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DoseSpot – January Newsletter


ePrescribing Integration Made Easy!


BRMH's Integration

Bear River Mental Health’s DoseSpot Integration

About Bear River Mental Health: Bear River Mental Health (BRMH) began providing mental health services in January 1977 and became the first free-standing, private not-for-profit comprehensive entity in the state of Utah. BRMH has been providing quality mental health treatment for over three decades and currently serves over 2,000 residents annually.

Bear River Mental Health’s ePrescribing Timeline:

Customer Testimonial: “DoseSpot was a perfect fit for our electronic prescription requirements. The DoseSpot team has been great to work with, very helpful and responsive. The integration of their solution into our system was quick and simple, and I have been very pleased with the process overall.”

- Thad Hunsaker, BRMH Software Development


DoseSpot API Snipit


Medication Allergies: Easily send medication allergies back and forth between your EHR & DoseSpot.  Below is some sample code from our API Guide for all the techies out there.

Request Allergy List
…and the response
Response to Allergy List Request

DoseSpot in the News


Wolters Kluwer Health Announces Lexicomp and DoseSpot Partnership to Offer an Integrated ePrescribing Solution for Dental Professionals..http://bit.ly/z254xe

Empower Systems Achieves Full Surescripts Certification Through DoseSpot..http://bit.ly/w1SbKB

Follow on Twitter @DoseSpot

DoseSpot HQ
716 Main Street, 2nd Floor
Waltham, MA 02451
888.847.6814
www.DoseSpot.com
www.DentalePrescribing.com

Posted in Basics, In the News, Newsletter, Standards.

Dental ePrescribing is Officially Open!

Today, Wolters Kluwer Health officially announced the Lexicomp and DoseSpot Partnership to Offer the Industry’s First Integrated ePrescribing Solution for Dental Professionals.

Please visit dentaleprescribing.com for more information!

Press Release

Wolters Kluwer Health

Lexicomp and DoseSpot Partner to

Offer Industry’s First Integrated ePrescribing Solution for Dental Professionals

HUDSON, OH–January 20, 2012 – Wolters Kluwer Health, a leading global provider of information for healthcare professionals and students, announced today that Lexicomp has partnered with DoseSpot to deliver an integrated eprescribing tool for the dental office. In response to the growing trend of electronic prescribing in dental offices, this product offering combines eprescribing capabilities with direct access to Lexicomp Online for Dentistry™, Lexicomp’s dental-specific drug and clinical information solution, to deliver the information that dental professionals need to safely and efficiently prescribe medication and check for dangerous drug interactions.  “We are very pleased to offer this first-of-its kind combined dental eprescribing and medication management tool to dental professionals”, commented Steven Kerscher, Vice President and General Manager, Lexicomp. “Dental professionals are now able to review their patient’s saved medication history and receive patient safety alerts regarding drug interactions, drug allergies and procedure safety checks for dental treatment.  Having these capabilities, in addition to electronic prescriptions, will save dentists valuable time and help avoid adverse medication events.”

About Lexicomp

Lexicomp is the leader in delivering dental-specific drug information, drug interaction and clinical content for use at the point-of-care. Dental professionals can access their dental drug information and clinical references online, on the latest Smartphone/mobile devices and in printed reference books. Content can also be integrated with practice management systems to improve medication safety and save time within a busy dental practice.

Lexicomp is part of Wolters Kluwer Health, a leading global provider of information, business intelligence and point-of-care solutions for the healthcare industry. Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company with 2010 annual revenues of €3.6 billion ($4.7 billion).

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Posted in Basics, Dental, Standards.

MEANINGFUL USE CERTIFICATION (ONC/CCHIT/DRUMMOND):

WHY DO YOU NEED IT?

The only way for your customers to qualify for the Meaningful Use Incentive Program is if your application is Meaningful Use Certified through an organization such as CCHIT or Drummond.  It is also a great marketing tool for your company!

WHAT DO YOU HAVE TO RECEIVE MEANINGFUL USE CERTIFICATION?

Same criteria as listed below for Surescripts certification.

DO YOU NEED SURESCRIPTS CERTIFICATION TO RECEIVE MEANINGFUL USE CERTIFICATION?

Your company can choose to go through Meaningful Use certification before Surescripts certification and you will still achieve the Meaningful Use certification for marketing purposes.  However, you will need SureScripts Certification to “go live” with a Meaningful Use certified version.

Posted in Basics, Standards.

SURESCRIPTS CERTIFICATION

WHY DO YOU NEED IT?

In order to electronically route prescriptions and search patient specific eligibility, formulary, and medication history, your application must achieve Surescripts certification.  Even when integrating with a Surescripts certified vendor such as DoseSpot, Surescripts still requires a quick certification meeting to “go live”.

WHAT DO YOU HAVE TO DO IN ORDER TO ACHIEVE SURESCRIPTS CERTIFICATION?

When using DoseSpot, your application will have to pass a quick screen demo test that includes different validation scenarios and the ability to send Surescripts messages appropriately in the backend.

WHAT’S THE MINIMUM FUNCTIONALITY THAT YOU NEED TO PASS?

If you are using DoseSpot’s e-prescribing application, the minimum functionality to pass Surescripts certification is the following:

- Method to pop the DoseSpot application in a browser from your application (using credentials & passing your patient information) and receive the DoseSpotPatientID back from DoseSpot.

- Prescribe within DoseSpot (nothing you need to do here)

- Use the DoseSpot API to check for refill requests and transmission errors in DoseSpot and provide a link within your software to DoseSpot for fulfillment.

- Appropriately validate a patient’s demographic information before sending it to DoseSpot

Posted in Basics, Standards.

Electronic Prescribing for Dentistry!

The medical industry has been using electronic prescribing (“e-Prescribing”) for over a decade now. The dental industry hasn’t quite caught up.  In fact, in a recent personal survey I noticed dental practice management systems don’t provide medications in a coded format.  Meaning, the medications are free text fields and the practice hand enters the medications into the system.  This will end up limiting the user of these systems from ePrescribing, drug-to-drug alerts, drug monographs and many other features common in electronic medical record (EMR) systems.

The advantages for adopting ePrescribing are vast:

Patient Safety

The electronic prescription reduces prescriptions errors caused by illegible hand writing, drug-to-drug interactions, incorrect dosing, drug allergy reactions, duplication of drugs, etc.

Fraud and Crime

The medication history his saved electronically and can be monitored easier than paper.

Medication Adherence

Patients are more likely to fill prescriptions as they’ll be waiting at the pharmacy for pickup.  The refill process is also expedited without multiple phone calls between patient, provider, and pharmacy.

Real-time communication

Providers can write notes that follow the prescription to the pharmacist. Pharmacists can submit refill request on behalf of the patient for approval by the physician (no phone call needed).

Decision Support

Health care professionals will have critical drug alerts and patient specific information at the time of prescribing.

Government Regulations

In January 2011, the state of Minnesota released a mandate for all Prescribing Providers to electronically prescribe medications.  This mandate includes dentists.  The rule wasn’t put in place to punish dentists.  It was actually designed to bring dentist into the fold of sharing health information.

Most dental Practice Management Systems don’t have electronic prescribing capabilities.  In the next few years a number of these companies will begin adding ePrescribing capabilities.  A company called DoseSpot has developed a dental e-prescribing application accessible from the web.  The dental industry is about change the way it prescribes medications.  Stay tuned…

Posted in Basics, Dental, Uncategorized.

ePrescribe Controlled Substances in 2010?

After a long anticipated wait, the DEA is revising its regulations to provide prescribers the ability to electronically prescribe controlled substances.

On June 27, 2008, DEA published a Notice of Proposed Rulemaking (NPRM) to revise the regulation to allow creation, signature, transmission and processing of controlled substances electronically. The DEA gave consideration to over 200 comments while drafting the IFR.

The DEA’s obligation as noted in the rule, is to ensure that the regulations minimize, to the greatest extent possible, the potential for diversion of a controlled substance resulting from non-registrants gaining access to electronic prescribing applications and systems.  The concern of insufficient Security has been the main barrier to allowing the ePrescription of controlled substances.  The authentication methods used in online or desktop applications is generally username and password.  Passwords are easily guessed or broken by using various password guessing programs.

Continued…

Posted in Controlled Substances, Public Policy, Security. Tagged with , .

Charting the next steps for e-prescribing policy

When e-prescribing first figured in the health policy scene in 2003, policymakers viewed it as a “low-hanging fruit” among myriad IT initiatives aimed at pushing doctors to convert their charts to electronic formats.

Hopes were high because e-prescribing was seen to provide immediate benefits that could greatly improve the delivery of quality health care and speed up the migration to electronic health records.

Although major progress has been made in improving the functionality and interoperability of e-prescribing, recent studies have pointed out that fewer than one in ten doctors have adopted the electronic system.
Continued…

Posted in Public Policy.

Progress of electronic prescribing standards

The shift to e-prescribing systems was formalized in 2003 with the passage of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA). One of its features is an outpatient prescription drug benefit for Medicare beneficiaries, or what is commonly referred to as Part D, which began in 2006.

The law mandated the use of “electronic prescription program” should any Part D plan providers and pharmacies voluntarily choose to prescribe using computer systems. It also called for the establishment of standards for the electronic transmission of prescriptions and certain other information for covered Part D drugs.

Health and Human Services Michael O. Leavitt reported in 2007 that Prescription Drug Plan (PDP) sponsors, Medicare Advantage (MA) Organizations offering Medicare Advantage-Prescription Drug (MA-PD) plans and other Part D sponsors “must support and comply with electronic prescribing standards when communicating with prescribers who want to use e-prescribing technology.”

Continued…

Posted in Standards.

E-prescribing promises quick ROI, lower medication costs

One of the barriers in the swift adoption of electronic prescribing is the high switching cost associated with migrating from paper to e-format, but several studies have shown the investment is worth the potential savings in the future.

A study based on e-prescribing in Massachusetts found that doctors who used e-prescribing systems could save $0.70 per patient per month, which translates to $845,000 annually per 100,000 insured patients filling prescriptions.

Continued…

Posted in Incentives.

Incentive payments for e-prescribers

In its bid to entice more providers to shift to electronic prescribing, the Centers for Medicare and Medicaid Services (CMS) has started this year incentive payments of up to 2 percent to physicians and other eligible professionals who use the technology

2009

2010

2011

2012

2013

Beyond

Incentive

2%

2%

1%

1%

0.5%

None

Penalty

None

None

None

1%

1.5%

2%

For 2009, to be a “successful e-prescriber,” eligible professionals must report the e-prescribing quality measure through their Medicare Part B claims on at least 50 percent of applicable cases during the reporting year.

Continued…

Posted in Incentives.