tag:blogger.com,1999:blog-4384692836709903146.post1623993725910292972..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The Surescripts/RxHub mergerJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4384692836709903146.post-65933920145247124762009-06-16T03:11:33.287-07:002009-06-16T03:11:33.287-07:00How are you measuring BIDMC eRx rate (50%)? Writin...How are you measuring BIDMC eRx rate (50%)? Writing the prescription electronically is only half of the transaction. It must be received by the pharmacy electronically (not e-fax, not viewed in one system and typed into another system). How do you measure the true eRx rate at 50%?<br /><br />Recep Deniz MD<br /><a href="http://www.doktortr.net/" title="DoktorTR.Net - Tıp Sitesi" rel="nofollow">DoktorTR.Net</a>Football Matcheshttps://www.blogger.com/profile/00341831327324203736noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-65218566120823272262008-07-07T16:15:00.000-07:002008-07-07T16:15:00.000-07:00Responding to Willrice's question - 95% of the pha...Responding to Willrice's question - 95% of the pharmacies in Massachusetts are electronically (not fax) connected to Surescripts, so we're in good shape. Our BIDMC EMR does not have a fax option, just an NCPDP Script 8.1 electronic routing option.<BR/><BR/>Responding to Usman's question - the insurance query leads us to the formulary, which specifies the list of prescribing possibilities. The clinician chooses medications from the list and if there is a conflict, formulary alternatives are shown which are safe.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-61716627351450248732008-07-07T12:51:00.000-07:002008-07-07T12:51:00.000-07:00Hi John. I'm one of your students from the Healthc...Hi John. I'm one of your students from the Healthcare Quality course this year (Dr. Leape). The workflow you described looked like this to me:<BR/><BR/>Clinician begins e-prescribe --> Query to insurance --> if eligible --> Query drug hx for interactions --> if no interaction then transmit transaction to pharmacy.<BR/><BR/>I assumed this part:<BR/>If some interaction found --> re-prescribe alternative --> repeat.<BR/><BR/>I was wondering why the interaction query doesn't come before the query to insurance company?Usmanhttps://www.blogger.com/profile/04709104205284715647noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-82964959268070841382008-07-07T07:43:00.000-07:002008-07-07T07:43:00.000-07:00How are you measuring BIDMC eRx rate (50%)? Writin...How are you measuring BIDMC eRx rate (50%)? Writing the prescription electronically is only half of the transaction. It must be received by the pharmacy electronically (not e-fax, not viewed in one system and typed into another system). How do you measure the true eRx rate at 50%?willricehttps://www.blogger.com/profile/15944724008045725623noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-17974540220242034642008-07-07T07:41:00.000-07:002008-07-07T07:41:00.000-07:00Absolutely! I'll add patients to the stakeholders...Absolutely! I'll add patients to the stakeholders list. I have spoken with Surescripts/Rxhub leadership about ensuring patients have access to all their own data.John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-79548152790844128572008-07-07T07:18:00.000-07:002008-07-07T07:18:00.000-07:00John... E-prescribing stakeholders: great list ......John... E-prescribing stakeholders: great list ... except where is the patient! I know you well enough to be sure that you place the patient at the center of the healthcare world. I take this as commentary on the e-prescribing transaction itself, and not a reductionist view of health-care!<BR/>Based on your previous comments, and talks I have heard you deliver, I understand e-prescribing is about better patient care at lower cost.<BR/>Amen to that.Richard Dalehttps://www.blogger.com/profile/17448253376155772966noreply@blogger.com