DrFirst Healthcare Technology Blog

A Case for Electronic Prior Authorization

Maria Barhams

December 1, 2014

The following might sound like a joke but the scenario isn’t funny: A patient walks into a pharmacy to pick up her prescription, and heads to the counter to get her prescription filled only to learn that the drug requires prior authorization from her insurance company.

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EPCS Adoption: What Comes First, the Chicken (Pharmacies) or the Egg (Physicians)

Michelle Soble-Lernor and Peter Kaufman

November 21, 2014

When it comes to EPCS adoption, there’s a classic case of “which came first, the chicken or the egg?” In this particular instance the question is: which comes first in terms of controlled substance electronic prescribing adoption, the pharmacy or the provider?

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Hello, It’s Telemedicine Calling.

Vlada Barlow

November 4, 2014

As I sit in my home office with the security icon blinking on the screen of my company-issued laptop, it dawns on me how much nearly every profession relies on remote communication. From banking, to education, and even to matchmaking, people use technology to communicate with others near and far, often making life changing decisions at a distance.

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T-Minus 169 days…the Clock is Ticking for New York Providers

Michelle Soble-Lernor and Peter Kaufman

October 3, 2014

Mandatory Electronic Prescribing Effective March 27, 2015 This is the headline that jumps off of the page on the New York Bureau of Narcotic Enforcement’s (BNE) website, and March 27 is the drop-dead date, no ifs ands or buts. March 27 is only 169 days away, and all physicians, with few exceptions, must go paperless for both legend and controlled substances.

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Elements of a Patient-Centered Encounter: Enhancing Patient Engagement and Accountability

Maria Barhams

September 19, 2014

Increasingly provider compensation and penalties are associated with the quality of care they deliver to their patients and whether those patients heed their advice. Although there is not a quick fix formula to ensure a patient complies with provider guidance, strategies exist to enhance patient engagement and accountability.

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VIDEO: AHRQ Highlights Pioneer Electronic Prescribing of Controlled Substances Study

Peter Kaufman

August 26, 2014

Several years ago, we embarked on a journey that no other health IT company had taken to date: we participated in a study that dramatically shifted the e-prescribing landscape by adding controlled substances as a capability. I am happy to share that the Agency for Healthcare Research and Quality (AHRQ) released a video about the three-year project.

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The Value of an Identity Exchange in Healthcare

Eric Rosenfeld

June 27, 2014

Recently, a colleague and I were talking about how times have changed. My colleague is a physician, recently retired from private practice, though he continues to see patients part time in a teaching environment. He is a key individual who has been and continues to be instrumental in the development of several healthcare IT standards nationwide, and a number of key processes within DrFirst.

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Improving Provider Behavior to Enhance Prescription Quality

Michelle Soble-Lernor

May 15, 2014

In this next installment of my blog series on increasing quality in the e-prescribing marketplace I want to focus on the question of provider behavior. As I mentioned in my introduction to this series, there is a tendency to place nearly all of the blame for e-prescribing quality issues squarely on the shoulders of providers, which I believe is largely counterproductive.

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Communications Strategies that Foster Patient Accountability

Maria Barhams

April 22, 2014

Health literacy, defined as the “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions”,* is a growing concern within the U.S. as more Americans are diagnosed with multiple chronic diseases…chronic diseases that often require complicated self-care.

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The real key to security in healthcare in an online world

Eric Rosenfeld

April 21, 2014

In my last blog, I discussed the nature of identity and the reasons why identity management and the establishment of trust are very difficult and complex issues in healthcare and other industries. Identity is only half the problem. The other half, and unfortunately the one to which many incomplete solutions have been posed, is the establishment of digital credentials that tie to a person’s online identity.

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Who is your physician and how do you know? Solving questions of identity in healthcare.

Eric Rosenfeld

April 1, 2014

Most of us take the concept of “identity” for granted. We know and recognize ourselves, our co-workers, family and friends and do not usually give a second thought to this phenomenon in our daily lives. We base these assumptions of identity on our memory and day-to-day interactions.

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I-STOP in New York is Finally Taking Off

Michelle Soble-Lernor

March 27, 2014

In the very short amount of time since the New York State Bureau of Narcotics Enforcement (BNE) finalized its guidelines for providers and pharmacies to implement the Internet System for Tracking Over-Prescribing (I-STOP) there has been a widespread movement from the New York healthcare community to begin using the new technology.

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Tom Sullivan, MD: HIT Standards Committee Testimony

Tom Sullivan

March 14, 2014

On Wednesday, I shared my thoughts on privacy and interoperability with the HIT Standards Committee’s Privacy and Security Workgroup. As the Chair of the U.S. Department of Commerce Healthcare Industry Committee that deals with emerging strategies for “Trusted Identities in Cyberspace” I have a front row seat, so to speak, on the issues facing the healthcare community on these topics.

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The Prescriber Role in Controlled Substance Fraud, Abuse and Clinical Workflow Considerations

Tom Sullivan

January 21, 2014

Much has changed in the prescriber and the clinical IT vendor communities since the DEA issued the Interim Final Rule in early 2010, making electronic prescribing for controlled substances (EPCS) legal at the federal level. For instance, the White House’s decision to highlight the controlled substance drug abuse epidemic and crisis has spurred state legislators and regulators to pass new laws and strengthen existing regulations, such as the regulations that govern the state PDMP registries mentioned in earlier installments of this series.

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Should the E-prescribing Industry Require Mandatory Standards?

Michelle Soble-Lernor

December 19, 2013

To follow on to my introductory blog post regarding prescription quality, this blog series is dedicated to examining current quality issues in the e-prescribing industry in order to help foster cross-industry conversations about some of the most pressing dilemmas in the field today.

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