing includes, but is not limited to, two-way transmissions between the point of care and the dispenser. Source: eHealth Initiative and The Center for Improving Medication Management. Electronic Prescribing: Becoming Mainstream Practice. June, 2008.

5. Clinician prescribes medication using either: Stand-alone e-Prescribing system CPOE system CPOE integrated within an EHR system Check for interaction, intolerances and formulary compliance Transmission Dispensing

6. Cost of systems Potential negative impact on physician workflow and productivity Pharmacy ability to accept electronic Rx Inability to electronically prescribe controlled substances

7. Improved patient care Reduction in healthcare costs Office efficiency Government incentives

8. CMS incentive table 2009 2010 2011 2012 2013 Beyond Incentive 2% 2% 1% 1% 0.5% None Penalty None None None 1% 1.5% 2%

9. Eligible professionals must report the electronic prescribing quality measure through Medicare Part B claims on at least 50% of applicable cases during the reporting year Estimated allowed Medicare Part B charges for the e-Rx measure codes must total at least 10% of total Medicare Part B allowed charges. Refer to www.cms.gov for details

10. Physician Physical or Occupational Therapist Qualified Speech-language Pathologist Nurse Practitioner Physician Assistant Clinical Nurse Specialist Certified Registered Nurse Anesthetist Certified Nurse Midwife Clinical Social Worker Clinical Psychologist Registered Dietitian Nutrition Professional Qualified Audiologist

11. Final Interim Rule regarding Electronic Prescriptions for Controlled Substances was recently published Practitioners now have the option to write Rx for controlled substances electronically

12. Defined and looked at process for electronic prescribing Benefits can outweigh barriers Incentives in place today for using electronic prescribing

13. For more information contact: MxSecure, Inc. 888.580.1010 [email_address] www.MxSecure.com