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digital.ahrq.gov/ahrq-funded-projects/centers-medicare-medicaid-services-special-study-%E2%80%93-pilot-testing-electronic
January 01, 2023 - Centers for Medicare & Medicaid Services Special Study – Pilot Testing of Electronic Prescribing Standards
Project Description
Project Details -
Completed
Grant Number
SS-OH-01
Funding Mechanism(s)
E-Prescribing Pilot Projects
…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - In multivariable analyses, discrepancies that were linked to medicines that were
prescribed by other … the event a
patient leaves the physician’s office without
the knowledge needed to implement the
prescribed … review during medical encounters, and to better inform patients on safe,
appropriate use for newly prescribed … The top 500 prescribed medicines for NMFF GIM were reviewed, and ‘Med Sheets’ were developed
following … a medication was significantly more likely to have a discrepancy if it were over-the-
counter, and prescribed
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc
January 01, 2023 - Crosson JC et al. 2007 "Variation in electronic prescribing implementation among twelve ambulatory practices."
Reference
Crosson JC, Isaacson N, Lancaster D, et al. Variation in electronic prescribing implementation among twelve ambulatory practices. J Gen Intern Med 2007;23(4):364-371.
[Link]
…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lapane-kl-rosen-rk-dub%C3%A9
January 01, 2023 - Lapane KL, Rosen RK, Dubé C. "Perceptions of e-prescribing efficiencies and inefficiencies in ambulatory care."
Reference
Lapane KL, Rosen RK, Dubé C. Perceptions of e-prescribing efficiencies and inefficiencies in ambulatory care. Int J Med Inform 2011 Jan;80(1):39-46.
[Link]
Abstract
INTRO…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - The average age of The Everett Clinic population is 45 years; the
number of medications prescribed is … We excluded admissions for which the
admission or procedure was unrelated to the prescribed medication … In addition to each patient identifier and
medication prescribed, we collected patient demographic information … met our inclusion criteria for
plausibility of the admission being associated with the medication prescribed
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digital.ahrq.gov/ahrq-funded-projects/long-term-care-e-prescribing-standards-pilot-study
January 01, 2023 - Long Term Care E-Prescribing Standards Pilot Study
Project Description
Project Details -
Completed
Grant Number
U18 HS016378
Funding Mechanism(s)
E-Prescribing Pilot Projects
AHRQ Funded Amount
$1,149,161.00
Prin…
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digital.ahrq.gov/sites/default/files/docs/Electronic%20Prescribing%20Transcript.pdf
April 01, 2009 - If the physician has prescribed the appropriate drugs under the drug benefit, then the pharmacy
typically … here is that not only will the
physician have the ability to look at medications that he or she has prescribed … be
able to identify and look at medications that other providers who have seen that patient have
prescribed … one of
those calls requires a chart pull for the physician to be able to see what it was that they
prescribed
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digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
August 01, 2007 - electronic PA requests were for products that had quantity limits that only require a PA
when the quantity prescribed … Nursing facilities are required by federal regulation to provide prescribed
medications to residents … State Operations
Manual from the Centers for Medicare and Medicaid Services states, “A drug, whether prescribed … If failure to provide a
prescribed drug in a timely manner causes the resident discomfort or endangers
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digital.ahrq.gov/sites/default/files/docs/page/SureScripts%20Final%20Report.pdf
January 11, 2007 - 62% of outpatient office visits resulting in at least one prescription (average of
2.4 medications prescribed … analysts were trained in the theory and practice of
performance analysis as well as the details of the prescribed … By federal law, controlled substances may
not be electronically prescribed. … drug strengths and/or dosage forms in the drug
description could be due to the unavailability of the prescribed … Some participants report that some
patients get angry when a higher cost drug is prescribed unbeknownst
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing
January 01, 2023 - Value of New Drug Labeling Knowledge for e-Prescribing
Project Final Report ( PDF , 43.7 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017149-veline-final-report-2011.pdf
January 01, 2011 - For many chronic conditions, poor patient compliance with prescribed medications can
adversely affect … Each patient was prescribed an antihypertensive medication as part
of treatment. … This metric was defined as the ratio of the number of days of
prescribed/dispensed therapy to the number
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digital.ahrq.gov/sites/default/files/docs/HIT_and_Quality_062310_comp.pdf
June 23, 2010 - Measures
Female 5
Male 0
Both 57
13
“Extra” Qualifying Conditions
• Antibiotic prescribed … ANTIBIOTIC 4124F
Cases
• Patient is eligible
• One of many antibiotics is, or is not, prescribed … measure
• Value sets including codelists
Measure Logic for Heart Failure Measure #7
ACE/ARB Prescribed … Denominator
LVEF
Current or Prior
<40%
Value Set
000003 or
000004
ACE Inhibitor
or ARB
Prescribed
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digital.ahrq.gov/sites/default/files/docs/page/e_rx_evaluation_guide.pdf
February 01, 2010 - determinations for individuals;
Data for a program’s formulary;
Data for each individual on other prescribed … Summary of findings
Physicians using
e-prescribing
prescribed 1.4% more
tier 1 (generic), 0.3% … Examples are decreased ADEs, increased compliance with
prescribed drug regimens, and from the agency … For both
groups, one needs to compare all prescriptions prescribed through all means for each provider
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digital.ahrq.gov/sites/default/files/docs/E-Prescribing%20and%20Medication%20Management%20(1).pdf
March 31, 2009 - Data can indicate:
Patient compliance with prescribed regimens
Therapeutic interventions
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-using-community-utility-eprescribing-gateway
January 01, 2023 - Electronic Prescribing Using A Community Utility: The ePrescribing Gateway
Project Description
Project Details -
Completed
Grant Number
U18 HS016377
Funding Mechanism(s)
E-Prescribing Pilot Projects
AHRQ Funded Amount
$1,0…
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - Adoption of electronic prescribing in community-based practices
A National Web Conference
E-Prescribing and Medication Management:
Current Realities and Future Directions
August 27, 2009
Presenters:
Michael Fischer
Harvard Medical School
Division of Pharmacoepidemiology and Pharmacoeconomics
Brigham & Women…
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digital.ahrq.gov/telehealth
January 01, 2023 - medication adherence (or compliance with); defined as the extent to which patients take medications as prescribed … adherence information to providers and/or patients via health IT solutions impacts patient adherence to prescribed
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digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
July 13, 2010 - Self reporting in the EHR
• He did not take the antibiotics because I
mistakenly prescribed … • Mismatches between formulation
recommended by e-prescribing tools and
what should be prescribed … usability of e-prescribing in pediatrics
• Develop a knowledgebase of rounding tolerances
for commonly-prescribed … knowledgebase
• Discovered 115 medications to round,
representing 90% of the most commonly
prescribed
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access
January 01, 2023 - patient experiencing shortness of breath and difficulty breathing visits a primary care provider and is prescribed … week, the patient visits a cardiovascular specialist for high blood pressure and heart disease and is prescribed
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52c-sample-task-table-erx-renewal
January 01, 2023 - Tool 5.2c: Sample Task Table (eRx Renewal)
Scenario: Refill request received by phone or by fax before e-prescribing
Step No. Step Performer Step Type Deprescription Documents Key Information
E-prescribing enabled renewal request pathway (a)
1a.
Receive renewal reques…