We are a busy orthopedic practice. Consequently, the majority of our rx are scheduled. We enter them into the system as handwritten so we capture contraindications, allergies, etc, but the GE MU reports package specifically excludes handwritten for the measure... GE has told me that there is not a way for EMR to identify a prescription that is for a scheduled drug or not, even though in the erx module settings there is specifically a check box to allow transmission of scheduled drugs.
How are you all managing this?
In the past, I recall reading a post from another CHUG member from a specialty group stating how they met this measure. They began prescribing surgical soaps for all of their pre-op patients. Their reasoning was that the prescription was medically necessary, but they understood (one could not help but wonder if they instructed) that not all patients would fill and receive this rx.
Food for thought I suppose.
Scehduled drugs are identified via class code in the DB. Handwritten should be included in the Exclusion and Denominator for 04 e-Prescribing eRx Core results. Although Denominator wouldn't count these class coded medications as they are not a permissible prescription.
Have you QAd Rxs for your providers and compared them to the CR?
Is is my understanding that the Crystal Report is based off of the following:
Exclusion would include alll Prescriptions for the month that are not uncoded/DME (free typed) for Electronic, Fax, Print, Telephone or handwritten.
The Denominator is total of all non-OTC, non-uncoded/DME (free typed) and non-class code.
The Numerator is all electronic (non OTC).
I use Toad to export DB results to excel and have some SQL if you would like?
Nikki [email protected]