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What to Look for in an E-Prescribing System

Below are the minimum functional criteria recommended by ACC for its members interested in using an e-Prescribing system

1. Product incorporates bi-directional connectivity with and electronically transmits prescription data through the SureScripts and RxHub networks. Electronic transmission reduces the risk of data entry error and improves efficiency of prescription fulfillment. Bi-directional connectivity also reduces risk of data entry error, facilitates prescription refill authorization, and reduces the level of effort by patients, pharmacies and physicians to process refill requests.

2. Product should be SureScripts and RxHub Certified. Being a SureScripts Certified Solutions Provider™ and RxHub certified ensures that physicians are able to send and receive supported electronic messages and that the solution is providing open choice for medication selection and dispensing location. Additionally, ensures that the vendor works in accordance with industry-accepted standards for the electronic exchange of prescription data between physicians and pharmacies.

3. Product incorporates drug-drug interaction checking. This functionality is critical for patient safety.

4. Product incorporates drug-allergy interaction checking. This functionality is critical for patient safety.

5. Product incorporates patient eligibility checking. When available, product should be capable of displaying current patient prescriptive benefit formulary information. This functionality is critical for patient convenience.

6. Product is established in the marketplace with a minimum install base of 100 active physician office environments currently using the product. This helps to ensure that the vendor has demonstrated viability in the marketplace and is large enough to provide customer support and business continuity at a level adequate for ACC members located throughout the U.S.

7. Product complies with existing and future CMS e-Prescribing standards, including the Medicare Modernization Act of 2003 for the Part D prescription drug program. Providers that e-Prescribe for Part D beneficiaries are required to comply with any applicable final standards that are in effect.

8. Product complies with requirements and standards released by AHIC, HITSP, and CCHIT. As these organizations determine or refine e-Prescribing requirements for certification or other approval, it is expected that vendor will modify its product to be in compliance, if needed.

9. Product must comply with HIPAA regulations. This functionality is critical for patient privacy, system security, and transaction processing.

10. Product allows surrogate (i.e. nurses) prescription writing that can be electronically confirmed by the physician. This functionality prevents disruption of normal workflow.

11. Product can export historical patient data. In the event that a customer chooses to change vendors, the product must be able to export historical data in a generalized format that can be imported into other vendor products.

12. Product interfaces with major practice management (PM) systems. The ability to exchange data with the office PM system is essential for successful e-Prescribing software implementations. This interface reduces or eliminates duplicate data entry, thus improving accuracy and efficiency.