County Medical Society Joseph R. Maldonado, Jr., - - PowerPoint PPT Presentation

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County Medical Society Joseph R. Maldonado, Jr., - - PowerPoint PPT Presentation

MSSNY President-Elect Update for Steuben County Medical Society Joseph R. Maldonado, Jr., M.D.,MSc,MBA,DipEBHC ISTOP ISTOP Internet System for Tracking Over-Prescribing Law Took effect August 27, 2013 Overhauls NYs Prescription


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MSSNY President-Elect Update for Steuben County Medical Society

Joseph R. Maldonado, Jr., M.D.,MSc,MBA,DipEBHC

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ISTOP

ISTOP – Internet System for Tracking Over-Prescribing Law Took effect August 27, 2013 Overhauls NY’s Prescription Monitoring Program Requires PMP consultation for prescribing controlled substances Requires electronic prescribing

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E-Prescribing 2015

Effective March 27, 2015, Physicians will be required to “e-prescribe” both controlled and non-controlled medications. Can be accomplished through EMR applications or via a “standalone” system EMR or standalone systems MUST be certified by Surescripts, the national prescription-routing network

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EMRs

You must check to make sure your EMR is certified by Surescripts AND that it meets the DEA’s EPCS (Electronic Prescribing of Controlled Substances) security requirements/certification

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Standalone Prescription Systems

Systems must also meet Surescripts certification AND DEA’s EPCS certification Systems currently meeting both include:

 Allscripts Deluxe www.allscripts.com  DrFirst Rcopia

www.drfirst.com

 MD Toolbox

www.mdtoolbox.com

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Checking Your E-prescribing system for compliance

Surescripts

 http://surescripts.com/network-

connections/mns/prescriber-software

 EMR – click on lefthand filter EMR and check

your EMR. Note that some programs are certified but not yet available. Many are not EPCS certified

 Standalone – click on lefthand filter

Standalone and check as with EMR

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Establishing a functional and compliant e-prescribing system

Signing up with your vendor e-prescribing tool Registering your system with the New York State BNE (New York State Health Department’s Bureau of Narcotic Control)

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Signing up with your e- prescribing vendor system

3 Step Process:

 1) “Identity proofing” - vendor verifies who

you are including:

Verifying your personal identity Knowledge based authentication Verification of account information – financial

 2) “Two-factor authentication” – a credential

that establishes your electronic signature

Something you know – Password Some you have – digital token

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Signing up with your e- prescribing vendor system

 3) Access control setup – 2 person process

One individual for setting list of those authorized to prescribe and the prescriber to use his/her credentials to log in and activate system access

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Registering with NY BNE

1) Complete one-page registration Practitioner EPCS Registration Form found at: https:www.health.ny.gov/forms/doh-5121.pdf Additional official NYS DOH resource: http://www.health.ny.gov/professionals/narc

  • tic/electronic_prescribing/
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Additional Factors to consider

Consider the costs of different vendor products be they standalone or EMR including 24/365 phone access to vendor Cost of importing or linking patient demographics from your billing/EMR system to the e-prescribing tool Phonescripts/Paperscript limitations Waivers/Exemptions