[MT-L] Erx Instructions
Joe Farr
Good morning –
We are magic 5.64. We have discovered that our E-prescriptions are being transmitted (using Dr. First) with instructions directly out of our dictionary (q8hrs) instead of the patient-friendly “every 8 hours”. The pharmacy may and hopefully does catch it and change it, but if not, the patient gets the q8hr instructions. Does anybody else have this issue, and if so what, if anything, are you doing about it?
Thanks,
Joe Farr, RN
Clinical Application Specialist
King’s Daughters Medical Center/Information Systems
Brookhaven, MS
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Pope, Amy
We are in the planning/testing phases for eRX with Dr First and I have identified this concern and a whole lot more….
1. Mnemonic is sent across the interface for FREQUENCY/MIS DIRECTIONS to the drug store. There is no mapping of this information before leaving MT
2. Mnemonic is sent across the interface for the ROUTE OF ADMINISTRATION (same as above)
3. PRN reasons are not sent at all (in 5x or 6x rings) – apparently this has never been brought to the attention of Meditech prior to my testing
4. UNIT of MEASURE and MED FORM require a NCPDP code attached in the dictionary to associate with the message in the interface. These are auto-created with each FSV run per your FSV parameters. No way for Meditech to identify the newly created entries to maintain these dictionaries and compliance….
5. # of DAYS is not permitted with eRX message, only # tablets….. why should physicians change prescribing patterns to accommodate this…. So instead of Amoxicillin 250mg/5ml dose 350mg bid x 10 days now has to be translated by the physician to qty 140ml since they don’t have a QS option either.
6. Also, no ability to add additional information deemed necessary by the site (we currently print patient weight on all of our prescriptions – to increase patient safety with pediatric dosing, this is not even an option to be sent in the interface message either).
7. Any patient pharmacy not available in the lookup can be added by any user at any time. This will add it to your patient pharmacy dictionary without any of the necessary populated fields for this to go via eRX. So, end users are adding dictionary entries and not even knowing it!
SO, our go-live was supposed to be last week but we have put that on hold pending Meditech’s response to these concerns. Good luck out there to anyone going live with eRX. I urge you to open tasks with Meditech about these issues to get more sites on Proposal 23482!
Amy P. Pope, Pharm.D., RPh
Pharmacy Team Coordinator
Harnett Health
P.O. Box 1706 | Dunn, NC 28334
Office: 910.892.1000 ext. 4096 | Cell: 910.814.7212
email: amy....@harnetthealth.org
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P Please consider the environment
Charlotte Snider
Don’t forget my favorite:
MedForm that comes through ambulatory orders ( Mphase.tab, liquid), doctor’s don’t enter dispense quantity of 1 liquid, 1 gel, 1 Mphase.tab, etc. This is a forever cleanup in the AOM dictionary, and it makes no sense whatsoever.
Charlotte Snider RN
I.T. Clinical Coordinator
Hammond Henry Hospital
"Do or do not. there is no try"-Yoda
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Gast, Judith A., R.N.
Can we add one more to the list and not getting any help from MT or Dr First because they say that Sure Script is the culprit….
When a prescription is written (especially in EDM because happens as soon as the medication is entered) it is transmitted to the pharmacy…then patient decides cannot take that for some reason or another, or want to change it…so the physician cancels the script and NOTHING HAPPENS…no notification of cancellation is sent to pharmacist…so the pharmacist fills it. Relies on word of mouth….physician remember to notify staff and then busy staff remembering to calling pharmacy
Have a Great Day!
Judi Gast RN, BSN
EDM Project Manager
IT Analyst
Information Technology
Fax: 912-287-2579
__________________________________________
Mayo Clinic Health System in Waycross
1900 Tebeau Street
Waycross, GA 31501
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com]
On Behalf Of Pope, Amy
Sent: Tuesday, August 27, 2013 2:00 PM
To: 'Joe Farr'; medit...@mtusers.com
Subject: Re: [MT-L] Erx Instructions
We are in the planning/testing phases for eRX with Dr First and I have identified this concern and a whole lot more….
Kathy Horton
Trying this again, so it is not auto-encrypted.
Unfortunately not unique to Meditech/Dr First. Needs to be mechanism to notify a pharmacy, electronically, an Rx has been stopped/cancelled.
Kathy Horton, RN
Clinical Information Systems
Franklin Memorial Hospital
Farmington, ME
Can we add one more to the list and not getting any help from MT or Dr First because they say that Sure Script is the culprit….
When a prescription is written (especially in EDM because happens as soon as the medication is entered) it is transmitted to the pharmacy…then patient decides cannot take that for some reason or another, or want to change it…so the physician cancels the script and NOTHING HAPPENS…no notification of cancellation is sent to pharmacist…so the pharmacist fills it. Relies on word of mouth….physician remember to notify staff and then busy staff remembering to calling pharmacy
This email communication and any attachments may contain confidential and privileged information protected from disclosure under applicable law. This communication is intended only for the use of the intended recipient. If you are not the intended recipient, any use, disclosure, dissemination, distribution, or copying of this email or any attachment or information contained therein, is strictly prohibited. If you have received this communication in error, please notify the sender immediately by replying to this message and then deleting it and all copies of it from your computer. E-mail sent to the sender's address will be received by the Franklin Community Health System e-mail system and is subject to archiving and review by technical support and/or management personnel.
Gast, Judith A., R.N.
SO WHERE DO WE GO FROM HERE?
Have a Great Day!
Judi Gast RN, BSN
EDM Project Manager
IT Analyst
Information Technology
Fax: 912-287-2579
__________________________________________
Mayo Clinic Health System in Waycross
1900 Tebeau Street
Waycross, GA 31501
Gast, Judith A., R.N.
Really would appreciate everyone asking MT for help with this….maybe we could get it added to the Proposal 23482
Have a Great Day!
Judi Gast RN, BSN
EDM Project Manager
IT Analyst
Information Technology
Fax: 912-287-2579
__________________________________________
Mayo Clinic Health System in Waycross
1900 Tebeau Street
Waycross, GA 31501
From: Kathy Horton [mailto:KHo...@fchn.org]
Sent: Monday, September 16, 2013 11:42 AM
To: Kathy Horton; Gast, Judith A., R.N.; 'Pope, Amy'; 'Joe Farr'; 'medit...@mtusers.com'
Subject: RE: Erx Instructions
Trying this again, so it is not auto-encrypted.
Deignan Marianne
For that reason and others (Some pts seem to want a paper prescription when the leave the ED) we print and sign paper prescriptions at discharge from the ED. Our acute care units transmit all except controlled substances.
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Gast, Judith A., R.N.
I don’t think it is a matter of stopping eprescribe in ER I think it is a matter of getting a fix. Just my opinion
Have a Great Day!
Judi Gast RN, BSN
EDM Project Manager
IT Analyst
Information Technology
Fax: 912-287-2579
__________________________________________
Mayo Clinic Health System in Waycross
1900 Tebeau Street
Waycross, GA 31501