RAND Research Topic: Electronic Pharmaceutical Prescriptions 2012-05-25T23:29:16Z Copyright (c) 2012, The RAND Corporation RAND Corporation http://www.rand.org/topics/electronic-pharmaceutical-prescriptions.html Focus on Health Information Technology http://www.rand.org/pubs/corporate_pubs/CP639z4-2012-03.html Mar 30, 2012 Mar 30, 2012 For nearly a decade, RAND researchers have studied how health information technology (HIT) stands to change health care. Early Adopters of Electronic Prescribing Struggle to Make Meaningful Use of Formulary Checks and Medication History Documentation http://www.rand.org/pubs/external_publications/EP20120007.html Jan 1, 2012 Jan 1, 2012 In offices where e-prescribing was implemented, prescribers used information about formularies and drug benefits, but missing information reduced confidence in these resources and led to paper-based workarounds. High-priority Drug -- Drug Interactions for Use in Electronic Health Records http://www.rand.org/pubs/external_publications/EP201200116.html Jan 1, 2012 Jan 1, 2012 A panel of experts highlighted the complexity of issues surrounding development and implementation of a set of high-severity, clinically significant drug–drug interactions (DDIs) for use in electronic health records (EHRs). Meaningful Use of Electronic Prescribing in 5 Exemplar Primary Care Practices http://www.rand.org/pubs/external_publications/EP201100178.html Oct 1, 2011 Oct 1, 2011 Widespread implementation and effective use of e-prescribing in ambulatory care will require practice transformation efforts that focus on work process redesign while being attentive to effects on patient and pharmacy involvement in prescribing. Today's 'Meaningful Use' Standard for Medication Orders by Hospitals May Save Few Lives; Later Stages May Do More http://www.rand.org/pubs/external_publications/EP201100190.html Oct 1, 2011 Oct 1, 2011 Current federal standards for hospital "meaningful use" of health information technology--which requires electronic medication orders for 30 percent of eligible patients--are probably too low to reduce deaths from heart failure and heart attack among hospitalized Medicare beneficiaries. How Should Drugs Be Identified in Electronic Prescribing Systems? http://www.rand.org/pubs/technical_reports/TR941.html Jul 20, 2011 Jul 20, 2011 The set of computer-interpretable identifiers currently used in electronic prescribing does not support the specific needs of prescribers and pharmacists. RxNorm, a rigorously derived system of drug identifiers that more accurately reflect the prescriber's intent, has potential to improve e-prescribing transactions. How Should Drugs be Identified in Electronic Prescribing Systems? http://www.rand.org/pubs/research_briefs/RB9601.html Jul 20, 2011 Jul 20, 2011 RxNorm has potential to improve how medications are represented in e-prescribing transactions. Will Adoption of Electronic Health Records Improve Quality in U.S. Hospitals? http://www.rand.org/pubs/research_briefs/RB9570.html Feb 9, 2011 Feb 9, 2011 Shares findings on the potential effects of electronic health records (EHRs) on health care quality, based on analysis of extensive data from 2003 and 2006 on EHR adoption, hospital characteristics, and hospital quality in nearly 2,100 hospitals. Evaluation of the NCPDP Structured and Codified Sig Format for E-Prescriptions http://www.rand.org/pubs/external_publications/EP201100109.html Jan 1, 2011 Jan 1, 2011 This paper reports an assessment of how well the structure and code sets specified in the National Council for Prescription Drug Programs Structured and Codified Sig Format represent ambulatory electronic prescriptions. Patient Protection and Affordable Care Act: Laying the Infrastructure for National Health Reform http://www.rand.org/pubs/external_publications/EP20100053.html Jun 1, 2010 Jun 1, 2010 <p>This article discusses the range of health information technology initiatives included in the 2009 economic stimulus legislation that collectively are known as the Health Information Technology for Economic and Clinical Health (HITECH) initiative; these include proposed regulations on "meaningful use" of information technology and standards; funding of regional extension centers; and support for the development and use of clinical registries and linked health outcomes research networks.</p> Evaluation of RxNorm for Representing Ambulatory Prescriptions http://www.rand.org/pubs/external_publications/EP201000131.html Jan 1, 2010 Jan 1, 2010 RxNorm provides concepts covering nearly all ambulatory e-prescriptions but could be improved by making it possible to select the most-specific concepts within broader concepts. Perceptions of Standards-Based Electronic Prescribing Systems as Implemented in Outpatient Primary Care: A Physician Survey http://www.rand.org/pubs/external_publications/EP20090711.html Jul 15, 2009 Jul 15, 2009 <p>Compare the experiences of e-prescribing users and non-users regarding prescription safety and workload and to assess the use of information from two e-prescribing standards (for medication history and formulary and benefit information), as</p> Interoperable Electronic Prescribing in the United States: A Progress Report http://www.rand.org/pubs/external_publications/EP20090312.html Mar 15, 2009 Mar 15, 2009 <p>Although the vast majority of U.S. physicians still handwrite prescriptions, adoption of electronic prescribing is slowly growing. Major barriers to adoption remain, including the inability to electronically submit prescriptions for controlled substances and confusion about standards for data exchange. Federal and state governments and private insurers are using payment and policy incentives to boost e-prescribing because they still believe in its promise for improving the quality and efficiency of health care.</p> Variation in Electronic Prescribing Implementation Among Twelve Ambulatory Practices http://www.rand.org/pubs/external_publications/EP20080408.html Apr 1, 2008 Apr 1, 2008 <p>Describes practice characteristics associated with implementation and use of e-prescribing in ambulatory settings. Successful practices exhibited greater familiarity with capabilities and had more modest expectations about benefits of e-prescribing.</p> RAND to Lead Research Team Probing Adequacy of Standards for Electronic Drug Prescriptions http://www.rand.org/news/press/2006/01/18.html Jan 18, 2006 Jan 18, 2006 RAND news release: RAND to Lead Research Team Probing Adequacy of Standards for Electronic Drug Prescriptions Electronic Prescribing Systems: Making It Safer to Take Your Medicine? http://www.rand.org/pubs/research_briefs/RB9052.html Nov 25, 2005 Nov 25, 2005 RAND Health researchers convened an expert panel that created a set of 60 recommendations for electronic prescribing systems. RAND Study Says Computerizing Medical Records Could Save $81 Billion Annually and Improve the Quality of Medical Care http://www.rand.org/news/press/2005/09/14.html Sep 14, 2005 Sep 14, 2005 RAND Study Says Computerizing Medical Records Could Save $81 Billion Annually and Improve the Quality of Medical Care A Conceptual Framework for Evaluating Outpatient Electronic Prescribing Systems Based on Their Functional Capabilities http://www.rand.org/pubs/external_publications/EP20040108.html Jan 1, 2004 Jan 1, 2004 <p>More research is needed into the effects of specific e-prescribing functional alternatives.</p> Predicting Costs of Care Using a Pharmacy-Based Measure Risk Adjustment in a Veteran Population http://www.rand.org/pubs/external_publications/EP20030619.html Jan 1, 2003 Jan 1, 2003 <p>Condition Categories model performs best (R2 = 0.45) among concurrent cost models, followed by ADG (0.31), RxRisk-V (0.20), and age/sex model (0.01).</p>