Product Shall Cross-Directionally and Electronically Transmit Prescription Data Through the SureScripts and RxHub Networks
Reduce the risk of data entry errors. Increases workflow and reduces time required to refill prescriptions
Product Shall be Certified by SureScripts and RxHub
Works in accordance with industry-accepted standards for the electronic exchange of prescription data between physicians and pharmacies
System Shall Check for drug-drug interaction
Vital for patient safety
System Shall Check for drug-allergy interaction
Vital for patient safety
ePrescribing Functional Requirements
2
System Shall Meet Requirements and Standards Released by HITSP and CCHIT
Requirements for certification and compliance
System Shall Comply with HIPAA Regulations
Patient privacy, system security, and transaction processing
System Shall Allow Nurse to Write Prescriptions and Physician to Confirm Electronically
Prevents disruption of normal workflow
System Shall Export Patient Data
Ability to export historical data in a generalized format that can be imported into other systems
ePrescribing Functional Requirements
3
Information Architecture
4
EHREHR
InpatientPharmacyInpatientPharmacy
Interface Engine
MPIStandards-
NCPDP, HL7 (ASC) X 12
Commercial Pharmacy
Commercial Pharmacy
SureScript
PatientPhysician
ADTADT
Pharmacy Benefit
Manager
Pharmacy Benefit
Manager
Most information originates in the RxHub
Physician is linked to PBM
Physician utilize real-time decision support to generate prescriptions
RxHub has Master Person Index which already covers 200 million Americans
Improved workflow and access to information
9
Data Set Flow
10
Rx Order Data Set contains the order details to complete the dispensing process, including- authorizing provider, provider license number, location, date, medication, dose, quantity, SIG, route, controlled/non-controlled flag, formulary exception reason, reason for canceling, and order change requests etc.
Dispensing Order Data Set retains the original order details and adds the dispensing details, including any changes made by a pharmacist, the identification of the pharmacist and demographic details of the dispensing pharmacy.
Refill Request Data Set contains order data for the requested refill, as well as, any patient’s comments, the reason for request, and/or zero refill authorization message.
Rx Order, Dispensing and Refill Request Data set contains order details for New, Refill, Cancelled and Changed orders
Interface Engine and RX Aggregator
Clinician Order Entry
Pharmacy
Orders From
Orders To
Orders From
Orders To
Patient Information Data Set contains the patient’s name and demographics, benefits plan, eligibility criteria, status of eligibility, and plan formulary.
Payer Data Set contains the claims, insurers formulary and confirmed eligibility status of the patient’s benefits for the pharmacies.
Formulary Data Set contains the hospital’s IP formulary database which clinicians use at point of ordering.
Alerts are configured within the Electronic Health Record and the IP Pharmacy System so no message interfaces were needed.
Data Set Flow
11
Interface Engine and
RX Aggregator
Clinician Order Entry
Payer
Pt Info From Benefit Status From
Pt Info To
Pt Info FromBenefit Status From
Pt Info To
Pharmacy
Benefit Status ToClaims To
Benefit Status FromClaims From
Data Set Flow
12
EHR System(CPOE)
RX Aggregator Interface Engine
(HL7, NCPDP, ANSI X12)
RX Orders(new, refill,
cancel, change)
RX DispenseFill Status
DetailsCommercial
Pharmacy Systems
IP Pharmacy System
Patient Information
(Eligibility, Benefits, Formulary, Demographics)
Rx Orders(new, refill, cancel, change)HL7
Rx Dispense DetailsHL7
Patient Information
Rx Dispense, Fill Status, DetailsNCPDP
Formulary
SureScriptsVendor
Pharmacy Hub
Refill Requests
Rx Orders(new, refill,
cancel, change)
Rx DispenseFill Status
Details
Pharmacy Benefit Management
Systems
SureScriptsVendor
PBM Hub
Patient Info(Benefits, Formulary,
Demographics(ANSI X12)
Rx Orders(new, refill, cancel, change)NCPDP
Rx Refill RequestsNCPDP
FormularyHL7
Payer Information (Eligibility, Claims, Benefits, Payer Formulary)