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Step 5: Achieve Meaningful Use Stage 2

E-Prescribing (eRX)

Objective:

Generate and transmit permissible prescriptions electronically (eRx).

Measure:

More than 50 percent of all permissible prescriptions written by the EP are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology (CEHRT).

Changes from Meaningful Use Stage 1:

 Stage 1Stage 2
Objective Generate and transmit permissible prescriptions electronically (eRx) Generate and transmit permissible prescriptions electronically (eRx)
Measure More than 40% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology More than 50% of all permissible prescriptions written by the EP are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology

Clinical Importance:

Electronic prescribing (e-Prescribing or eRx) is a fast, efficient way to write/re-order and transmit prescriptions. e-Rx has pre-set fields so all the required information for prescriptions are entered and automatically stored in the patient’s record for easy review during follow-up visits or for transitions to other providers. e-Prescribing increases overall patient satisfaction because the prescriptions can be automatically transmitted to a pharmacy of preference. Using an electronic system also provides guided dose algorithms to assist providers. Providers also have the opportunity to query a formulary to ensure the drug selected is covered by the patient’s health plan to assist in reducing costs to the patient.

CMS Resources:

The following resources are available to help you meet the e-Prescribing meaningful use core measure:

CMS EHR Incentive Program Frequently Asked Questions (FAQs)

National Learning Consortium Resources:

The NLC resources are examples of tools that are used in the field today, and that are recommended by “boots-on-the-ground” professionals. The NLC, in partnership with HealthIT.gov, shares this collective EHR implementation knowledge and resources throughout this site. 

National Learning Consortium Resources
Resource NameDescriptionSource

A Toolset for E-Prescribing Implementation in Physician Offices

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Toolset that provides knowledge and resources to implement e-prescribing. Includes tools to support planning and decision-making, such as surveys to determine whether an organization is ready for e-prescribing, worksheets for planning the implementation and monitoring progress, and templates for communicating the launch to patients.

Agency for Healthcare Research and Quality (AHRQ)

The material in these guides and tools represents the collective EHR implementation experiences and knowledge gained directly from the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research Center (HITRC) Communities of Practice (CoPs) in their performance of technical support and EHR implementation assistance to primary care providers. The information contained in these resources is not intended to serve as legal advice nor should it substitute for legal counsel. The resource list is not exhaustive, and readers are encouraged to seek additional detailed technical guidance to supplement the information contained herein.

Reference in this web site to any specific resources, tools, products, process, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. Government or the U.S. Department of Health and Human Services.

 

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