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Florida ePrescribe Clearinghouse

  

ePrescribing and Health Information Exchange in Florida


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Florida Metrics

The table below shows an average of 63% of pharmacies in all Florida Metropolitan Statistical Areas (MSA) are actively receiving ePrescriptions. This number is slightly deflated due to the fact that a quarter of Florida’s pharmacies are in the Miami-Fort Lauderdale MSA, and only 44% are receiving ePrescriptions in this MSA. In the larger MSAs in Florida a greater percentage of pharmacies are actively receiving ePrescriptions, for example 67% in Tampa, 72% in Orlando and 74% in Jacksonville. Punta Gorda has the highest percentage in the state, with 83% of pharmacies ePrescribing

Based on 2007 data from SureScripts, the below table shows pharmacies that are activated to receive ePrescriptions and those that are actively ePrescribing across all Florida MSAs.

Metropolitan Statistical Area (MSA)

Number of
Pharmacies

ePrescribing
Activated

Active in
ePrescribing

Punta Gorda, FL MSA

35

29

83%

29

83%

Panama City, FL MSA

40

33

83%

32

80%

Fort Pierce-Port St. Lucie, FL MSA

84

69

82%

67

80%

Gainesville, FL MSA

50

40

80%

39

78%

Fort Myers-Cape Coral, FL MSA

147

117

80%

114

78%

Ocala, FL MSA

73

57

78%

56

77%

Naples, FL MSA

80

64

80%

61

76%

Lakeland-Winter Haven, FL MSA

121

95

79%

92

76%

Jacksonville, FL MSA

308

231

75%

228

74%

Melbourne-Titusville-Palm Bay, FL MSA

123

91

74%

91

74%

Daytona Beach, FL MSA

132

95

72%

95

72%

Orlando, FL MSA

516

385

75%

369

72%

Tallahassee, FL MSA

71

51

72%

50

70%

Sarasota-Bradenton, FL MSA

196

137

70%

133

68%

West Palm Beach-Boca Raton, FL MSA

325

226

70%

218

67%

Rest of Florida

279

194

70%

187

67%

Tampa-St. Petersburg-Clearwater, FL MSA

741

489

66%

476

64%

Fort Walton Beach, FL MSA

44

33

75%

26

59%

Pensacola, FL MSA

109

64

59%

61

56%

Miami-Fort Lauderdale, FL CMSA

1,314

593

45%

572

44%

Total

4,788

3,093

65%

2,996

63%

 

Based on statistics provided by SureScripts, the number of health care professionals who are ePrescribing (ePrescribers) almost doubled in 2007 as shown in the below graph. The increase in the number of ePrescribers shows a steady upward trend that increases its pace toward the end of the year.  Between January and June, an average of 58 new practices began ePrescribing, compared to 115 per month between July and December.  Over the year, the number of ePrescribers increased by 80%.

The below graph also shows the number of new prescriptions and prescription refills sent via ePrescribing in 2007. In January there were 64,192 transactions, which increased to a high of 202,225 transactions in November. There was a 199% increase in ePrescriptions between January and December. The change in transactions also demonstrates an increase in the actual number of ePrescriptions submitted by each physician. In January each physician submitted an average of 50 ePrescriptions per month. By June this had climbed to an average of 72 ePrescriptions per physician, and reached its peak in November with 92 ePrescriptions per physician. These numbers indicate that ePrescribing transactions increased not only because there were more physicians writing them, but because physicians wrote more ePrescriptions throughout the year.

 

Total ePrescribing transactions do not tell the entire story. There are different types of ePrescribing transactions – for new prescriptions, for refills requests and refill responses. The graph below breaks down the ePrescribing transactions into these component types, based on statistics reported by SureScripts. Clearly, new prescriptions make up the greatest number of prescriptions in 2007, at about 47% of all prescriptions. They are also the fastest growing type of transaction, with a growth rate of 224% between January and December. These figures suggest that much of the ePrescribing activity in 2007 came about through physicians moving from writing paper prescriptions into the ePrescribing system as doctors came online. Refills also increased through the year, though at a lower 196% growth rate. To the extent that physicians write prescriptions that need refills, and there are no data at present to check that rate, the number of refills will tend to follow the growth curve of new prescriptions, as is indicated below. Refill responses follow a similar curve as refill requests, though with a smaller number of transactions, indicating that not all prescriptions are refilled. The growth rate through the year for the refill responses is 152%.

Graph of ePrescribing Transaction



Several types of transactions are shown in the below table.  Data from RxHub report the number of eligibility requests the company received combined with the number of medication the company returned to e-prescribers in Florida. It also shows the total number of new prescriptions, refill orders from physicians and refill requests from pharmacies for RxHub, SureScripts and eRx (which submitted on 4th quarter 2007 data).  By presenting data on all electronic transactions across Florida, it is possible to build up a picture of network activity that comprises the cycle of ePrescribing, from requesting eligibility to refilling prescriptions.

Total 2007 E-prescribing Transactions in Florida by Metropolitan Statistical Area


Florida
Metropolitan Statistical Area

Eligibility Requests

New Prescriptions, Refill Requests and Refill Orders, 2007

Total Electronic Transactions

 

RxHub

RxHub

SureScripts

eRx
4Q Only 

All Vendors

Tampa-St. Petersburg-Clearwater

363,388

1,642

456,421

29,168

850,619

Miami-Fort Lauderdale

162,664

12,667

399,416

3,338

578,085

Jacksonville

218,981

1,492

303,053

2,065

525,591

Orlando

16,172

433

176,000

7,352

199,957

Tallahassee

14,539

43

146,561

707

161,850

West Palm Beach-Boca Raton

56,961

589

110,259

1,073

168,882

Rest of Florida

20,027

21

88,246

2

108,296

Melbourne-Titusville-Palm Bay

79,121

912

69,939

761

150,733

Sarasota-Bradenton

57,824

513

55,912

695

114,944

Fort Myers-Cape Coral

42,590

652

54,490

2,764

100,496

Gainesville

5,868

23

49,422

4,191

59,504

Daytona Beach

61,909

803

45,113

2,558

110,383

Ocala

87,465

523

44,302

1,472

133,762

Lakeland-Winter Haven

36,204

192

41,549

915

78,860

Punta Gorda

9,230

208

38,981

95

48,514

Fort Pierce-Port St. Lucie

7,887

114

26,434

50

34,485

Naples FL

10,959

144

12,910

351

24,364

Pensacola FL

9,279

2,129

10,167

1,031

22,606

Fort Walton Beach FL

7,998

71

9,259

501

17,829

Panama City FL

125,786

367

3,529

6

129,688

Total

1,394,852

23,538

2,141,963

59,095

3,619,448

 
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