1. ePrescribing Configuring RPMS-EHR for Meaningful Use Resource Patient Management System

2. Presenters: Lori Moore, PharmD IHS OIT EHR Pharmacy Consultant ePrescribing

3. Core MU Objective “Generate and transmit permissible prescriptions electronically.” - 42 CFR Part 495.6,(d)(4)(i) ePrescribing

4. Applicability Eligible Professionals (EP) ePrescribing

5. Training Objectives Discuss drug file optimization to accommodate ePrescribing. Examine ePrescribing in EHR. ePrescribing

6. MU Measure Type of Measure: Rate The number of prescriptions in the denominator generated and transmitted electronically. >40% The number of prescriptions written by the EP for drugs requiring a prescription in order to be dispensed, other than controlled substances, for patients whose records are in the certified EHR during the EHR reporting period. ePrescribing

7. Threshold More than 40% of all permissible prescriptions written by the EP during the EHR reporting period are transmitted electronically using certified EHR technology. ePrescribing

8. RPMS Reporting Logic Denominator Inclusions: COUNT: each prescription electronically entered by the eligible provider WHERE: the issue date falls during the EHR reporting period AND WHERE: it was filled by an on-site pharmacy, off-site pharmacy, or on-site COTS pharmacy AND WHERE: a prescription number exists ePrescribing

9. RPMS Reporting Logic Numerator Inclusions: COUNT: each prescription in the denominator WHERE: the prescription number: IS: numeric AND: the Nature of Order does not = “written” OR STARTS: with “X” AND: the comment in the activity log contains “E- Prescribe” ePrescribing

10. RPMS Reporting Logic Measure Exclusion: EPs who write (enter) fewer than 100 prescriptions during the EHR reporting period are excluded from this measure. ePrescribing

11. RPMS Reporting Logic Denominator Exclusions: Any entries of any type in the outside medication component. Any prescription which has a remark that contains “Administered in Clinic.” Any prescription for a Controlled Substance identified by DEA special handling code of 1, 2, 3, 4, or 5. ePrescribing

12. Configure RPMS Sites without pharmacy: Demonstrate ePrescribing functionality in EHR. ePrescribing

13. How-to Session Questions & Discussion ePrescribing