E-Prescribing and Medication Adherence

Benefits of E-Prescribing and Medication Adherence Tools for Eye Care

Electronic prescribing (e-prescribing) and medication adherence tools give eye care doctors quick access to medication history data and advanced clinical, behavioral, and financial support tools. These tools help drive higher levels of medication adherence and improve patient health outcomes.

While e-prescribing in the United States continues to increase each year, prescription abandonment is still a widespread problem. Key barriers for prescription abandonment are economic (cost), clinical (education), and behavioral (taking action).

Research shows that glaucoma patients who consistently took their prescribed glaucoma medication were less likely to develop vision loss due to glaucoma.

A U.S. Food and Drug Administration (FDA) study reports that 25% of new prescriptions are never filled or picked up by patients. Engaging patients at the right time with actionable electronic prescribing and medication adherence support can reduce prescription abandonment by up to 20%.

Let’s take a closer look at e-prescribing advantages, reasons for medication non-adherence, and how adherence monitoring and behavioral tools can get you and your patients back on track.

E-Prescribing Rates

Source: Statista

Common Advantages of E-Prescribing

  • Access patient medication history, current formulary information, and drug-drug, drug-allergy, dosing, and duplicate therapy interaction alerts.
  • Identify and guide patients at-risk for medication non-adherence with medication adherence and behavioral support tools and resources.
  • Securely write and submit regulatory-compliant digitally-signed electronic prescriptions for legend drugs to pharmacies from any desktop, laptop, or mobile device. Pharmacists don’t have to interpret handwritten prescriptions, reducing potential errors. Legend drugs are prescription drugs approved by the FDA and prescribed by a licensed provider.
  • Electronically prescribe controlled substances (Schedules II–V).
  • Eliminate calls to the pharmacy regarding prescription clarifications and refills.
  • Initiate, submit, and complete prior authorizations electronically. Avoid paper, fax, and phone authorizations and respond to electronic prior authorizations (ePA) a pharmacy initiates after an insurance claim rejection.
  • Access information if the medication is covered under the patient’s formulary, view alternative drug therapies, receive guidance on alternative pharmacy options, and see the patient’s out-of-pocket costs for each option.

Top 6 Reasons for Medication Non-Adherence

  1. Don’t understand the need for the medication.
  2. Don’t understand how to take the medication.
  3. Don’t understand the potential side effects.
  4. Forget to take the medication.
  5. Can’t afford the medication due to high out-of-pocket costs.
  6. Have personal beliefs against taking medication.

E-Prescribing Tools Increase Medication Adherence and Empower Eye Care Providers

Interactive medication adherence platforms within your ophthalmology and optometry EHR e-prescribing application analyze data to provide medication adherence alerts, electronic prior authorizations, real-time benefits information, multifaceted clinical messages at the point of encounter, and evidence-based patient support.

In MaximEyes EHR, the PatientAdvisor medication adherence tools help doctors quickly identify patients who need adherence support. Once you launch the electronic prescribing application, the medication adherence toolbar automatically loads within the patient’s EHR exam record.

Patient adherence scorecards provide an overview of the patient’s medication adherence and alert providers when patients do not fill or pick-up prescriptions.

E-Prescribing Medication Adherence Scorecard

Source: DrFirst Rcopia (Patient Advisor)

Electronic prior authorizations continue to challenge physicians and pharmacists as a majority of medication prior authorizations (PAs) are still processed manually. The journal Health Affairs reports, “[on] average, physicians spent more time dealing with [drug PAs] than any other interaction (from 3 to 8 hours each week).”

Medication adherence tools trigger electronic prior authorizations for prescriptions written in the eRx software application. Electronic PAs simplify the medication prior authorization process when you integrate it into your ophthalmology and optometry EHR workflow.

During the e-prescribing process, the physician is notified of the PA requirements and can either select an alternative medication or submit the PA electronically from within the EHR.

E-Prescribing Prior Authorization

Source: DrFirst Rcopia (Patient Advisor)

Real-time benefit checks display drug coverage and pricing for prescriptions before they are sent to the pharmacy. This lets the prescribing physician select the best drug and pharmacy options based on the patient’s formulary and benefit design.

Clinical messages will trigger based on patient demographics, provider specialty, and/or medications.

Financial savings programs for prescriptions assist patients with cost by incorporating financial savings programs into the eRx EHR workflow. These programs appear once the prescription is in the review process.

When a drug is prescribed, PatientAdvisor reviews the prescription to determine if it is eligible for any savings program. Eligibility criteria might include drug, dose, days supply, previous fill history, and patient or prescriber demographics.

If the drug has a coupon or copay savings program available and meets the eligibility criteria, the information necessary to process the saving program at the pharmacy is automatically appended to the electronic prescription. The prescriber can see any inserted financial savings information and its accompanying printable information on the prescription review screen.

Educational resources are available for the patient based on their active medications list, diagnoses, and lab orders. You can search by term or codes, and the materials are automatically retrieved.

Rx Notifications Improve Prescription Fill Rates

Rx Notifications improve prescription fill rates and boost overall medication adherence. Notifications within the e-prescribing application direct patients to a secure site designed to overcome key prescription abandonment barriers.

Prescription notifications allow providers to email or text (SMS) useful information about the importance of medication adherence directly to a patient, right from an EHR e-prescribing workflow.

Within minutes after the provider sends the e-prescription to the pharmacy, the e-prescribing system automatically sends a text message to the patient. The text message contains a link to a secure website that lets patients view information about their pharmacy and new prescriptions.

Electronic Prescribing Tools Should Integrate With Ophthalmology and Optometry EHR

When searching for an ophthalmology or optometry EHR software, verify that your EHR offers integrated two-way electronic prescribing and medication adherence solutions. A bi-directional e-prescribing integration allows providers to send prescriptions and import a list of medications prescribed by other physicians.

MaximEyes practice management and EHR software partners with DrFirst Rcopia, an award-winning e-prescribing technology. The eRx tools prevent drug interactions and errors by transferring patient demographics, medication history, allergies, diagnosis codes, and prescribed medications from an optometric EHR exam record into the e-prescribing site.

MaximEyes EHR and PMS

Request a demo of MaximEyes and find out how you can modernize your eye care practice with the latest EHR and e-prescribing technology.

If you are a current MaximEyes customer, email sales@first-insight.com or call 800.920.1940, ext. 6659 for more information on how you can add electronic prescribing and medication adherence tools to your MaximEyes EHR system.