Centers for Medicare and Medicaid Services Special Study: Pilot Testing of Electronic Prescribing Standards. Final Report

摘要

The purpose of this document is to test multiple aspects of electronic prescribing within small, community-based practices. The objectives of this study included measuring the impact of electronic prescribing on workflow, patient safety, and drug utilization as well as testing several initial standards. The initial standards tested include: 1) Medication History; 2) Fill Status Notification; 3) Prior Authorization; 4) Structured Sig; and 5) RxNorm. This study focused on 25 e-prescribing primary care practices associated with University Hospitals Medical Practices in Cleveland, Ohio, as well as 22 non-e-prescribing practices located throughout Northeast Ohio. E-prescribing and control group practices were compared to establish differences in practice culture, workflow and efficiency and to determine critical issues in adoption of e-prescribing. Production tests of Medication History, Fill Status Notification, and Prior Authorization were conducted to determine the functionality of the standards and assess prescriber opinion.