E-Prescribing Update from September 9, 2014 Meeting

Nancy Leveille in Clinical & Quality

NYSHFA attended a meeting with the NYS Education Department’s Board of Pharmacy (BOP)/ Nursing, NYSDOH Bureau of Narcotic Enforcement (BNE) and representatives from the Physicians, Nurse Practitioners and Physician’s Assistant’s Associations. The BOP and BNE started out the discussion with an update on the current law and rationale for implementing E-Prescribing in NYS.  We are the first state in the country to try to implement this statewide.  They noted the number of prescribers in the state and the low number thus far that are set up to implement E-Prescribing, but felt there was adequate time to accomplish this task. In addition, a presentation was made by representatives from Surescripts, which is a vendor company who creates pathways for physicians to manage all their prescriptions within the electronic workflow.  They are the main service provider of this type working on the E-Prescribing project in NYS.  They discussed the current status of work with the Electronic Health Record vendors for Hospitals and Long Term Care.  Hospitals have the potential of being ready and tested to implement E-prescribing by March 27, 2015 deadline, but noted only the two major LTC EHR vendors are working with them and they predict will not be fully ready and tested by the same deadline.  NYSHFA discussed that this is only two of the LTC vendor providers and many SNF do not even have EHR or a clinical product ready for this work.  The Physician, PA and RNP representatives along with NYSHFA identified the variety of prescribers that may need to enter into multiple SNF systems and what that would mean with this current proposed system.  At the conclusion of the meeting, it was clear that more work is needed to successfully implement the new E-Prescribing law especially in the NYS LTC area of health care.  NYSHFA has suggested piloting the discharge prescriptions and the controlled prescriptions to start with in nursing homes and to continue to allow the nurse to take telephone and verbal orders per scope of practice in the E-Prescribing system and have those orders enacted upon with the MD cosigning electronically as the law permits.

NYSHFA will continue to work on this project with the appropriate groups.  We encourage our members to review our member mailing of September 2, 2013 and work with your pharmacies, prescribers and health record vendors to assist in pursuing compliance to this law as far as you have the capability to do so.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20