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Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
Joy M Grossman1, Dori A Cross, Ellyn R Boukus
1Center for Studying Health System Change, Washington, DC 20002-4221, USA. jgrossman@hschange.org
Journal of the American Medical Informatics Association : JAMIA
|November 22, 2011
Summary
Electronic prescribing for new prescriptions is effective, but challenges remain with electronic renewals and mail-order pharmacy connectivity. Improvements in technical standards, system design, and training are needed to optimize e-prescription processing.
Area of Science:
- Health Informatics
- Pharmacy Practice
- Clinical Systems
Background:
- Electronic prescribing (e-prescribing) facilitates electronic data exchange between physicians and pharmacies, aiming to enhance efficiency and reduce medication errors.
- Understanding barriers to effective e-prescription implementation is crucial for optimizing healthcare workflows.
Purpose of the Study:
- To investigate physician practices' and pharmacies' recent experiences with electronic transmission of new and renewal prescriptions.
- To identify facilitators and barriers impacting effective electronic transmission and pharmacy processing of e-prescriptions.
Main Methods:
- Qualitative analysis of 114 telephone interviews with representatives from 97 organizations (24 physician practices, 48 community pharmacies, 3 mail-order pharmacies).
- Interviews focused on organizations actively using Surescripts for e-prescription transmission.
Main Results:
- Satisfaction reported with electronic transmission of new prescriptions; however, electronic renewals were inconsistently used, leading to inefficiencies.
- Electronic communication with mail-order pharmacies was less frequent than with community pharmacies due to technical limitations.
- Pharmacy staff often needed to manually edit e-prescription fields like drug name and patient instructions, despite reduced manual entry.
Conclusions:
- Electronic transmission of new prescriptions has largely matured.
- Addressing barriers to electronic renewals, mail-order connectivity, and pharmacy processing requires updates to technical standards, system design, and targeted training.
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