Guidance

Public-Private

eHealth Initiative and the Center for Improving Medication Management
June 11, 2008
"I am delighted to announce today, the release of the report Electronic Prescribing: Becoming Mainstream Practice which was developed collaboratively by the eHealth Initiative and The Center for Improving Medication Management, offering a detailed examination of the progress made, obstacles that remain, and recommendations for helping the nation's prescribers migrate from paper-based prescriptions to an electronic system. The report includes two corresponding guides that offer practical information for health care payers to support effective adoption, and for consumers to better understand e-prescribing's benefits and use. A third guide for prescribers is under development now, in collaboration with the AAFP, ACP, AMA and the MGMA and is expected to be released later this summer..."
Other eHI and CIMM guidance resources:
A Guide for Health Care Payers to Improve the Medication Management Process
A Consumer's Guide to e-Prescribing
A one-page consumer pamphlet - Understanding the Benefits of E-Prescribing

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RxHub
"The RxHub National Patient Health Information Network™ is the nation’s only network to provide secure access to more than 200 million people with prescription coverage in the United States. 

Prescription eligibility, benefit, formulary and medication history information is provided - for consenting patients - to authorized physicians at the point of care.  This real-time decision support information is used by physicians to prescribe the most clinically appropriate and cost effective medication for patients and enables Informed Prescriptions to be sent electronically to the patient’s choice of pharmacies.

Results include:

• Improved Patient Safety through real-time Informed Prescriptions
• Streamlined processes enabling clinical workflow efficiencies
• Overall cost savings for the delivery of healthcare services in the United States"

http://www.rxhub.net/
Download RxHub's Blueprint for E-Prescribing: A Detailed Plan of Action for Implementing E-Prescribing

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SureScripts
SureScripts was founded in 2001 by the National Association of Chain Drug Stores (NACDS) and the National Community Pharmacists Association (NCPA) to improve the quality, safety, and efficiency of the overall prescribing process. The Pharmacy Health Information Exchange™, operated by SureScripts is the largest network to link electronic communications between pharmacies and physicians, allowing the electronic exchange of prescription information.
http://www.surescripts.com/
Electronic Prescribing Connectivity Guide
http://www.surescripts.com/files/Dr%20D-LeaveBehind0707.pdf
Electronic Prescribing Buyers Guide
http://www.surescripts.com/files/announce_5_standard.pdf
SureScripts - Frequently Asked Questions

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ePrescribe Florida
ePrescribe Florida is striving to increase patient safety and meet the needs of the Florida public by establishing a collaborative framework that helps achieve an understanding of the benefits of electronic prescribing, while fostering education and implementation efforts to accelerate physician adoption and cooperation among prescribing constituents.
http://www.eprescribeflorida.com/

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Physicians' Guide to CCHIT Certification
http://www.cchit.org/NR/rdonlyres/AC5E7A98-0785-4DDC-BA46-653A79B9BC7F/0/PhysiciansGuide2007.pdf

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National Council for Prescription Drug Programs (NCPDP)
NCPDP creates and promotes standards for the transfer of data to and from the pharmacy services sector of the healthcare industry. The organization provides a forum and support where diverse membership can efficiently and effectively develop and maintain these standards through a consensus building process. NCPDP also offers its members resources, including educational opportunities and database services, to better manage their businesses.
http://www.ncpdp.org/about.asp

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The Center for Improving Medication Management
"...The Center is a collaborative forum that establishes project specific priorities to demonstrate the value of pharmacy interoperability with both patients and physicians for the purpose of improving the medication management process. The aspects of the medication management focused on are

• Best practices as it relates to processing prescriptions electronically and
  
  
• Improving patient compliance with physician medication orders by utilizing electronic communications between the patient, pharmacist, and physician.

The Center educates clinicians and their staff on the best approaches to implementing prescribing technology and integrating it with the day-to-day workflow..."
http://www.thecimm.org/

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Journal of the American Informatics Association (JAMIA)
"Clinical Decision Support in Electronic Prescribing:  Recommendations and an Action Plan"
Abstract:
Clinical decision support (CDS) in electronic prescribing (eRx) systems can improve the safety, quality, efficiency, and cost-effectiveness of care. However, at present, these potential benefits have not been fully realized. In this consensus white paper, we set forth recommendations and action plans in three critical domains: (1) advances in system capabilities, including basic and advanced sets of CDS interventions and knowledge, supporting database elements, operational features to improve usability and measure performance, and management and governance structures; (2) uniform standards, vocabularies, and centralized knowledge structures and services that could reduce rework by vendors and care providers, improve dissemination of well-constructed CDS interventions, promote generally applicable research in CDS methods, and accelerate the movement of new medical knowledge from
research to practice; and (3) appropriate financial and legal incentives to promote adoption.
http://www.jamia.org/cgi/reprint/12/4/365

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Electronic Healthcare Network Accreditation Commission (EHNAC)
EHNAC was established by health care industry participants as an independent, not-for-profit accrediting body. EHNAC provides accreditation for health care networks, financial services, e-Prescribing, and payers. EHNAC e-Prescribing accreditation focuses on transmission timeliness for both electronic and fax e-Prescribing transactions, timeliness of transaction processing, compliance with industry standards using NCPDP, X12, HL7 formats, and security and privacy for new prescriptions and renewals. 
http://www.ehnac.org/

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