tag:blogger.com,1999:blog-35204126.post-1160331072744524012006-10-08T11:05:00.000-07:002006-10-08T11:30:35.710-07:00<p><strong>CMS Pilots</strong></p><ul><li><a href="http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-001.html">CMS eRx RFA</a><br /></li></ul><p><strong>RAND Corporation<br /></strong>RAND Corporation, Santa Monica, Calif., in conjunction with the New Jersey E-Prescribing Action Coalition, an industry-academic partnership involving RAND Health; Horizon Blue Cross Blue Shield of New Jersey; the e-prescribing vendors AllScripts, Caremark iScribe, and InstantDx; Caremark's prescription benefit management plans; the electronic prescription routing companies RxHub and SureScripts; Caremark's mail-order pharmacy and Walgreen's retail pharmacies will conduct the pilot in New Jersey. In addition to testing the standards, the project will determine changes in drug use, clinical outcomes, and patient satisfaction as a result of e-prescribing.</p><ul><li><a href="http://www.rand.org/health/projects/erx/">Rand e-Rx Research Home Page</a></li><li><a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&amp;pubmedid=14527975">Bell et. al. A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional capabilities. JAMIA 11(1), 2004: 60-70.</a></li><li><a href="http://www.rand.org/news/press.06/01.18.html">Rand corporation press release on CMS pilot</a></li><li><br /><img alt="Framework" hspace="10" src="http://www.volunteer-ehealth.org/frisse/erx/bell-e-rx-jamia-model.jpg" width="300" align="center" vspace="10" border="0" /><br /></li><li></li></li><li>There are various conditions under which e-prescribing takes place: </li><li>No e-prescribing - paper and fax only.</li><li>E-prescribing with only the foundation SCRIPT functions for new and renewal</li><li>prescriptions - a minimalist approach</li><li>e-prescribing with the inclusion of a broader package of standards added to SCRIPT, including eligibility<br /></li></ul><p>an alternative formulation (mef):</p><ul><li>Paper and fax</li><li>e-Rx on computer to Fax to pharmacy</li><li>e-RX with minial SCRIPT functionality transmitting to pharmacy or through RxHub</li><li>e-prescribing in the context of a full-blown CDS and EHR (along the lines of a CITL top-level interoperable system)<br /></li></ul><p><strong>Brigham and Women's Hospital<br /></strong>Brigham and Women's Hospital, Boston, Mass., in conjunction with physician practices in Massachusetts associated with a hospital network, will use an existing community utility for e prescribing called the eRx Gateway. The pilot will test the e-prescribing standards and will conduct needed research into ambulatory drug safety and the impact of e-prescribing on physician workflows.<br /></p><p><strong>SureScript</strong>s<br />SureScripts, Alexandria, Va., partnering with Brown University and five vendors (Allscripts, DrFirst, Gold Standard, Medplus/Quest Diagnostics, ZixCorp.) will recruit physicians and pharmacies for participation in Florida, Massachusetts, Nevada, New Jersey, Tennessee, and potentially Rhode Island. The pilot will evaluate how the e-prescribing standards work in a variety of practice settings, geographic areas, and e-prescribing technologies. In addition, the project will assess how prescriber and vendor characteristics influence e-prescribing adoption and what "best features" of vendor software improve medication-related safety outcomes.<br /></p><p>Three standard information flows:</p><ul><li>NewRx - new prescription generated by prescriber , sent to SureScripts, sent to pharmacy, and picked up by patient</li><li>RefReq - request for refill generated by pharmacy, sent to prescriber, approval given, and patient picks up medication from pharmacy</li><li>RefRes - request generated by prescriber, sent to SureScripts, sent to pharmacy, filled, and picked up by patient<br /></li></ul><p></p><p><strong>Achieve Healthcare Information Technology</strong></p><p><br />Achieve Healthcare Information Technology, Minnesota, in conjunction with nursing facilities in Minnesota associated with the Benedictine Health System and Preferred Choice Pharmacy will be the first program to evaluate how the e-prescribing standards work in certain long-term care settings. The project also will assess the impact of e-prescribing on the workflow among prescribers, nurses, the pharmacies and payers. </p><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/35204126-116033107274452401?l=www.markfrisse.com%2Ferx%2Fblog.html' alt='' /></div>Mark Frissenoreply@blogger.com0