Help With Browser Settings Within Practice Choice

Help With Browser Settings Within Practice Choice

In this post, we will show you the steps to follow after Practice Choice has been updated or a problem occurs when logging into your Practice Choice system.

If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video then let us know by giving us a “thumbs up”!

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McKesson Practice Choice EHR Demo – EMR for Medisoft and Lytec

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Note To ePrescribing Customers – Appropriate/Inappropriate Use of Note to Pharmacy Field

Clinical Alert: Use of Note to Pharmacy Field

We are passing along this information from Surescripts® to our valued customers.

The National Council for Prescription Drug Programs (NCPDP) SCRIPT version 10.6 allows the transmission of a free-text Notes to Pharmacy field allowing prescribers to communicate additional non-codified information related to, but not part of, the prescription. In many cases, the free-text Notes field serves as an opportunity for prescribers to enter anything they feel is pertinent to the prescription, but which is often inappropriate. The receipt of inappropriate Notes can cause ambiguity and confusion that may result in pharmacy workflow disruptions, physician callbacks for clarification, and/or potential patient safety risks.

Symptoms: Inappropriate use of the Notes field includes information that already has a structured and codified field within the e-prescription message. The most concerning inappropriate use of this field is for patient directions, either supplemental or conflicting. This can lead to critical information not being conveyed to the patient.

Examples of inappropriate Notes content include:

[table id=1 /]

The Notes field should only include information to the pharmacist that does not already have structured fields designated for such information, so long as it does not conflict with information sent in other structured fields.

Examples of appropriate Notes content include:

[table id=2 /]

Resolution:

Below are the Surescripts® application certification requirements (ACR) that address appropriate use of the Notes field:

On a New Rx, the notes going into the message shall be labeled as “Notes to Pharmacist” or something similar on the user screen. It shall be clear that data passed in the character Notes field will not be shared with the patient. Prescription information that has a designated, standardized data field within the NCPDP script standard shall not be entered into the “Notes to Pharmacist” field. Some examples: SIG, Effective Date, Drug Name, Strength, or Quantity.

In order to optimize workflow efficiency and improve patient care and safety, please ensure your systems and users adopt and adhere to the guidelines explained above.

For Assistance:

If you have further questions or require assistance, please contact AZCOMP Technical Support, or McKesson Technical Support and your questions will be directed to the proper resource.

Every Practice Should Be Doing This…

Every practice should be doing this one simple thing to help avoid fatal mistakes.

azcomp technologies sells medisoft and lytec practice management and EHR software

You’ve probably heard our purpose here at AZCOMP- “Empowering Small Practices to Deliver the Best Care”.  Some may think those are just words, or a catchy slogan that we came up with- but those words have deep meaning for us here at AZCOMP.

Obviously, we don’t work directly with your patients- and we aren’t so arrogant to think that we can help out with delivering health care.  This is what we are doing here though- playing for the patients. Every patient is someone’s mom, grandpa, neice, brother, daughter, or best friend and we think that every patient deserves the best care possible.  

Even though we aren’t doctors or nurses, we firmly believe that what we do here helps give small and independent practices the tools they need to make their practice run smoothly, thus enabling or empowering these practices to focus on delivering the best patient care that they are capable of.

Sometimes we hear stories that light this fire in us and make us more passionate about what we do- and sometimes we live those stories ourselves. And today we wanted to share the story of one of our own employees.

A Sad Story

About a year ago, one of our employee’s didn’t come into work because her mother had suddenly slipped into a coma. After a very scary and heart-wrenching time in the ICU they finally figured out the problem and were able to save her life. The Problem: Her doctor was not checking for drug interactions and had her on a combo of meds that were shutting her kidneys down and started a cascade of problems that affected her heart and brain. She almost lost her mother over a simple mistake.

Mistakes happen- But, this mistake could have and should have been avoided.

The doctor who wrote the prescription at one point had an EMR demo and quote from us and decided for whatever reason not to make the switch to EMR. If the doctor had been using our EMR and electronically prescribing, the software would have immediately caught the mistake and flagged the doctor who was writing the prescription. This life threatening mistake never would have happened.

Fortunately this mistake was corrected and her mother is still with us. But unfortunately thousands suffer or die each day in the United States from prescription errors. Can you imagine how many lives would be saved if every doctor were checking their prescriptions for drug interactions? It is for reasons like this that we are so passionate about what we do at AZCOMP.  We aren’t just selling software, we are making a difference.

Every provider needs to electronically prescribe and check for drug interactions- period.

If you truly want to give your patients the best care and avoid life threatening mistakes then call us today- we can help!

Your Turn To Share

Do you have a story about how the tools you use help your practice to deliver better health care than you could have without it?  We’d love to hear about it.  Please share your inspirational story in the comments below.

Rx Fill History & Recording Patient Consent

Use The Rx Fill History with e-Prescribing in Medisoft Clinical or Lytec MD

The Rx Fill History tab under the Rx/Medications section of the patient’s chart is a valuable tool that is designed to help physicians reconcile medication in order to prevent adverse drug interactions or overdose.

Note: The Rx Fill History tab is only available to providers enrolled in ePrescribing.

The Rx Fill History tab displays pharmacy fill events downloaded to your system from the patient’s Pharmacy Benefits Manager. This feature allows you to see details of what medications your patient is actually obtaining from pharmacies, whether they were prescribed by you or another physician.

You can obtain or refresh the fill history by clicking the Update Fill Hx button, which will initiate a live download of data from the patient’s Pharmacy Benefits Manager. (This feature is limited to what the Pharmacy Benefits Manager provides. It may not contain a complete list of all medications for any particular patient, and it may not be available for all patients.)

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Once data has been downloaded you can view detailed information about a prescription by selecting the prescription from the list and clicking the Show Detail button. The Medication Fill History Detail screen will appear with detailed information about the prescription.

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You can use the Fill History to update the Current Medications list by clicking the Add to Current Meds button.

Considerations Regarding Patient Privacy& Practice Liability:

It is up to the practice to make sure they are gaining patient consent before accessing a patient’s medication history through their e-prescribing/EMR software system. Surescripts does not provide any sort of form/template for gaining patient consent. As a network, Surescripts does not mandate how a prescriber obtains consent-whether this is done orally or in writing (although the prescriber must act in accordance with the applicable law where they are practicing).

Sample wording for a signed consent:

“I understand that performing a medication reconciliation in order to prevent adverse drug interactions and overdose is a critical component to my care. By signing this form I authorize my provider to query and review my medication fill history including drug, dose, form, strength, prescribing provider, and pharmacy.”

Optional Security Settings:

Access Levels can be used to limit access to the Rx Fill History features to only those users that should have access. Your system administrator grants or denies access to these features by going to Maintenance/Setup/Access Levels, selecting the access level and hitting the Edit button.

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On the Records tab the “Rx Fill History Request” should only be checked for users that should have the ability to request the fill history information. And “Rx Fill History” should be checked for users that should have access to view the Rx Fill History tab of the Medications Screen.

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By default the system is setup with the assumption that either a written or oral consent has been obtained, however there is a feature that can be enabled to require users to record in the patient record that consent has been obtained. This would prevent the download of fill history data for any patients that had no indication that consent had been obtained.

To set this feature up the Administrator must edit the ppart.ini file (Found in the ppart directory on the server), changing the current setting of “RxFillHxCheckConsent=OFF” to “RxFillHxCheckConsent=ON

The next step is to create a new question under the patient demographics screen. The “Other Data” tab in the patient’s chart is a place where you can create custom fields to record information on a patient that is not otherwise tracked in the chart. We will setup a question on this tab to indicate whether or not the patient has given consent to obtain Rx Fill History.

Select Maintenance/Configuration/Define Other Data/Patient

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When the Patient Define Other Data Select screen appears, click on the New button.

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Enter Rx Fill Hx OK? in the Label field, select Text from the Type drop-down list, and select 1 Character from the Length drop-down list. Enter a Description and hit OK.

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The Rx Fill Hx OK? field will now appear on the Other Data tab of the Patient screen.

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You will need to establish a workflow where patients (or, for minor patients, their guardian) are informed that their pharmacy benefits provider provides information about the medications they have had filled at retail and mail-order pharmacies, and asked for their consent to request that data for medications prescribed by all providers, providers at your site, or not at all. You can enter the following values in the Rx Fill Hx OK? field based on the patient’s response:

– Enter “Y” if the patient gives consent for all providers.

– Enter “P” if the patient gives consent for providers at your site.

– Enter “N” if the patient does not give consent.

Note: The response must be entered in as a single character and must be in uppercase for the feature to work.

Closing Screen Clinical