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The Angry Pharmacist » Blog Archive » ePrescribing for eIdiots
Here’s something about “quality, safety, and efficiency”: I have seen more errors, decimal point, and unit fuckups via SureScript eRx in one week than YEARS OF PAPER PRESCRIPTIONS. In fact, I keep a file of all of the eRx fuckups that I get (it gets about 2-3 a day, that’s 15 a week) so when doctors say how WONDERFUL it is, I show them how many lives I have saved.
Now here’s the dirty secret of eRx’s, and why doctors have their panties moistened by its computer goodness. You see, the “old fashioned way”, doctors had to sign each Rx they gave out to the patient. However those days are long gone thanks to ePrescribing. Now all some idiot has to know is the doctors password and ANYONE IN THE OFFICE CAN SEND OFF PRESCRIPTIONS.
Aber nicht alle Ärzte steigen freiwillig auf das elektronische Rezept um. Regierungsvorgaben, freundliche Klinikkonzerne und die eine oder andere Rechtsbeugung müssen ihnen dabei helfen:
ACP Internist, September 2008 - E-prescribing order hits unprepared internists
Now, Congress is forcing the issue by mandating a phase-in of e-prescribing as part of Medicare legislation passed in July. Starting Jan. 1, 2009, physicians who e-prescribe will receive a 2% bonus on their Medicare claim payments in 2009 and 2010. The incentive falls to 1% in 2011 and 2012 and 0.5% in 2013. Physicians who don’t e-prescribe will be penalized 1% in 2012, 1.5% in 2013, and 2% thereafter.
As a saving grace, hospitals (and other health organizations) are offering deeply discounted EHRs to doctors in their communities through a specific exemption to the kickback laws that would normally outlaw such an offer, since hospitals might otherwise benefit from directing patient labs, for example, to their own facility. Hospitals are big enough to recoup the benefits of creating their own fully integrated system, and now they’re extending those systems to community physicians,
Ein Arzt (Neurologe) schreibt zum "Effizienzgewinn":
Doctor Grumpy in the House: E-prescribing Crap
Regardless of what your government or insurance company tells you, e-prescribing is a pain in the ass. It is free for me to do it, but your unfortunate pharmacy is paying around 30 cents a script each time your doctor sends this crap over the internet.
It takes me, literally, 3-5 minutes PER DRUG to send this over the internet, with a decent high-speed DSL internet connection. As opposed to the 1 minute or less for me to neatly write it out, call in, or fax in.
The U.S. government is so enamored with this way to reduce efficiency and waste time that, starting 2 years ago, they began pressuring us to do this. In fact, Medicare pays us a small bonus to use it for Medicare patients. As a result, I am doing it too, because I can use the money. But that doesn't mean I like the system. I think the whole program should be cancelled and e-prescribing ditched.
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