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Using ePrescribing with ExamWRITER

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

The <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface provides you <strong>with</strong> a simple, powerful,<br />

and fast method to send patient medical prescriptions electronically to<br />

pharmacies. It also helps you meet the following measures in the EHR Incentive<br />

Program to achieve meaningful use:<br />

• Core measure 1: Use computerized provider order entry (CPOE) for<br />

medication orders directly entered by any licensed healthcare professional<br />

who can enter orders into the medical record per state, local and<br />

professional guidelines<br />

• Core measure 2: Implement drug-drug and drug-allergy interaction checks<br />

• Core measure 4: Generate and transmit permissible prescriptions<br />

electronically (eRx)<br />

• Menu set measure 1: Implement drug formulary checks<br />

For more detailed<br />

information on how<br />

to use the features in<br />

<strong>ePrescribing</strong>,<br />

schedule additional<br />

training <strong>with</strong> the<br />

Training & Education<br />

department.<br />

For answers to<br />

questions that you<br />

have while using the<br />

<strong>ePrescribing</strong><br />

interface, read the<br />

FAQs on our<br />

Knowledge Base.<br />

In this document:<br />

• Glossary Definitions, 2<br />

• User Definitions, 4<br />

• Setting Up <strong>ExamWRITER</strong>, 5<br />

• Sending Medical Prescriptions Electronically, 8<br />

• Managing Medications, 19<br />

• Renewing Prescriptions, 20<br />

• Viewing Medication Drug History, 26<br />

• Modifying Options & Printing Reports, 27<br />

• Logging Out, 52<br />

• Viewing the Status of ePrescriptions, 52<br />

®<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 1


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Glossary Definitions<br />

NOTES • Before you begin using the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface,<br />

ensure that you have activated your practice and providers using<br />

the EW-DrFirstDB.mdb file provided to you as the<br />

EW-DrFirstDB.txt file by the Eyefinity Sales team. For information<br />

about installing this file, contact the Customer Care team at<br />

1.800.942.5353 or officematesupport@eyefinity.com.<br />

• In order to properly upload data to, download data from, and<br />

navigate the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface, add the<br />

following URLs to your Web browser's trusted site’s list:<br />

rx-blue.drfirst.com<br />

drfirst.com<br />

https://rx7.drfirst.com<br />

http://www.msn.com (OfficeMate/<strong>ExamWRITER</strong> v10.0 and<br />

below only! This website is used as an alternate logout site<br />

when navigating to the DrFirst website to prevent an error.)<br />

After you add the URLs to your Web browser’s trusted sites list,<br />

deselect the Require server verification (https:) for all sites<br />

in this zone check box.<br />

• You must have the .NET Framework installed on the computer<br />

system running <strong>ExamWRITER</strong> to use the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface. You can download the .NET Framework at<br />

http://www.microsoft.com/download/en/details.aspx?displaylang<br />

=en&id=22. The .NET Framework requires Windows Installer<br />

version 3 or above. You can download this Windows Installer<br />

version at<br />

http://www.microsoft.com/download/en/details.aspx?displaylang<br />

=en&id=8483.<br />

• You must protect your practice and BACK UP YOUR DATA when<br />

using the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface! For more<br />

information about backing up your data, see the “Backing Up &<br />

Restoring Data” document at www.officemate.net.<br />

Glossary Definitions<br />

Category search<br />

This search allows you to use therapeutic categories to find the list of drugs.<br />

Electronic<br />

prescription<br />

A prescription sent directly from the provider to a pharmacy through Surescripts.<br />

Favorite<br />

prescription<br />

A medication that you routinely prescribe for your patients. Favorite prescriptions<br />

include the Sig and strength information. For more information on adding and<br />

modifying favorite prescriptions, go to “Adding & Modifying Favorite<br />

Prescriptions” on page 29.<br />

Fax prescription<br />

A prescription sent directly to the pharmacy’s fax machine.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Glossary Definitions<br />

Formulary<br />

A list of drugs that provides information on coverage and copays from the<br />

patient’s insurance or health plan. Formulary information is obtained from<br />

Surescripts; however, Surescripts may not provide information for all<br />

government-funded formularies and some small regional payers. If a patient has<br />

more than one insurance carrier, you can select formulary information for the<br />

appropriate insurance carrier when you are prescribing a medication. For more<br />

information on configuring formularies, go to “Configuring Formularies” on page<br />

28.<br />

Formulary<br />

coverage codes<br />

These codes determine the prescription drug benefit coverage for a particular<br />

medication, such as step therapy (ST) or prior authorization (PA). For a list of<br />

codes and definitions, go to www.officemate.net/omkb/Article.aspx?id=28501.<br />

Formulary status<br />

This status is determined by the health plan. Drugs can have a formulary or<br />

non-formulary status or a preferred status such as P1, P2, etc. For a list of statuses<br />

and definitions, go to www.officemate.net/omkb/Article.aspx?id=28501.<br />

Medication<br />

A drug that the patient is already taking.<br />

Medication history<br />

A list of medications that the patient has taken in the past. This information may<br />

be obtained from <strong>ExamWRITER</strong> and the medication drug history. The medication<br />

drug history contains pharmacy history of up to two years for all patients whose<br />

insurance companies and pharmacies provide this information to Surescripts.<br />

Prescription<br />

Oral, written, faxed, or electronic order of medication.<br />

Prescription status<br />

This status provides transmission information on the prescription you sent and<br />

whether it has been received by the pharmacy.<br />

Provider<br />

Health care professional such as MD, DO, NP, or PA.<br />

Refills<br />

The number of times a prescription can be refilled at the pharmacy <strong>with</strong>out<br />

requiring a new prescription.<br />

Renewals<br />

A request from the pharmacy to obtain additional refills on a prescription or<br />

receive an updated prescription, if it has expired.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

User Definitions<br />

User Definitions<br />

This section includes definitions for the users that you set up when you activated<br />

the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface <strong>with</strong> the Eyefinity Sales team. The<br />

features available to you in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface are<br />

dependent on your user status.<br />

Create Sign Send Print Favorites User<br />

Preferences<br />

Periodic<br />

Report<br />

Pharmacy<br />

Report<br />

Physician 1 X X X X X X X X<br />

Agent 2 X X X X X X X<br />

Clinical Staff 3 X X X X X X<br />

Non-Clinical<br />

X X X X X<br />

Staff 4<br />

Administrator 5 X X X<br />

(1) Physicians (including physician assistants and nurse practitioners) are able to<br />

create, sign, send, and print prescriptions. They can also change the signature<br />

password; add and modify favorite prescriptions, pharmacy information, and user<br />

preferences; and create and print the Periodic Report and Pharmacy Report.<br />

(2) Agents are able to create, send, and print prescriptions, but they cannot sign<br />

prescriptions. They can also add and modify favorite prescriptions, pharmacy<br />

information, and user preferences, and print the Periodic Report and Pharmacy<br />

Report.<br />

(3) Clinical staff members are able to create, print, and archive prescriptions, but<br />

they cannot sign or send prescriptions. They can also add and modify favorite<br />

prescriptions, pharmacy information, and user preferences, and print the Periodic<br />

Report and Pharmacy Report.<br />

(4) Non-clinical staff members are able to open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface, select pharmacies for patients, and print and archive pending<br />

prescriptions, but they cannot create, sign, or send prescriptions. They can also<br />

add and modify favorite prescriptions, pharmacy information, and user<br />

preferences, and print the Periodic Report and Pharmacy Report.<br />

(5) Administrators are able to add and modify user and practice preferences and<br />

create and print the Activity Report, Drug Report, Decision Report, Periodic<br />

Report, and Pharmacy Report. Every office will have at least one administrator<br />

and the administrator(s) will also be set up as a physician, agent, clinical staff<br />

member, or non-clinical staff member.<br />

4 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Setting Up <strong>ExamWRITER</strong><br />

Setting Up<br />

<strong>ExamWRITER</strong><br />

Before you begin using the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface, complete the<br />

following set up tasks in <strong>ExamWRITER</strong> so that you are able to successfully send<br />

prescriptions electronically through the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface.<br />

• Open the demographic record for each patient for whom you plan to send<br />

prescriptions electronically and ensure that the following information is<br />

recorded: Last Name, First Name, Zip Code, Sex, Date of Birth, and<br />

Provider.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 5


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Setting Up <strong>ExamWRITER</strong><br />

• Click Tools (in <strong>ExamWRITER</strong>) or Setup and then <strong>ExamWRITER</strong> (in<br />

Administration/Home Office), select Preferences, and ensure that the<br />

following system preferences are set up properly in the Preferences window:<br />

<br />

<br />

If you selected the SINGLE line per heading Exam Default View on the<br />

General tab, ensure that you select the Yes radio button next to the<br />

Insert “No ~ exists except:” in Patient Hx preference on the Defaults<br />

tab.<br />

If you selected the MULTIPLE lines Exam Default View on the General<br />

tab, ensure that you select the No radio button next to the Insert “No ~<br />

exists except:” in Patient Hx preference on the Defaults tab.<br />

6 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Setting Up <strong>ExamWRITER</strong><br />

• If you are using <strong>ExamWRITER</strong> 9.0 or below, select the Security Active?<br />

check box on the User Security window to activate security in <strong>ExamWRITER</strong><br />

for each <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface user. If you are using<br />

<strong>ExamWRITER</strong> 9.5 or above, security will already be activated.<br />

For more information<br />

about security<br />

settings in<br />

<strong>ExamWRITER</strong>, see<br />

the <strong>ExamWRITER</strong><br />

User’s Guide and<br />

Security recorded<br />

video tutorials.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 7


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

Sending<br />

Medical<br />

Prescriptions<br />

Electronically<br />

Prescribing<br />

medications<br />

electronically meets<br />

the CPOE and eRx<br />

requirements for<br />

meaningful use<br />

(core measures 1<br />

and 4).<br />

This section includes instructions that will help you send medical prescriptions<br />

electronically. This section includes the following topics:<br />

• Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> Interface, 8<br />

• Selecting a Practice, 10<br />

• Selecting a Pharmacy, 10<br />

• Prescribing a Medication, 12<br />

Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> Interface<br />

1. Open a patient’s exam record in <strong>ExamWRITER</strong>.<br />

2. Follow the instructions below to ensure that the patient’s medication allergy<br />

and medication history information is recorded in the exam record:<br />

a. Click the Patient Hx - ROS tab on the <strong>ExamWRITER</strong> chart window<br />

b. Click the Patient History bar.<br />

c. Select Medications - Systemic/Ocular/Allergies [MU].<br />

d. Click Process.<br />

e. Double-click the medication name in the table at the top of the window<br />

to add it to the table at the bottom of the bottom of the window, if needed.<br />

f. To record a medication as discontinued, select the medication in the<br />

table at the bottom of the window, click Discontinue medication, select<br />

a date from the Discontinue Date calendar, and click Save.<br />

g. To denote if the patient is allergic to a medication, select the Allergy<br />

check box next to the medication in the table at the bottom of the<br />

window, click in the blank text box in the Reaction window, select as<br />

many reactions as necessary, right-click in the Reaction window, select<br />

an onset date from the Onset calendar, and click Save.<br />

h. Click Save/Exit.<br />

8 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

The <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong><br />

interface<br />

automatically<br />

checks for<br />

drug-drug and<br />

drug-allergy<br />

interactions to help<br />

meet the<br />

requirements for<br />

meaningful use<br />

(core measure 2).<br />

3. Complete one of the actions below to open the Medication Order window:<br />

Click the Surgery - Plan - Mgmt tab on the <strong>ExamWRITER</strong> chart window,<br />

click the Plan bar, select the Medication Rx check box, and click<br />

Process.<br />

Press the F6 key anytime during an exam to record a patient’s<br />

prescription medication.<br />

NOTE<br />

Do not record the medication order in the <strong>ExamWRITER</strong><br />

Medication Order window. You must record the medication<br />

order in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface to<br />

electronically submit the medical prescription.<br />

4. Click the MU eRX icon to open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface.<br />

NOTE<br />

If you are not logged into <strong>ExamWRITER</strong> as a physician, ensure<br />

that the correct user is selected from the User ID drop-down<br />

menu, and, if necessary, type the password associated <strong>with</strong> the<br />

user ID in the Password text box and click Login. You must be<br />

a registered <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface user to log in<br />

to the interface.<br />

The practice, provider, patient demographic, medication allergy, and<br />

medication history information is sent from <strong>ExamWRITER</strong> and populated in<br />

the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface.<br />

NOTE<br />

Modifications that you make to patient demographic,<br />

medication allergy, and medication history information in the<br />

<strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface are only saved in the<br />

interface; the modifications are not transferred back to<br />

<strong>ExamWRITER</strong>.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 9


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

Selecting a Practice<br />

If you are using <strong>ExamWRITER</strong> in a multilocation environment, click the Practice<br />

link and select the practice from which you are prescribing the medication.<br />

Selecting a Pharmacy<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click the Pharmacy link to select the pharmacy where you want to send the<br />

patient’s medical prescription.<br />

10 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

3. Type appropriate search information in the Patient Pharmacy Information<br />

section and click Find to search for and select a pharmacy.<br />

NOTES • Click the Favorite List radio button to search for pharmacies<br />

in your Favorite List.<br />

• Click the Practice List radio button to search for local<br />

pharmacies in your geographic area. For more information<br />

on setting up the Practice List, go to “Adding & Modifying<br />

Pharmacy Data” on page 33.<br />

• Click the All lists radio button to search for all of the<br />

pharmacies available in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface.<br />

• Click the Add a new pharmacy to the practice list link to<br />

add a local pharmacy to the Practice List, and, if desired, to<br />

your Favorite List.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 11


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

4. Click on a pharmacy name to select that pharmacy for the patient’s medical<br />

prescription.<br />

NOTES • Click the Edit link to edit the pharmacy’s information.<br />

• Click the Delete link to delete the pharmacy from the search<br />

results.<br />

• Click the Favor link to add the pharmacy to your Favorite<br />

List, or, click the UnFavor link to remove the pharmacy from<br />

your Favorite List.<br />

• Select the check boxes next to the pharmacies and click the<br />

Add link below the pharmacy list to add the selected<br />

pharmacies to your Favorite List or Practice List.<br />

• You cannot add a mail order pharmacy to a patient’s record,<br />

but you can select to send the prescription to a mail order<br />

pharmacy at the time that you prescribe it.<br />

Prescribing a Medication<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Ensure that you have selected a pharmacy where you want to send the<br />

medical prescription. If desired, complete the actions below:<br />

<br />

<br />

Click the View link to view the pharmacy’s address, phone, and fax<br />

information.<br />

Click the Change link to select a different pharmacy; for more<br />

information on selecting a pharmacy, go to “Selecting a Pharmacy” on<br />

page 10.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

3. Click Prescribe in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

4. If you want to record the patient’s last office visit on the prescription as<br />

today’s date, click Visit Today.<br />

NOTE<br />

To view, modify, and delete previous patient office visits, click<br />

Show Patient Visits.<br />

5. If the patient is pregnant or breastfeeding, select the Pregnant or<br />

Breastfeeding check box.<br />

6. If the patient transitioned from one point of care to your practice and you<br />

have enabled the Display Transition of Care Link practice preference, click<br />

TOC Today to record the patient’s transition of care date as today’s date.<br />

7. If you have enabled the When I select a patient, I want to see the Rendering<br />

Provider’s in the Patient’s Demographic Information section practice<br />

preference, select the provider who rendered services for the patient from<br />

the Rendering Provider drop-down menu and click Update.<br />

8. If you signed up to use the new Akario messaging system, click Send<br />

Patient Info. to securely send HIPAA-compliant patient referrals and<br />

protected health information to other medical providers or click Akario<br />

Messages to view messages sent to you by other medical providers.<br />

9. Complete one of the following actions in the Prescribe a Medication section<br />

to search for and select a medication:<br />

Click Category Search to search for medications by therapeutic class.<br />

<br />

<br />

NOTES • You can send and receive up to 20 MBs of data<br />

(attachments, etc.) in each message.<br />

• To learn more about Akario, go to<br />

https://getakiro.com/learnmore.<br />

• For Akario training information, go to<br />

www.getakario.com/trainingvideo.<br />

Type the full or partial name of a medication in the Name text box and<br />

click Find.<br />

Select a medication in your Favorite List from the Favorites drop-down<br />

menu and click Use. For more information on setting up your Favorite<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

List, go to “Adding & Modifying Favorite Prescriptions” on page 29.<br />

NOTES • If you type the name of a medication in the Name text box<br />

and click Find and the medication is not recognized, you<br />

can click the Use free text link, record the drug schedule<br />

details, and then send the medication to the pharmacy<br />

through the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. Note that<br />

drug-drug interaction and drug-allergy warnings may not<br />

appear if you use the free text link.<br />

• If, after you have selected a medication in your Favorite List<br />

from the Favorites drop-down menu, you want to view or edit<br />

the medication, click View/Edit.<br />

If you did not select a pharmacy, but you did select formulary information,<br />

green and red alpha-numeric codes may appear next to medications,<br />

indicating formulary restrictions and preferences; note the codes and select<br />

a medication. If the medication that you searched for and selected interacts<br />

negatively <strong>with</strong> another medication’s formulary information, a blue warning<br />

message may appear.<br />

The <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong><br />

interface<br />

automatically<br />

checks for formulary<br />

information to help<br />

meet the<br />

requirements for<br />

meaningful use<br />

(menu set measure<br />

1).<br />

10. If the medication that you searched for and selected in step 9 interacts<br />

negatively <strong>with</strong> another medication or patient medication allergy, a warning<br />

message may appear; click Prescribe Anyway to prescribe the drug or<br />

Cancel to cancel the prescription.<br />

14 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

The <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong><br />

interface<br />

automatically<br />

checks for<br />

drug-drug and<br />

drug-allergy<br />

interactions to help<br />

meet the<br />

requirements for<br />

meaningful use<br />

(core measure 2).<br />

NOTES • Drug-drug interaction and drug-allergy warnings may not<br />

appear if the medication has a red triangle to the left of its<br />

name; these triangles indicate that the medication was<br />

entered by hand, rather than selected from a list, or was<br />

transferred <strong>with</strong> a code that the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface did not recognize. To receive more conclusive<br />

warning messages, click Manage Medications and reselect<br />

the patient’s other medications or medication allergies from<br />

the medication list.<br />

• Clinical prescription warnings are displayed in red text.<br />

Non-clinical prescription warnings are displayed in blue text.<br />

• If you want to provide a justification for prescribing the<br />

medication not<strong>with</strong>standing the warning, type text into the<br />

text box.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 15


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

11. If required information is missing from the prescription, you must record the<br />

prescription details in the appropriate fields and click Continue; otherwise,<br />

skip to step 12.<br />

NOTES • Ensure that all directions, including the Sig, are accurate. To<br />

taper a Sig, type the instructions in the Directions to Patient<br />

text box. If your tapering instructions are more than 140<br />

characters, the prescription will be faxed and not sent<br />

electronically.<br />

• If no provider is selected, select a provider from the Provider<br />

drop-down menu. If no provider is selected, the prescription<br />

will remain <strong>with</strong> a pending status until a provider is selected.<br />

• Click the Change link next to the selected pharmacy to<br />

search for and select a different pharmacy. For more<br />

information on selecting a pharmacy, go to “Selecting a<br />

Pharmacy” on page 10.<br />

• Click the Remove link to remove the selected pharmacy<br />

from the patient’s list. Patients can have up to five<br />

pharmacies assigned to them.<br />

• Click Split Prescription to select a second pharmacy to<br />

which you want to send part of the prescription. This feature<br />

is helpful if you want to send part of the prescription to a mail<br />

order pharmacy and part of it to a retail pharmacy.<br />

• Click Drug Reference to open the RxList website and<br />

search for information about a specific medication.<br />

• Type the patient’s weight in the Patient Weight text box and<br />

click Show Dose Calculator to calculate the correct dose<br />

for the patient and apply it to the Rx.<br />

• Click Change Drug to search for and select a different drug.<br />

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Sending Medical Prescriptions Electronically<br />

12. Complete one of the following actions to sign, send, and print the<br />

prescription:<br />

<br />

<br />

<br />

<br />

If you are a physician, type your signature password in the Signature<br />

Password text box and click Send, Send and Print, Print w/o sending,<br />

or Sign w/o sending.<br />

If you are an agent, click Send, Signature for follow, Send and Print,<br />

Print w/o sending, or Archive w/o sending; you cannot sign<br />

prescriptions.<br />

If you are a clinical staff member, click Print w/o sending or Archive<br />

w/o sending; you cannot sign or send prescriptions.<br />

If you are a non-clinical staff member, do nothing; you cannot sign, send,<br />

or print prescriptions.<br />

NOTES • If you are writing a prescription for a controlled substance,<br />

click Print w/o sending. You cannot send prescriptions for<br />

controlled substances electronically.<br />

• If you are writing a prescription for sample medication, click<br />

Sign w/o sending.<br />

• If you want to stop the medication on a specific date, select<br />

the Stop medication on check box and select a date from<br />

the drop-down menus (if available).<br />

• Click OK to save the prescription <strong>with</strong>out signing, sending,<br />

or printing it (if available).<br />

• Click Add to Favorites or the Favor link to add the<br />

medication to your Favorite List. For more information on<br />

setting up your Favorite List, go to “Adding & Modifying<br />

Favorite Prescriptions” on page 29.<br />

• Click Modify to modify the prescription details.<br />

• Click Delete to delete the prescription for the patient and<br />

document the deletion in the Correspondence Hx tab in the<br />

Patient Information Center window in <strong>ExamWRITER</strong>.<br />

• Click the Print Pharmacy link to print the pharmacy on the<br />

prescription.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Sending Medical Prescriptions Electronically<br />

All prescribed prescriptions appear in the Medications section in the<br />

<strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. If you signed and sent, printed, or<br />

archived the prescription, the prescription and its strength appears <strong>with</strong><br />

“eRX” after it in the Current Therapeutic Rx table and the pharmacy name<br />

appears in the Special Instructions text box and Medication Hx Notes<br />

column in the <strong>ExamWRITER</strong> Medication Order window.<br />

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Managing Medications<br />

Managing<br />

Medications<br />

This section includes instructions that will help you manage the patient’s<br />

prescription medications, including deleting, modifying, and stopping them.<br />

NOTE<br />

Modifications that you make to medication information in the Manage<br />

Meds section in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface are only<br />

saved in the interface; the modifications are not transferred back to<br />

<strong>ExamWRITER</strong>.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Manage Meds in the main navigation bar at the top of the<br />

<strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface.<br />

The Medication List for the patient is displayed.<br />

3. Complete one or more of the following actions:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

If you want to add a medication to the patient’s Medication List, type a<br />

medication’s name in the Add a medication text box and click Find or<br />

select a favorite medication from the Favorites drop-down menu and<br />

click Add. If, after you have selected a medication in your Favorite List<br />

from the Favorites drop-down menu, you want to view or update the<br />

medication, click View/Update.<br />

If you want to delete a medication from the list, click the Delete link. If<br />

you delete the medication, it is documented in the Correspondence Hx<br />

tab in the Patient Information Center window in <strong>ExamWRITER</strong>.<br />

If you want to modify a medication in the list, click the Modify link.<br />

If you want to stop a medication in the list, click the Stop link.<br />

If you want to start a medication in the list that has been previously<br />

stopped, click the Unstop link.<br />

If you want to display and print a detailed medication report for the<br />

patient, click the Display Detailed Medication Report link.<br />

If you want to view and print a mini medication report for the patient, click<br />

the Mini Report link.<br />

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Renewing Prescriptions<br />

<br />

If you want to display the patient’s medication history, click the Show<br />

Medication History link; alternatively, if you want to hide the patient’s<br />

medication history, click the Hide Medication History link.<br />

NOTES • Click the Delete, Restart, Prescribe, and Renew links<br />

under the patient’s Medication History to delete, restart,<br />

prescribe, or renew the medication. If you delete the<br />

medication, it is documented in the Correspondence Hx tab<br />

in the Patient Information Center window in <strong>ExamWRITER</strong>.<br />

• Clicking the Medications Reviewed link will not satisfy menu<br />

set measure 7 in the EHR Incentive Program and help you<br />

meet the requirements for meaningful use. You must review<br />

medications in <strong>ExamWRITER</strong> to satisfy menu set measure 7<br />

in the EHR Incentive Program.<br />

Renewing<br />

Prescriptions<br />

This section includes instructions that will help you renew prescriptions. To refill<br />

prescriptions requests submitted electronically by pharmacies, go to “Viewing the<br />

Status of Refills” on page 53.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Ensure that you have selected a pharmacy where you want to send the<br />

medical prescription. For more information on selecting a pharmacy, go to<br />

“Selecting a Pharmacy” on page 10.<br />

3. Click Prescribe in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

4. If you want to record the patient’s last office visit on the prescription as<br />

today’s date, click Visit Today.<br />

NOTE<br />

To view, modify, and delete previous patient office visits, click<br />

Show Patient Visits.<br />

5. If the patient is pregnant or breastfeeding, select the Pregnant or<br />

Breastfeeding check box.<br />

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Renewing Prescriptions<br />

6. If the patient transitioned from one point of care to your practice and you<br />

have enabled the Display Transition of Care Link practice preference, click<br />

TOC Today to record the patient’s transition of care date as today’s date.<br />

7. If you have enabled the When I select a patient, I want to see the Rendering<br />

Provider’s in the Patient’s Demographic Information section practice<br />

preference, select the provider who rendered services for the patient from<br />

the Rendering Provider drop-down menu and click Update.<br />

8. If you signed up to use the new Akario messaging system, click Send<br />

Patient Info. to securely send HIPAA-compliant patient referrals and<br />

protected health information to other medical providers or click Akario<br />

Messages to view messages sent to you by other medical providers.<br />

NOTES • You can send and receive up to 20 MBs of data<br />

(attachments, etc.) in each message.<br />

• To learn more about Akario, go to<br />

https://getakiro.com/learnmore.<br />

• For Akario training information, go to<br />

www.getakario.com/trainingvideo.<br />

9. Click the Renew link next to the prescription you want to renew.<br />

NOTE<br />

To renew multiple prescriptions at the same time, select the<br />

check box next to the prescriptions (or, click the Select All link)<br />

and click the Renew Selected link.<br />

If you did not select a pharmacy, but you did select formulary information,<br />

green and red alpha-numeric codes may appear next to medications,<br />

indicating formulary restrictions and preferences; note the codes and select<br />

a medication. If the medication that you searched for and selected interacts<br />

negatively <strong>with</strong> another medication’s formulary information, a blue warning<br />

message may appear.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Renewing Prescriptions<br />

The <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong><br />

interface<br />

automatically<br />

checks for formulary<br />

information to help<br />

meet the<br />

requirements for<br />

meaningful use<br />

(menu set measure<br />

1).<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Renewing Prescriptions<br />

10. If the medication(s) that you are renewing interacts negatively <strong>with</strong> another<br />

medication or patient medication allergy, a warning message may appear;<br />

click Prescribe Anyway to renew the drug or Cancel to cancel the<br />

prescription.<br />

The <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong><br />

interface<br />

automatically<br />

checks for<br />

drug-drug and<br />

drug-allergy<br />

interactions to help<br />

meet the<br />

requirements for<br />

meaningful use<br />

(core measure 2).<br />

NOTES • Drug-drug interaction and drug-allergy warnings may not<br />

appear if the medication has a red triangle to the left of its<br />

name; these triangles indicate that the medication was<br />

entered by hand, rather than selected from a list, or was<br />

transferred <strong>with</strong> a code that the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface did not recognize. To receive more conclusive<br />

warning messages, click Manage Medications and reselect<br />

the patient’s other medications or medication allergies from<br />

the medication list.<br />

• Clinical prescription warnings are displayed in red text.<br />

Non-clinical prescription warnings are displayed in blue text.<br />

• If you want to provide a justification for prescribing the<br />

medication not<strong>with</strong>standing the warning, type text into the<br />

text box.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Renewing Prescriptions<br />

11. Complete one of the following actions to sign, send, and print the<br />

prescription:<br />

<br />

<br />

<br />

<br />

If you are a physician, type your signature password in the Signature<br />

Password text box and click Send, Send and Print, Print w/o sending,<br />

or Sign w/o sending.<br />

If you are an agent, click Send, Signature for follow, Send and Print,<br />

Print w/o sending, or Archive w/o sending; you cannot sign<br />

prescriptions.<br />

If you are a clinical staff member, click Print w/o sending or Archive<br />

w/o sending; you cannot sign or send prescriptions.<br />

If you are a non-clinical staff member, do nothing; you cannot sign, send,<br />

or print prescriptions.<br />

NOTES • If you are writing a prescription for a controlled substance,<br />

click Print w/o sending. You cannot send prescriptions for<br />

controlled substances electronically.<br />

• If you are writing a prescription for sample medication, click<br />

Sign w/o sending.<br />

• Click the Favor link to add the medication to your Favorite<br />

List. For more information on setting up your Favorite List, go<br />

to “Adding & Modifying Favorite Prescriptions” on page 29.<br />

• Click the Modify link to modify the prescription details.<br />

• Click the Delete link to delete the prescription for the patient<br />

and document the deletion in the Correspondence Hx tab in<br />

the Patient Information Center window in <strong>ExamWRITER</strong>.<br />

• Click the Print Pharmacy link to print the pharmacy on the<br />

prescription.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Renewing Prescriptions<br />

All prescribed prescriptions appear in the Medications section in the<br />

<strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. If you signed and sent, printed, or<br />

archived the prescription, the prescription and its strength appears <strong>with</strong><br />

“eRX” after it in the Current Therapeutic Rx table and the pharmacy name<br />

appears in the Special Instructions text box and Medication Hx Notes<br />

column in the <strong>ExamWRITER</strong> Medication Order window.<br />

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Viewing Medication Drug History<br />

Viewing<br />

Medication<br />

Drug History<br />

This section includes instructions about viewing a patient’s medication drug<br />

history. Medication drug history of up to two years will be displayed for all patients<br />

whose insurance companies and pharmacies provide this information to<br />

Surescripts.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Med Hx in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Select a time frame from the drop-down menu and click Obtain New Data.<br />

External medication and drug interaction information from insurance<br />

companies and pharmacies is displayed based on your current Medication<br />

List. To add medications to the current Medication List, go to “Managing<br />

Medications” on page 19.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Modifying<br />

Options &<br />

Printing<br />

Reports<br />

You can modify options and set up preferences in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface. You can also print a variety of reports. This section includes the<br />

following topics:<br />

• Changing the Signature Password, 27<br />

• Configuring Formularies, 28<br />

• Adding & Modifying Favorite Prescriptions, 29<br />

• Managing Provider Agents, 32<br />

• Setting Up Patient Advisor Preferences, 33<br />

• Adding & Modifying Pharmacy Data, 33<br />

• Setting Up User Preferences, 35<br />

• Setting Up Practice Preferences, 38<br />

• Printing the Activity Report, 44<br />

• Printing the Drug Report, 45<br />

• Printing the Decision Report, 46<br />

• Printing the Periodic Report, 47<br />

• Printing the Pharmacy Report, 49<br />

• Printing the Prescription Report, 49<br />

• Printing the Provider Agent Report, 51<br />

Changing the Signature Password<br />

If you are a physician, you can change the signature password that is needed to<br />

send prescriptions electronically to pharmacies. Only physicians can change the<br />

signature password.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Change Password link.<br />

4. Type the old password in the Old Signature Password text box.<br />

5. Type the new password in the New Signature Password text box.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

6. Click Change.<br />

Configuring Formularies<br />

Follow the instructions below to add or modify insurance formularies for the<br />

practice.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Configure Formularies link.<br />

4. If you want to enable formulary exclusion warnings that display formulary<br />

restrictions and preferences while prescribing medications, select the<br />

Enable Formulary Exclusion Warnings check box.<br />

5. Select how you want to use each formulary (Web Only or Web and Palm)<br />

from the Use drop-down menus.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

6. Click Configure.<br />

Adding & Modifying Favorite Prescriptions<br />

You can create favorite prescriptions – medications that you routinely prescribe<br />

for your patients. These prescriptions can include the Sig and strength<br />

information. Physicians, agents, clinical staff members, and non-clinical staff<br />

members can add and modify favorite prescriptions; administrators cannot add<br />

or modify favorite prescriptions.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Favorite Prescription link.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. To modify an existing favorite prescription, follow the instructions below;<br />

otherwise, go to step 5 to add a new favorite prescription.<br />

a. Select the favorite prescription from the Favorites drop-down menu.<br />

b. Click View/Update.<br />

c. Click the Change link.<br />

d. Modify the prescription, as desired, and click Continue.<br />

e. Click Update to save the changes.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

5. To add a new favorite prescription, follow the instructions below:<br />

a. Type the drug name in the Drug Name text box and click Find.<br />

b. Select the prescription from the list of available drugs.<br />

c. Modify the prescription, as desired, and click Continue.<br />

d. Click Create to save the prescription.<br />

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Modifying Options & Printing Reports<br />

Managing Provider Agents<br />

You can view a list of your provider agents and authorize and revoke the privileges<br />

of your provider agents. Agents are able to create, send, and print prescriptions,<br />

but they cannot sign prescriptions. They can also add and modify favorite<br />

prescriptions, pharmacy information, and user preferences, and print the Periodic<br />

Report and Pharmacy Report. To print the Provider Agent Report, which allows<br />

you to view all provider agents <strong>with</strong>in the practice, the date the agents’ privileges<br />

were authorized and revoked, and the individual who last acted upon the status<br />

of the agent, go to “Printing the Provider Agent Report” on page 51.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Manage My Agents link.<br />

4. Type and select user search criteria and click Search to find users for whom<br />

you want to authorize or revoke provider agent privileges.<br />

5. Select users for whom you want to authorize or revoke provider agent<br />

privileges.<br />

6. Type your signature password in the Signature Password text box above or<br />

below the list of users.<br />

7. Click Authorize Agent to authorize provider agent privileges for the users<br />

that you selected in step 5 or click Revoke Agent to revoke provider agent<br />

privileges for the users that you selected in step 5.<br />

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Modifying Options & Printing Reports<br />

Setting Up Patient Advisor Preferences<br />

You can set up a preference to offer prescription savings, such as coupons,<br />

vouchers, and co-pays, to patients. These offerings are amended to prescriptions<br />

in the pharmacy notes field.<br />

NOTE<br />

After you set up Patient Advisor preferences, you can modify them at<br />

any time in the Practice-Wide Preferences. For more information<br />

about modifying Patient Advisor preferences, go to “Setting Up<br />

Practice Preferences” on page 38.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Patient Advisor Preferences link.<br />

4. Select the Prescription Savings (Co-pay Cards, Vouchers) check box.<br />

5. Click Save.<br />

Adding & Modifying Pharmacy Data<br />

You can add or modify the pharmacy Practice List to make selecting a pharmacy<br />

while prescribing a medication quicker and easier.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Pharmacy Data link.<br />

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Modifying Options & Printing Reports<br />

4. To modify an existing pharmacy’s information, follow the instructions below;<br />

otherwise, go to step 5 to add a new pharmacy to the Practice List.<br />

a. Select and type pharmacy search criteria in the Patient Pharmacy<br />

Information section and then click Find.<br />

b. Click Edit next to the pharmacy that you want to modify.<br />

c. Modify the alias in the Practice List Alias text box.<br />

d. Click Change Pharmacy Data.<br />

5. To add an new pharmacy to the practice list, follow the instructions below:<br />

a. Click Add a new pharmacy to the practice list.<br />

b. Record pharmacy information in the required fields and click Register<br />

this Pharmacy.<br />

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Modifying Options & Printing Reports<br />

Setting Up User Preferences<br />

You can modify <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface user preferences, including<br />

custom prescription notes.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Preferences -- user link.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. Select user preferences from the drop-down menus and then click Make<br />

these Changes.<br />

User Preference<br />

When starting, go to:<br />

When searching for<br />

pharmacies, start <strong>with</strong>:<br />

When reporting, warn if<br />

a patient has had no<br />

office visit in the last:<br />

When reporting, use as<br />

default:<br />

When reporting, show<br />

by default:<br />

When reporting,<br />

retrieve by default<br />

prescriptions for:<br />

When reporting,<br />

retrieve up to:<br />

When displaying<br />

medication history,<br />

show medications for<br />

last:<br />

Show cancelled<br />

prescriptions in reports:<br />

Use Practice or<br />

Provider address on<br />

prescriptions and<br />

medication reports.<br />

Show the prescriber’s<br />

Medical License<br />

Number on retail<br />

prescriptions:<br />

Options<br />

Select which screen you want to appear when<br />

opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface. We recommend that you select<br />

Patient Selection.<br />

Select the default pharmacy list to use during<br />

searches. We recommend that you select All<br />

Lists.<br />

Select the number of days since a patient’s last<br />

appointment that you want a patient office visit<br />

warning to appear. We recommend that you<br />

select year.<br />

Select the default provider that you want to use<br />

for reporting options.<br />

Select the default prescription report display<br />

option that you want to use.<br />

Select the default prescription report filtering<br />

option that you want to use.<br />

Select the maximum number of records a report<br />

will display at one time. We recommend that you<br />

select 50 reports.<br />

Select the default time limit for medications to<br />

display when generating a patient’s medical<br />

history report.<br />

Select if you want to display cancelled<br />

prescriptions when generating prescription<br />

reports.<br />

Select the default address that you want to use<br />

on all prescription and medication reports. We<br />

recommend that you select Practice.<br />

Select if you want to automatically display the<br />

provider’s medical license number on<br />

prescriptions. Note that mail order prescriptions<br />

will always display the license number.<br />

Additionally, some states require a license<br />

number on retail prescriptions.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

User Preference<br />

Show the prescriber’s<br />

email address on retail<br />

prescriptions:<br />

Print at most X<br />

prescriptions on a<br />

single page.<br />

Display patient allergies<br />

on printed/faxed<br />

prescriptions:<br />

Display patient problem<br />

on printed/faxed<br />

prescriptions:<br />

Notify me of All<br />

messages or Only<br />

messages sent to me.<br />

Ignore previously seen<br />

warnings on refills from<br />

patient medication list:<br />

When encountering an<br />

insurance warning,<br />

show confirmation<br />

screen for:<br />

Allow two or more<br />

medications for a single<br />

patient that differ only in<br />

quantity:<br />

Show patient weight on<br />

details screen:<br />

Custom prescription<br />

notes (one per line):<br />

Options<br />

Select if you want to print the prescriber’s e-mail<br />

address on prescriptions.<br />

Select the number of prescriptions that you want<br />

to print on a single page. We recommend that<br />

you select 1.<br />

Select if you want to display patient allergies on<br />

printed and faxed prescriptions.<br />

Select if you want to display patient problems on<br />

printed and faxed prescriptions.<br />

Select if you want to be notified of all practice<br />

renewal messages or only renewal messages<br />

sent to the current user.<br />

Select if you want to continue to receive<br />

warnings to which you have already been<br />

alerted.<br />

Select which type of warning to display on the<br />

confirmation window.<br />

Select if you want prescribe the same<br />

medication more than once to a single patient,<br />

as long as the quantity is different for each<br />

written prescription.<br />

Select if you want to display patients’ weight on<br />

the details window.<br />

Type custom prescription notes that will be<br />

available to select while prescribing<br />

medications. The note can be as long as<br />

desired. Do not press the Enter key while typing<br />

an individual note; let the text wrap. Press the<br />

Enter key to delineate between individual<br />

prescription notes.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Setting Up Practice Preferences<br />

Administrators can modify <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface practice<br />

preferences, including Patient Advisor preferences. Modifications that you make<br />

to these preferences affect all users, regardless of their own user preferences.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Preferences -- practice link.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. Select practice preferences from the drop-down menus and then click Make<br />

these Changes.<br />

Practice Preference<br />

Allow prescribers to see<br />

prescription savings<br />

(Co-pay Cards,<br />

Vouchers) when<br />

available:<br />

Warn users when they<br />

prescribe a drug that<br />

may not be covered by<br />

insurance:<br />

When an insurance<br />

warning is displayed<br />

and the user desires to<br />

prescribe the<br />

medication<br />

not<strong>with</strong>standing the<br />

warning:<br />

When renewing or<br />

prescribing an active<br />

medication, retain the<br />

Office Commends and<br />

Directions to<br />

Pharmacist from the<br />

previous prescription<br />

by default:<br />

When selecting a drug,<br />

show users formulary<br />

statuses for:<br />

Show the prescriber’s<br />

DEA Number<br />

By default, check the<br />

“print pharmacy name”<br />

checkbox:<br />

Allow prescription<br />

“print” button to instead<br />

fax to the following fax<br />

numbers (separate by<br />

commas):<br />

Options<br />

Select if you want to use the Patient Advisor to<br />

allow prescribers to see prescription savings<br />

when available. These savings can help reduce<br />

first fill prescription abandonment, improve<br />

medication adherence rates <strong>with</strong> sustainable<br />

results, and allow providers to gain insight into<br />

patient behaviors.<br />

Select if you want to display an insurance drug<br />

coverage warning when the prescribed<br />

medication is not covered.<br />

Select the action that you want to require if an<br />

insurance warning is displayed and the user<br />

prescribes the medication not<strong>with</strong>standing the<br />

warning.<br />

Select if you want to retain previous notes to the<br />

pharmacist and staff on renewals.<br />

Select to display formulary statuses for restricted<br />

drugs only or all drugs. We recommend that you<br />

select All Drugs.<br />

Select to display the prescriber’s DEA number<br />

on prescriptions for scheduled drugs, on all<br />

prescriptions, or never. We recommend that you<br />

select On prescriptions for scheduled drugs.<br />

Select if you want to automatically print the<br />

pharmacy name on printed prescriptions.<br />

Type fax numbers to which you want to<br />

automatically fax prescriptions. We do not<br />

recommend using this feature.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Practice Preference<br />

Allow users to send a<br />

prescription directly<br />

from the Review<br />

Prescriptions screen:<br />

Require staff to specify<br />

a provider before<br />

saving a prescription:<br />

Require provider signoff<br />

for prescriptions printed<br />

by staff:<br />

Allow creation of<br />

prescriptions missing<br />

sig or quantity data:<br />

When reporting, start<br />

<strong>with</strong> pending<br />

prescriptions checked:<br />

When reporting, display<br />

patient Primary care<br />

provider, if any:<br />

When reporting, show<br />

date of last patient visit:<br />

When reporting, show<br />

date of next patient<br />

visit, if any:<br />

When reporting, show<br />

office comments in full:<br />

When reporting, show<br />

pharmacy name:<br />

Automatically set the<br />

medication stop date<br />

when the prescription<br />

has a set duration:<br />

Options<br />

Select if you want to add the “Action” buttons to<br />

the Review Prescription window.<br />

Select if you want to automatically prevent<br />

prescriptions from being created <strong>with</strong>out<br />

selecting a provider. We recommend that you<br />

select Yes.<br />

Select if you want to require the provider’s<br />

signature on printed prescriptions.<br />

Select if you want to allow prescriptions to be<br />

generated and saved <strong>with</strong>out including Sig or<br />

quantity data. This feature is helpful for staff<br />

members because sometimes they do not know<br />

the Sig and when this feature is turned on, they<br />

can still create and send prescriptions to the<br />

physician's queue for approval. We recommend<br />

that you select Yes.<br />

Select if you want to check all pending<br />

prescriptions on the pending prescriptions<br />

report. We recommend that you select No so<br />

that physicians have to choose the prescriptions<br />

that they desire to approve and do not<br />

accidently approve another physician's<br />

prescriptions.<br />

Select if you want to automatically display the<br />

primary care provider, if available, on all reports.<br />

Select if you want to automatically display the<br />

last patient visit date on all reports.<br />

Select if you want to automatically display the<br />

next scheduled patient visit date, if available, on<br />

all reports.<br />

Select if you want to display office comments on<br />

all reports.<br />

Select if you want to display the pharmacy name<br />

on all reports.<br />

Select if you want to automatically discontinue<br />

an active medication when the duration expires.<br />

If you select Yes, medications will automatically<br />

be moved to the patient’s history.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Practice Preference<br />

Use practice name on<br />

prescription and<br />

medication reports:<br />

Show prescriber name<br />

on medication reports:<br />

Display drug<br />

interaction, allergy, and<br />

exclusion warnings on<br />

the printed/faxed<br />

prescription:<br />

Show a link to a free<br />

drug information<br />

reference site.<br />

External ID system<br />

name to require for<br />

each patient, if any:<br />

External ID system<br />

name to display on<br />

prescriptions and<br />

reports, if any:<br />

Label to use for above<br />

external ID, if any:<br />

Signature Password<br />

Duration:<br />

Warn provider for<br />

renewal requests more<br />

than X day(s) old.<br />

Warn provider for<br />

pending prescriptions<br />

more than X day(s) old.<br />

When checking for<br />

drug-drug interactions,<br />

show:<br />

Options<br />

Select if you want to automatically display the<br />

practice name on prescription and medication<br />

reports.<br />

Select if you want to automatically display the<br />

prescriber name on medication reports.<br />

Select if you want to automatically include any<br />

drug and allergy interaction and exclusion<br />

warnings on all printed and faxed prescriptions.<br />

Select if you want to see links to ePocrates. Note<br />

that you must have a license to access this<br />

website.<br />

Type the identifier used to link Rcopia to<br />

<strong>ExamWRITER</strong>. This identifier is necessary if you<br />

add new patients directly in the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

Type the patient or external ID that you want to<br />

display on all prescriptions and reports. This<br />

feature is typically not used by smaller practices.<br />

If you typed a patient or external ID that you want<br />

to display on all prescriptions and reports in the<br />

preference above, type the label that you want to<br />

use for the ID.<br />

Select the duration, in minutes, that the signature<br />

password should remain active. We recommend<br />

that you select None so that a signature<br />

password is required at all times and proper<br />

credentials are always used.<br />

Select the number of days after a renewal<br />

request was created that you want to warn the<br />

provider. We recommend that you select 1 so<br />

that providers are cognizant of their pending<br />

renewal requests.<br />

Select the number of days after a prescription<br />

was created that you want to warn the provider.<br />

We recommend that you select 1 so that<br />

providers are cognizant of their pending<br />

prescriptions that need signatures.<br />

Select the drug-drug interactions that you want<br />

to display.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Practice Preference<br />

When checking for<br />

drug-drug interactions,<br />

check against patient’s<br />

PBM drug history if<br />

available:<br />

When checking for<br />

drug-allergy<br />

interactions, show:<br />

When checking for<br />

drug-disease<br />

interactions, show:<br />

Allow drug interaction<br />

checking against<br />

medication list:<br />

When showing geriatric<br />

precautions, limit to:<br />

When showing<br />

pediatric precautions,<br />

limit to:<br />

When checking for<br />

duplicate therapy,<br />

check against patient’s<br />

PBM drug history if<br />

available:<br />

Automatically search<br />

for patient PBM drug<br />

history:<br />

In the patient<br />

medication list, display<br />

the initials of the<br />

provider who last<br />

renewed the<br />

medication.<br />

Allow incomplete drugs<br />

in medications<br />

Allow partial start dates<br />

in medication and<br />

allergy records<br />

Use Medication History<br />

Source?<br />

Options<br />

Select if you want to use a patient’s medication<br />

drug history to check for drug-drug interactions.<br />

The medication drug history includes<br />

prescription refills <strong>with</strong>in the past 120 days, if<br />

available. We recommend that you select Yes.<br />

Select the drug-allergy interactions that you<br />

want to display.<br />

Select the drug-disease interactions that you<br />

want to display.<br />

Select if you want to check drug interactions<br />

against the medication list.<br />

Select the geriatric precaution warnings that you<br />

want to be displayed.<br />

Select the pediatric precaution warnings that<br />

you want to be displayed.<br />

Select if you want to use a patient’s medication<br />

drug history to check for duplicate therapy. The<br />

medication drug history includes prescription<br />

refills <strong>with</strong>in the past 120 days, if available. We<br />

recommend that you select Yes.<br />

Select the number of days that you want to use in<br />

your medication drug history searches. We<br />

recommend that you select over last 90 days.<br />

Select if you want to display the initials of the<br />

provider who last renewed medications.<br />

Select if you want to include incomplete drugs in<br />

medications.<br />

Select if you want to allow partial start dates in<br />

medication and allergy records.<br />

Select if you want to use the medication history<br />

source.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Practice Preference<br />

Medication history<br />

source options<br />

Display Transition of<br />

Care Link<br />

I have an interface from<br />

Rcopia to my<br />

PMS/EMR. When<br />

making changes to<br />

Office Visit data and/or<br />

Transition of Care data,<br />

please send this<br />

information back to my<br />

PMS/EMR.<br />

When I select a patient,<br />

I want to see the<br />

Rendering Provider’s in<br />

the Patient’s<br />

Demographic<br />

Information section.<br />

Description of any<br />

additional security<br />

features to include on<br />

printed prescriptions:<br />

Allow users to send<br />

patient referrals using<br />

Akiro<br />

Allow users to receive<br />

Akario message<br />

notifications<br />

Options<br />

If you are using medication history sources, type<br />

them in this text box. Type only one source per<br />

line and let the text on each line wrap, if<br />

necessary (do not press Enter to wrap the line).<br />

Press Enter to type a new source on a new line.<br />

Select if you want to display the TOC Today link<br />

to record a patient’s transition of care date.<br />

Select if you want to send updated office visit<br />

and transition of care information to<br />

OfficeMate/<strong>ExamWRITER</strong>.<br />

Select if you want to select and display a<br />

patient’s rendering provider.<br />

Type any additional security features that you<br />

want to include on printed prescriptions.<br />

Select if you want the ability to send patient<br />

records through Akario’s secure messaging<br />

system.<br />

Select if you want the ability to receive messages<br />

through Akario’s secure messaging system.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Printing the Activity Report<br />

The Activity Report lists of all of your practice’s recent prescription activity. Only<br />

administrators can print the Activity Report.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Activity Report link.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. Select report criteria in the Practice Activity Report section.<br />

5. Click Create Report.<br />

The Activity Report is displayed.<br />

Printing the Drug Report<br />

The Drug Report lists patients who are taking a specific drug. Only administrators<br />

can print the Drug Report.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Drug Report link.<br />

4. Type the name of a drug in the Drug Name text box and click Find.<br />

5. Select the drug name from the search results.<br />

6. Select other search criteria.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 45


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

7. Click Create Report.<br />

Printing the Decision Report<br />

The Decision Report lists the safety and formulary information for your practice.<br />

Only administrators can print the Decision Report.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Decision Report link.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. Select report criteria in the Decision Report section.<br />

5. Click Create Report.<br />

The Decision Report is displayed.<br />

Printing the Periodic Report<br />

The Periodic Report lists recent prescription activity for the provider.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Periodic Report link.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. Click Periodic Report to print the report for the current user or select report<br />

criteria and click Interval Report to print the report for another provider or<br />

all providers.<br />

The Periodic Report is displayed.<br />

5. Use the Adobe Reader tools at the top of the window to print or save the<br />

report.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Printing the Pharmacy Report<br />

The Pharmacy Report lists the pharmacy Practice List.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Pharmacy Report link.<br />

The Pharmacy Report is displayed.<br />

Printing the Prescription Report<br />

The Prescription Report allows you to view prescription activity.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Rx Report in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Select appropriate report criteria in the Prescription Report section.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

4. Click Display Report or Print Report.<br />

If you selected to display the report, the prescriptions that meet your search<br />

criteria are displayed at the bottom of the window. If you selected to print the<br />

report, a printer-friendly version of the report displays.<br />

5. If you selected to display the report in step 4, select one of the following<br />

options to perform an action:<br />

<br />

<br />

If you want to modify the comments on a pending prescription or a<br />

prescription that has already been signed and sent, click pending or<br />

signed, sent.<br />

If you want to view a formulary, drug, or allergy warning, click Warning.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Modifying Options & Printing Reports<br />

Printing the Provider Agent Report<br />

The Provider Agent Report allows you to view all provider agents <strong>with</strong>in the<br />

practice, the date the agents’ privileges were authorized and revoked (if<br />

applicable), and the individual who last acted upon the status of the agent. To<br />

authorize and revoke provider agent privileges, go to “Managing Provider<br />

Agents” on page 32.<br />

1. Open the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. For more information on<br />

opening the interface, go to “Opening the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

Interface” on page 8.<br />

2. Click Options in the main navigation bar at the top of the <strong>ExamWRITER</strong><br />

<strong>ePrescribing</strong> interface.<br />

3. Click the Provider Agent Report link.<br />

4. Record search criteria and then click Search.<br />

Provider agents meeting your search criteria are displayed.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Logging Out<br />

Logging Out<br />

Click the X in the top right corner of the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface to<br />

log out of the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface.<br />

The <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface closes and you are returned to<br />

<strong>ExamWRITER</strong>. If you signed and sent, printed, or archived the prescription, the<br />

prescription and its strength appears <strong>with</strong> “eRX” after it in the Current Therapeutic<br />

Rx table and the pharmacy name appears in the Special Instructions text box and<br />

Medication Hx Notes column in the <strong>ExamWRITER</strong> Medication Order window. The<br />

number of prescriptions downloaded to <strong>ExamWRITER</strong> after you closed the<br />

<strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface is displayed under the MU eRX icon in the<br />

Medication Order window.<br />

Viewing the<br />

Status of<br />

ePrescriptions<br />

This section includes instructions that will help you view the status of prescriptions<br />

in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface. This section includes the following<br />

topics:<br />

• Viewing the Status of Refills, 53<br />

• Viewing Pending Prescriptions, 55<br />

• Viewing Prescriptions that Need to be Signed, 58<br />

52 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

Viewing the Status of Refills<br />

1. Click eRX Status on the <strong>ExamWRITER</strong> main window toolbar.<br />

NOTE<br />

If you are not logged into <strong>ExamWRITER</strong> as a physician, ensure<br />

that the correct user is selected from the User ID drop-down<br />

menu, and, if necessary, type the password associated <strong>with</strong> the<br />

user ID in the Password text box and click Login. You must be<br />

a registered <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface user to log in<br />

to the interface.<br />

The ePrescribe Status window opens. If pharmacies have submitted refill<br />

requests electronically, the number of refill requests is noted.<br />

2. Click Refills.<br />

The Renewal Requests window opens in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong><br />

interface and displays all of the refill requests submitted electronically from<br />

pharmacies.<br />

NOTES • Click the View link next to a patient’s name to view the<br />

patient’s demographic information.<br />

• Click the Re link next to the prescription name to view the<br />

prescription’s notification information.<br />

• Click the Next link to view other prescription refills listed on<br />

subsequent pages.<br />

3. To view renewal requests for another provider or all providers, select All<br />

Providers or the provider’s name from the View messages for drop-down<br />

menu.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 53


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

4. Select an action from the Action drop-down menu for each prescription that<br />

you want to refill.<br />

NOTES • Select Deny if you do not want to refill the prescription.<br />

• Select Change to modify the prescription before refilling it.<br />

• Select Renew to renew the prescription.<br />

• Select Forward to send a message to the provider <strong>with</strong> the<br />

renewal information.<br />

• Select Remove to remove the prescription from the refill<br />

Messages list.<br />

5. If desired, select notes for the pharmacy from the Pharm Notes drop-down<br />

menu and type comments for the office in the Comments text box.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

6. If you are a physician, type your signature password in the Signature<br />

Password text box and click Perform.<br />

The prescription refill is sent to the pharmacy and the number of renewal<br />

requests is decreased.<br />

Viewing Pending Prescriptions<br />

Pending<br />

prescriptions still<br />

meet the CPOE<br />

requirements for<br />

meaningful use<br />

(core measure 1).<br />

1. Click eRX Status on the <strong>ExamWRITER</strong> main window toolbar.<br />

NOTE<br />

If you are not logged into <strong>ExamWRITER</strong> as a physician, ensure<br />

that the correct user is selected from the User ID drop-down<br />

menu, and, if necessary, type the password associated <strong>with</strong> the<br />

user ID in the Password text box and click Login. You must be<br />

a registered <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface user to log in<br />

to the interface.<br />

The ePrescribe Status window opens. If patient prescriptions were signed in<br />

the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface, but not sent electronically, the<br />

number of prescriptions not sent is noted.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 55


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

2. Click Pending RXs.<br />

The <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface opens and displays all of the<br />

pending prescriptions for patients assigned to the provider logged into<br />

<strong>ExamWRITER</strong>.<br />

NOTE<br />

If you are using <strong>ExamWRITER</strong> in a multilocation environment,<br />

click the Practice link and select the practice for which you<br />

want to view pending prescriptions.<br />

3. To view prescriptions for another provider or all providers, select All<br />

Providers or the provider’s name from the View pending prescriptions for<br />

drop-down menu.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

4. Complete one of the following actions to sign, send, and print the<br />

prescription:<br />

<br />

<br />

<br />

<br />

If you are a physician, type your signature password in the Signature<br />

Password text box and click Send, Send and Print, Print w/o sending,<br />

or Sign w/o sending.<br />

If you are an agent, click Send, Signature for follow, Send and Print,<br />

Print w/o sending, or Archive w/o sending; you cannot sign<br />

prescriptions.<br />

If you are a clinical staff member, click Print w/o sending or Archive<br />

w/o sending; you cannot sign or send prescriptions.<br />

If you are a non-clinical staff member, click Print w/o sending or<br />

Archive w/o sending; you cannot sign or send prescriptions.<br />

NOTES • If you are writing a prescription for a controlled substance,<br />

click Print w/o sending. You cannot send prescriptions for<br />

controlled substances electronically.<br />

• If you are writing a prescription for sample medication, click<br />

Sign w/o sending.<br />

• Click the Void, Reprint, Resend, Renew, Modify, Delete, or<br />

Favor links in the Action column to void, reprint, resend,<br />

renew, modify, delete, or favor the medication. For more<br />

information on setting up your Favorite List, go to “Adding &<br />

Modifying Favorite Prescriptions” on page 29. Although<br />

pharmacies receive notices of all voided medications, we<br />

suggest that you call the pharmacies where voided<br />

medications were sent and ensure that they have not yet<br />

filled the prescriptions. If you delete the medication, it is<br />

documented in the Correspondence Hx tab in the Patient<br />

Information Center window in <strong>ExamWRITER</strong>.<br />

• Click the Print Pharmacy link to print the pharmacy on the<br />

prescription.<br />

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<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

Viewing Prescriptions that Need to be Signed<br />

1. Click eRX Status on the <strong>ExamWRITER</strong> main window toolbar.<br />

NOTE<br />

If you are not logged into <strong>ExamWRITER</strong> as a physician, ensure<br />

that the correct user is selected from the User ID drop-down<br />

menu, and, if necessary, type the password associated <strong>with</strong> the<br />

user ID in the Password text box and click Login. You must be<br />

a registered <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface user to log in<br />

to the interface.<br />

The ePrescribe Status window opens. If patient prescriptions were sent, but<br />

not signed in the <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface, the number of<br />

prescriptions not signed is noted.<br />

2. Click RXs need signing.<br />

The <strong>ExamWRITER</strong> <strong>ePrescribing</strong> interface opens and displays all of the<br />

unsigned prescriptions for patients assigned to the provider logged into<br />

<strong>ExamWRITER</strong>.<br />

3. To view prescriptions for another provider or all providers, select All<br />

Providers or the provider’s name from the View pending prescriptions for<br />

drop-down menu.<br />

58 <strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong>


<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong><br />

Viewing the Status of ePrescriptions<br />

4. Complete one of the following actions to sign, send, and print the<br />

prescription:<br />

<br />

<br />

<br />

<br />

If you are a physician, type your signature password in the Signature<br />

Password text box and click Send, Send and Print, Print w/o sending,<br />

or Sign w/o sending.<br />

If you are an agent, click Send, Signature for follow, Send and Print,<br />

Print w/o sending, or Archive w/o sending; you cannot sign<br />

prescriptions.<br />

If you are a clinical staff member, click Print w/o sending or Archive<br />

w/o sending; you cannot sign or send prescriptions.<br />

If you are a non-clinical staff member, do nothing; you cannot sign, send,<br />

or print prescriptions.<br />

NOTES • If you are writing a prescription for a controlled substance,<br />

click Print w/o sending. You cannot send prescriptions for<br />

controlled substances electronically.<br />

• If you are writing a prescription for sample medication, click<br />

Sign w/o sending.<br />

• Click the Void, Reprint, Resend, Renew, Modify, Delete, or<br />

Favor links in the Action column to void, reprint, resend,<br />

renew, modify, delete, or favor the medication. For more<br />

information on setting up your Favorite List, go to “Adding &<br />

Modifying Favorite Prescriptions” on page 29. Although<br />

pharmacies receive notices of all voided medications, we<br />

suggest that you call the pharmacies where voided<br />

medications were sent and ensure that they have not yet<br />

filled the prescriptions. If you delete the medication, it is<br />

documented in the Correspondence Hx tab in the Patient<br />

Information Center window in <strong>ExamWRITER</strong>.<br />

• Click the Print Pharmacy link to print the pharmacy on the<br />

prescription.<br />

<strong>Using</strong> <strong>ePrescribing</strong> <strong>with</strong> <strong>ExamWRITER</strong> 59

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