e-Prescribing

To generate and transmit prescriptions electronically, follow the instructions below and use the ExamWRITER ePrescribing Interface. The interface conducts drug formulary checks on medications that you select and displays formulary warnings in blue text.

For more information about using the ExamWRITER ePrescribing Interface, view the ExamWRITER ePrescribing Help.

1. Open a patient’s exam record in ExamWRITER.
2. Press F6 to open the Medication Order window.
3. Click the eRX icon.
4. Click the Pharmacy link to select the pharmacy where you want to send the patient’s medication order.
5. Click Prescribe in the main navigation bar.
6. Search for and select a medication.
7. If a formulary isn’t listed, click Add next to formulary and select the patient’s insurance.
8. Select the appropriate option to send and print the medication order.

At least one permissible prescription written by the MIPS-eligible clinician is queried for a drug formulary and transmitted electronically using a certified EHR.

Denominator

Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.

Numerator

The number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically using a certified EHR.

Threshold

The numerator must be one or more.

Any MIPS-eligible clinician who writes fewer than 100 permissible prescriptions during the performance period.

This measure is required to achieve a promoting interoperability score. This measure is worth 10 points.

The following are suggested roles for completing this measure:

• Doctor
• Technician

Auditors been known to ask for screenshots documenting the presence of drug formulary checking during the attestation period. To document the presence of this feature.

Capturing Drug-formulary Screenshots in Encompass

1. In Encompass on the web, search for a Medicare patient.
2. On the Patient Chart page, click the Patient Rx action bar icon.
3. Click the Formulary Lookup action bar icon.
4. Type the first few letters of the medication in the Drug Name text box.
5. Press the Print Scrn key.
6. Select the medication and strength from the list.
7. Open a new Word document (or use another word processor or graphics program).
8. Hold the Ctrl key and press the V key.

   A copy of the screen is pasted into your document.

9. Save the Word document with your other meaningful use documentation.

   Drug formulary is enabled with ePrescribing. This feature cannot be disabled.

Capturing Drug-formulary Screenshots in ExamWRITER

1. Open the ePrescribing interface window and display a drug formulary check. Drug formulary checks are displayed when you select a medication to prescribe and when you review a prescription.
2. Press the Print Scrn key.
3. Open a new Word document (or use another word processor or graphics program).
4. Hold the Ctrl key and press the V key.

   A copy of the screen is pasted into your document.

5. Save the Word document with your other MIPS documentation.