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Care Management |
Maintain and Manage Patient Record | Demographic information is stored and linked to patient record. A lookup function is used to identify patient. Patient information included address, phone numbers, full name, date of birth, and gender is stored and maintained. |
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Manage Patient Specific Medication List | Create and maintain patient specific medication lists over time. All pertinent dates such as start, modification and end dates are stored. Ability to input locally self-reported medications such as over the counter medications. Integrates with Dispensed Drug History. |
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Manage Medication Administration | Necessary information is presented, recorded and maintained for medication orders that are to be administered by a clinician rather than delivered to a pharmacy. |
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Manage Allergy and Adverse Reaction List | Create and maintain patient-specific allergy and adverse reactions list over time. Allergens and substances are identified, coded and managed over time. Able to document pertinent dates including type of reaction. |
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Order Medication & Fulfillment of Rx | Create prescriptions or other orders with detail adequate for filling and/or administration including new RX, renewals and discontinue. Able to deliver the eRx to the pharmacy of choice by EDI first with fax as back-up. |
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Decision Support |
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Dispensed Drug History (DDH) | Able to request and display a list of the plan-specific and/or retail pharmacy drug history from RxHub and/or Surescripts. Display at least 90 days or more of the medication list. Note-Medication list may not display sensitive drugs such as mental health or HIV. |
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Drug to Drug Interaction | Able to automatically check the local and Dispensed Drug History (DDH) and alert the prescriber to any drug interaction with the drug that the prescriber is ordering. Allow prescriber to set drug interaction level based on severity grouping. |
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Drug Utilization Review (DUR) | Able to check drug-allergy, therapeutic duplication and dosing. Allow prescriber to set interaction levels based on severity grouping.
Medication Recommendations Able to present alternative recommendations based upon cost, formulary status or therapeutic protocols either through internal clinical reference database or through payer specific lists. |
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Drug Reference | Able to provide drug reference information that is tailored to both the prescriber and the patient. It has the ability to answer questions such as to which pregnancy category does a drug belong or what type of dose adjustment is needed in a patient with renal failure. It also can print a patient monograph that is written in easy to understand terms. |
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Formulary Messaging | Application uses a visual representation to indicate formulary status of a medication when status is available. For example, there can be different colors; different symbols; or a combination of colors and symbols to indicate Preferred, Approved, Non-formulary, etc.
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Communication, Connectivity & Integration |
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Capable of accessing health plan eligibility and display real time formularies | Certification with top health plans pharmacy benefit managers and/or claims processors |
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Patient Eligibility and Coverage Determination | Certification for Eligibility, Formulary & Benefit information.
Application able to communicate 5 mandatory patient demographic fields for eligibility checking and sending a prescription: Last Name, First Name, DOB, Gender, and Zip Code. |
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Pharmacy Communication | Able to transmit data electronically and securely via Electronic Data Interchange directly via SureScripts Network or other network. Communication is bi-directional between prescriber and pharmacy. |
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Practice Management System Integration (PMIS) or EHR | Capable of integration minimally through a one time data upload from the practice management system or EHR for patient demographic information. |
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Security, Standards & Support |
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Other Messaging Requirements | ePrescribe Florida strongly recommends against advertising or marketing messages unless they are safety alerts or formulary related. These messages may impede software performance and interfere with workflow. Does this solution support advertising or marketing messages? |
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Security | Secure access to confidential patient information. Must have processes in place to prevent unauthorized use of data, data loss, tampering and destruction. Must be fully compliant with all HIPAA requirements. |
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Standards | Must comply with Medicare Modernization Act electronic prescribing Foundational Standards. (SCRIPT Standard for new RX, renewal, change, cancel, admin functions; ASC X12N 270/271; NCPDP Telecommunication Standard v. 8.1)
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Reporting | Provider level report generation features for standard utilization reports. Ability to monitor prescription transaction status to identify communication failures. |
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Training and Implementation Support Able to provide on site training and remote training along with ongoing practice support.
Technical Support | Access to phone and on line technical support 7 days per week. Service Level Agreement available.
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Disaster Recovery | Provides documentation of a process to regain access to the data, hardware and software necessary to resume critical business operations after a natural or human-caused disaster.
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