E-Prescribing Best Practices

E-prescribing  Best Practices
In order to make your e-prescribing experience as successful as possible, we recommend following the Best Practices guide as adapted from www.surescripts.com. This guide will ensure that your e-prescribing software capabilities are maximized and your patients are experiencing the highest quality of care possible.

Seven Best Practices to Ensure Your Practice Maximizes Benefits

  1. Implement and use all e-prescribing services to achieve greatest benefit. This includes prescription benefit, prescription history, and prescription routing (bi-directional).
    1. To be eligible for Medicare incentive payments under MIPAA, prescribers must be using all of these e-prescribing services.
    2. Using prescription benefit information will ensure selected medications are covered by the patient’s drug coverage, meet therapeutic guidelines and are cost-effective.
    3. Bi-directional prescription routing enables automating of prescription renewals which reduces phone calls and faxes to the practice and saves prescriber and staff time while ensuring better patient service. Be sure to check the system regularly throughout the day and always respond within 24 hours. It is helpful to assign this responsibility to an individual in the practice.
  2. Avoid batching or queuing prescriptions before sending them to the pharmacies electronically. This reduces the chance of the patient arriving at the pharmacy before the prescription is ready.
  3. Follow DEA regulations and be sure of your system’s capabilities around sending controlled substance prescriptions electronically. Do not approve prescription renewal requests for controlled substances that are sent electronically unless your e prescribing software adheres to DEA regulations.
  4. Designate a practice expert for e-prescribing. That staff member, by becoming increasingly adept at using the electronic prescribing system, will elicit additional value from your investment by making the process run more smoothly.
  5. Encourage independent pharmacies in your area to become enabled for e-prescribing, particularly patient favorites. You can help this effort by directing the pharmacy to Surescripts [DFG1].
  6. Inform your e prescribing software vendor of any technical issues through their support process. If a patient shows up in a pharmacy and is told the prescription is not there, please report these cases so technical issues can be identified and pharmacy staff can be re-trained if necessary. If you receive fax prescription refill requests from connected pharmacies, please report these cases so corrections can be made to the pharmacy database on prescribers. Click here for additional information on how to handle faxed renewal requests.
  7. Orient patients to e-prescribing.
    1. Ensure they understand that it is safer and more efficient.
    2. Ensure they come prepared with their preferred pharmacy.
    3. Direct them to call the pharmacy rather than the practice for prescription renewals.
    4. Consider using signage, recorded phone messages, patient reminder cards to reinforce the message. Click here for more information on patient education materials.