Home

ePrescribing User Manual

1. Health MOTTE oe led ait d i d Ke through rf 5900 EED 9090 Ereerdcaren ePrescribing User Guide V2 0 AxSys Health User Documentation Excelicare ePrescribing User Guide AxSys Health User Documentation Contents L INTRO CTION si si Re ENEA oe de EG n Gee Ne ee ee Ee eed 6 1 1 YOUR IMPLEMENTATION OF EPRESCRIBING ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 6 2 GETTING STRIKE sissies esse idee EG de N oe oe GN Ge oe ee ER GE GN ee ee Gee 7 2 1 CONFIDENTIALITY ese ise so see RS Ge oe ee ee ie Ge Ge Gee Ge ee Ee ee Ee 7 2 2 Eec EME E Ee 7 3 ACCOUNTS LOCATION sesesesescsesescocccosocososesescsesesesecesececeseoeseseccocosocosososeseseseseseseseseo 8 3 1 1 Setting your Default ACCOUNt LOCATION ee ee ee ee ee ee Ee ee ee ee ee ee 8 3 1 2 Mid Level Prescribers Nurse PrescriberS ES Ge ee ee ee ee ee ee ee 10 3 1 3 Eege 10 A PATIENT SEARCH sessies ke ee ei ese sees de dee ee Ge oe oe ee ee ee ee Ge oe ee Gee N ee ee ei ee sei 12 4 1 SEARCHING FORA PATIENT EE 13 4 1 1 Options available from the Patient Search screen 14 4 1 2 ME aol O T eA EE EE ee errr 14 S D PRESCRIBIN oo A 15 5 1 ACCESSING EPRESCRIBING tese Dei oe ee be ee ee eo oe De ie ee Se Ge we DE ee en ele ee ee 15 6 IMPORTED RA esse dee N ie ee ie De ee EG Re De Ee ee Ge ed oe Gee Ee ee Ee Eg eie 16 TO AOVP RA EE EO EE OE EE OE EE 18 7 1 CREATING A NEW DRESCRIDPTION 19 7 1 1 Ted AA OR NAG OE EE EO IRE 20 7
2. After you have logged into Excelicare ACE you will first of all be presented with the Patient Search screen Note You must search for the required patient before you access the ePrescribing module The Patient Search utility is used to find patients stored within the HIE system Please Note Depending on your level of access some of the search functionality may be restricted When search criteria entered by the user matches a patient record the patient s identifying data will appear in the results panel Excelicare ePrescribing User Guide AxSys Health User Documentation 4 1 Searching for a Patient Search To perform a Patient Search enter search criteria into the appropriate fields e Alpha Search First Name Last Name Date of Birth City Zip Code A minimum of 3 characters must be entered into the First Name and Last Name fields e Insurance ID Search Current Member ID Insurance Company Criteria must be entered into both fields when performing an Insurance ID Search Wildcards cannot be used in these fields e MPI Search MPI ID e Click the Search button located at the bottom of the screen Alternatively pressing the Enter Return key on your keyboard will run the search Note The wildcard can be used to look for information that contains specific letters for example entering Donald in the surname field would find all patients with a surname su
3. If doctors always prescribe Comindin and Crestor this will give you a moderate interaction If the provider does not want this highlighted every time he prescribes these medications it can be configured here Enter drug pairs to view interactions and eliminate Yellow and Red highlighting as displayed on the Review page Enter Drug Name 3 letter min 5 recommended Include obsolete drugs Drug Interactions That Will Not Be Highlighted Eliminate All Red Highlighting From Allergies Important Information For safety reasons we do not recommend using this feature Excelicare ePrescribing User Guide AxSys Health User Documentation 14 1 2 2 Interaction Drug Review Configuration e Selecting the Hide All Less Severe Drug Interactions Show only Contraindicated check box will only show contraindications and severe warnings while prescribing medication to the patient e Select the Show Drug Disease Pregnancy review check box to display checks carried out between diseases pregnancy with the medication being prescribed e Select the Show Drug Pediatric Geriatric review check box to perform checks on medications being prescribed to children and the elderly e Select the Show Duplicate Therapy review check box to display information on duplicate medications being prescribed e Select the Compose Page Drug Review to display drug review information whilst prescribing from the Compose Rx screen A p
4. 13 1 PROVIDER REVIEW LIST sie Eie Ge ee Bee GES Gee Oe Ge Ge eats N ei Ge EG Ge 60 13 2 FAILED ELECTRONIC NEW PRESCRIPTION NEEDS REPROCESSING ooiisossesseseseesese 61 D321 Electronic Prescribing Ry SIGUS osse vee RR ES errei EG ER Ge EG Ee ER ee RE Geek 61 13 3 FAILED FAX TRANSMISSION NEEDS REPROCESSING oosinsnsnsossesesesesesesseseseseesesessesesee 62 13 4 STAFF PROCESSING LI Te ep ee ee be ee re 63 13 5 ALL DOCTOR REVIEW LIST WEE 63 14 dB Ui EE EE HER E R 64 14 1 EE 65 EA KAN N EE N EE N N EO N N OE N EN 67 TAS RR cra ac EE ME ME E AE EE N 67 PDS ORE ER ER EE RE EE OE OR OE EE EE Ee 70 15 el ER AE OE EE OE OE EE EE EE EE EE N OIE N 75 15 1 SUPPORT ENKE AE EEN 75 16 IMPORTANT INFORMATION ccccccccccccccccccccccccccccccccccccccccccccccccccccccccccecs 76 17 SURESCRIPTS PARTICIPANT BULLETIN ELIGIBILITY REQUESTS 77 Excelicare ePrescribing User Guide AxSys Health User Documentation Excelicare ePrescribing User Guide AxSys Health User Documentation 1 Introduction ePrescribing provides the ability for Doctors to submit accurate error free legible prescriptions ePrescribing allows user to e Send prescriptions electronically via Surescripts e Send prescriptions by fax to all Pharmacies e Print out prescriptions for the patient e Accept Deny Renewal Requests The ePrescribing module is intuitive and user friendly It allows for a streamlined process for quick and accura
5. This Report is a CCHIT requirement User Documentation 1 1923 12 00 00 AM 2 1 1923 12 09 00 AM 2 1 1923 12 06 00 AM wy 12 00 00 AM 2 13 1931 12 0000 AM MEN CO 12 00 00 AM WM 13372 12 00 00 AM 8 24 1932 12 08 00 AM oF L CA AxSys Health User Documentation 14 1 1 Patients Selecting the Med Entry Refill hyperlink will take the user to the Med Entry screen 14 1 2 Account Settings The Account settings allow Doctors to configure options within the ePrescribing module to best suit their requirements Account Settings can only be modified by Doctor s unless specified raumt Settings The folowing options regure a dottor role to modfy Adit Py R and Akcgy W Hie Al Lass Severe Drug Peractions Show Only Contraincicatec Show Drug Deease Pregrancy review Show Drug Pedatm Geriatric rewew Show Dupicate Therapy renew d Compose Page Drug Review Allow Doctor Report Export 24 hour Dose Charkng on Compose Page d Show Hgh Dese Checking d Show Low Dose Checking The folowing optens Go not require 4 doctor rok to madfy 7 Show Doctor DEA on Print Fax ti Show Doctor NPI on Print Fax 7 Hide Route Change Alet Message that wil appear on every omted Rx Umt Status Page Denke to Current Loctan Save Account Settings 14 1 2 1 Adjust Individual Drug and Allergy Interaction Display This screen allows Doctors to add interactions that they do not want displayed while prescribing
6. designated Pharmacy who will receive the Rx Automaticaty send NEED e Bogus Pharmacy Phone 111 Nowhere San Francisco Fax 5555555555 g Automatically emal new approve deny rx to folowmag Separate with comrmas Optional pabert ID for indusan in email subject line Do not use name or SSH An email address can be entered here to receive notification of Prescriptions Include a Subject header for the email 11 1 4 Patient Information The last section details patient Demographics Contact Details and Insurance Information as displayed below This information in Read Only and cannot be edited Patent Informabon Current Ves MRN Chart 127 SSN DOB 0105 1965 Prefix First Name T my or Middle Name Last Name FI Address Line 14564 wercrer street Address Line 21254 sute City Nevvyort State SEE Address Lunel Address Line Oty Day Wort Phone Evering Home Phone 0 Cell Phone Pager Nuenber Email Primary Cara Physician Employer Heatthptan Group Mail Order Pharmacy Ra Label Language Excelicare ePrescribing User Guide AxSys Health User Documentation 11 2 Select Dr Staff The Select Dr Staff tab within NewCrop should not be used as this functionality has been embedded within the Excelicare system em IN Dep 11 Seen w MA n MR arbat ed tre od rdl RT dT ELI ee Make es om Sr d amp sm s LE m emret m t a E
7. 1 2 Monograph Information amp Leaflets iii ee ee ee Ee ee Ee ee ee ee 21 7 2 ENTERING PRESCRIPTION DETAILS es es es ees ees ee esse ese es ee see ee ee ee ee ee ee ee ee ee ee ee Gee Gee ee ee 22 MAAN EE OE EE EE AE AE E EE EE E 24 7 3 COMPLETING THE DRESCRIDTION 25 TAN EN EE EE OE OE AE N EE EE 25 7 4 APPROVE LEAVE FOR STAFF SS Se ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 30 7 5 FINISH ADD TO CURRENT MEDS ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 30 7 6 RETURN ADDITIONAL RX ee eo os es oe oe a SG ee Ge ee Ge ee 30 7 1 PN ai ein ae OT NEE 31 TIM da ED NT EE EE OE EO EO 32 7 8 INSTANT KENF Wy OER OE EE N 33 7 9 PENDING RX ON COMPOSE RX SCREEN ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 34 7 10 ERIN VC BINS cape eeepc cc ee Re Ge ER ee GE Ge Ee ee ee Ee ee EE Ge 35 7 11 RGA VIEW ee EE E nu ee ee EE EG cased wanes Ge EE Ee GE ER 35 7 12 AB iv EEN WE N OE EE EE N EN OE ENE OE OE EE N Oe 37 GE GE CUPP AE Ee OE OO OE 37 AE EE EE NE EE N EE OE 39 7 13 EDITING A DRESCRIUDTION SS ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ed 40 7 14 DISCONITINUINGA DRUG ee n ee ees ee ee ee oe ve 40 MA SA NEE ee EE EE N EE NO 4 7 15 FILTERING THE PRESCRIPTION NIEWEN 41 7 16 PRESCRIBING MEDICATION WITH WARNINOS ee ee ee ee ee ee ee ee ee ee ee 42 E E EE RE RE EE EE OO N 43 7 17 CURRENT MEDICATIONS gt 90 DAYS ee in es dese oes ee een ne re Ee bee E 43 7 18
8. DOB Gender and Zip Code When a match is positive automatic Formulary checking is enabled for the patient This means there is no requirement for the user to associate a Healthplan to the patient Excelicare ePrescribing User Guide AxSys Health User Documentation 7 1 Creating a New Prescription e Type the first few characters of the drug name in the Drug Search field Doctor s List e Select the Drug Search button and a list of matching drugs will be displayed e Ticking the Include obsolete drugs tick box will display withdrawn drugs The drugs which are not included in the patients Healthplan are denoted with Not in Formulary Drugs which are included are denoted by Preferred or Approved diclo Drug Search 3 letter min 5 recommended _ Include obsolete drugs Flector Diclofenac Potassium Zipsor Mot In Formulary Diclofenac Sodium Diclofenac Sodium _ Preferred Not In Formulary Not In Formulary Non Formulary Non Formulary Drug Search Results Monograph Leaflet Dermatological NSAID Single Agents Diclofenac Epolamine 1 3 Adhesive Patch Monograph Leaflet NSAIDs COX Non Specific Inhibitors Phenylacetic Acid Derivatives Diclofenac Potassium 25 mg Cap Diclofenac Potassium 50 mg Oral Powder Packet Diclofenac Potassium 50 ma Tab Generic Monograph Leaflet Ophthalmic Anti Inflammatory NSAIDs Dermatological NSAID Single Agents NSAIDs COX
9. SCHEDULED DRUG EE 44 7 19 THERAPEUTIC ALTERNATIVES ees sees ese see se ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee 45 7 20 DOCI SIST SE EE OD Ge EE ER AEA 46 ADDING AN ALLERG Y ADR a cceccccccccccccccccccccccccccccccccccccccccccccccccccceccs 47 Excelicare ePrescribing User Guide AxSys Health User Documentation d KRIER ENKEN e DOE EE RE EE EE EE EE EE EE 48 9 1 1 LESER N AE OE OE N ON E 48 9 1 2 EE 49 9 1 3 ERA er ORE RE OT N EEE aed EE ede N 49 9 1 4 DD ANTES OSI EE EE EE 50 10 MED ENTRY EE N IE RE OE EE OE ER OE EE EO EE 51 10 1 ADDING A NEW MEDICATION ccsccseccecccsccecccccceccecccnccesccsscesccsscesccescescesseasceseaes 51 11 PATIENT PRESCRIPTION DETAILS ccccccccccccccccccccccccccccccccccccccces 53 11 1 1 Healthplan lnsurance FormulaFV ees s sesse sesde ee ee EE ee ee ee Ee ee ee ee ee ee ee ee ee 54 11 1 2 Patient PGI CICS EEN 54 11 1 3 Automated Prescription Koutng 55 AE ME ie EN EA EE N 55 11 2 SPECT EE CN 56 12 PRESCRIPTION RENEWAL PENDING ccccccccccccccccccccccccccccccccccccccccccecs 57 12 1 RENEWAL e RN EE 57 AR TOV IG OE esc ec cen EO OE EE ER RE 57 MEN ATIVE CUI ARE KO ER ER EO OO EE EN OE Ed 58 12 2 PENDING MEDICATIONS ie ies vie ees ie ee ee ee N ee eg eg oe 59 13 PRESCRIPTION STATUS cecccsccccccccccccccccccccccccccccccccccccccccccccccccccccccocccecs 60
10. York State NY v Zip 11702 Zip _ Shipping Address Verified e Ensure the Shipping Address details are correct and select the Shipping Address Verified tick box e Select the required pharmacy from the list Only pharmacies that are marked with can accept mail order requests e Select the Transmit Rx Add to Record button Important Information Only Providers registered with RxHub Surescripts can send prescriptions to Mail Order Pharmacies 7 3 1 2 1 2 Pharmacy List The user can select the desired pharmacy to transmit prescriptions Icons associated with the Pharmacy denote the following A blue circle in the erx column indicates that this patient utilizes an electronic mail order pharmacy The mailing address will be displayed and is required for all mail order pharmacies A green circle indicates that the pharmacy is a participant in the electronic pharmacy network Pharmacies with the green circle can accept prescriptions electronically If no green circle exists the prescription will be automatically faxed to the pharmacy All pharmacies listed can accept prescriptions by fax provided the fax number is listed or you can input the fax number previous to transmission A black circle in the first column indicates that the pharmacy was previously used for the patient These pharmacies are set in the Pt Presc Details tab on the Navigation bar harmacy dist Add Pharmac L MEE Address IPhone ox Fax 12045 Mou
11. You may select from 0 3 copies If you wish to print a leaflet select a language from the drop down list and select the required check box es below the Leaflet column The Print as Singles check box is checked automatically as per State Law Some States only allow one drug per prescription A maximum of four drugs can be printed on one prescription Tick the Show Dx check box to display the diagnosis on the prescription The diagnosis should be related to the medication being prescribed Insurance Companies often require diagnosis codes with prescriptions Select the Rx Detail icon to view the prescription details Important The Sch column highlights Schedule 2 3 4 or 5 drugs These drugs must be individually signed by the Provider on state mandated paper forms and cannot be transmitted The user should select the Print Rx Add to Current Medications button in order to record the prescription in the patient record Excelicare ePrescribing User Guide AxSys Health User Documentation 7 3 1 1 Print Rx Add to Current Meds Select Print Rx Add to Current Meds for those prescriptions you do not wish to transmit electronically The prescription will be added to the patient record and the user will be navigated to the print page where the prescription s can be printed Select the Print Prescription hyperlink to Woedrumduy Doumbur 21 2010 print the James Cameron oe renge Dest 23456 DEA PESS5
12. an sudo enertation In ardar to heip yoy magie the srism sach screen m descrbed in greri dew on the bireng pages You wel gra fni debratarm for spece berme aod Paie thet appear on the weens Vie suggeri thet you sw es pigas prior tn your WR verpas on Each help page has a summary ahd detail satten H you ased just a quck merverw af the page the summary Seclin might be ai you ramure I yoy deure a mnre detaded explanation c nlinua on te the Gei nl secina De these instructions apply te you Tha eRe sowas hes several diaree haluis saaie F your Syalom Goes not Reve af avwlable features stated yos wil road about fostras that meget mat panain to you In moai raas gc ta seg pens feiras wil fot appear os your screen For asanple cur Parner usara Patines EMP PMS otc may not need to ogis fo Me system amd thus wil not access a Lagn Page Allematively ow Direct users musi bg ie drectly to De ebe ty stam and venue a Login Page There ore other metances where users wil bave drterent tinctianalty Al of our ef users hass the basic features of out D vanor whch allows electromc presceteng gong wth Ketti mes aas hestary eighty and fonrulary Seme uiers wl have the Compreteneve option which includes patent sper Pe formulary information dugdag sleepy drug and OTCAinug rewew along win patient lestets T you are using Da Has version only the Comprehensive deccried n ihis dee mer wil ect spat Dam 8 ETC Deeg Ise e Example Most of our Partner Users rds
13. cannot be matched with drugs in the First Data Bank drug database If the user wishes to prescribe the drug listed on the imported list the following steps should be followed e Select the Drug hyperlink to display a list of Drug Search Results Rx Date Drug 07 20 07 ATORVASTATIN CALCIUM 10 21 07 LOSARTAN POTASSIUM 01 05 09 ATENOLOL 1 ta SE FOLIC ACID 1 tal 1 tab Once daily e Select the required drug by clicking the drug name hyperlink and continue the prescribing process For more information please refer to Section 7 1 Creating a Prescription Excelicare ePrescribing User Guide AxSys Health User Documentation Drug Search Results Close Atorvastatin Lipitor Atorvastatin 10 ma Tab Atorvastatin 20 mg Tab Atorvastatin 40 ma Tab Atorvastatin 80 mg Tab Monograph Leaflet Antihyperlipidemic HMG CoA Reductase Inhibitors statins Click here if drug not found Build Doctor s List by checking Save this sig and add to Doctor s List at bottom of Edit View Important Information Prescribing the drug for the patient does not remove the drug from the Imported Rx panel When the Provider has added the drug to the patients medications the drug should then be removed from the Imported Rx panel by selecting the Delete check box for the required drug followed by the Delete button Drugs that have been deleted here will not be re sent from the hub to the ePrescribing system However if the same
14. drug to a pharmacy electronically Schedule 2 drugs must be printed on a state mandated form and signed by hand Schedule 3 Doc Rx Date S Show i O e Sch Pharmacy Stag Drug Refill Loc Leaflet Source Print Rxv Add to Current Meds Excelicare ePrescribing User Guide AxSys Health User Documentation 7 19 Therapeutic Alternatives When a drug is not available on the patients Healthplan the user can view a list of alternative medications The drug name will appear in the drug search results stating that the drug is not in formulary Mores ap Diclofensc Epolamine 1 3 Adhesive Patch Diclofenac Misoprostol Arthrotec 50 Dicloxacillin s TS ie as RI raph Leaflet Penicillin Penicillinaseresistant Dichoxzcillin The user can then select the Not in Formulary hyperlink and a list of alternative medications will be displayed substitution The user can select the required drug from the list and continue prescribing the alternative medication for the patient Excelicare ePrescribing User Guide AxSys Health User Documentation 7 20 Doctor s List The Doctor s List can be used by the Provider to create a list of commonly issued drugs These drugs are added to the Doctor s List when they are being prescribed by selecting the Save this sig and add to Doctor s List check box The doctor s list is particularly useful if you wish to prescribe more
15. find National Accounts or Individual Employers which do not appear by State e f you wish to delete a healthplan check the tick boxes of the required fields and select the Delete From List button located above the list Excelicare ePrescribing User Guide AxSys Health User Documentation 14 1 3 3 Support The Support section provides the user with hyperlinks to Prescribing Help along with the Reference and Admin Manuals The Read Me First Pages is a good way to begin How to Write a Prescription These pages are screen shots and will show you the major components of each screen and how they are used e The How to Write a Prescription hyperlink will open a pop up window displaying instructions for the user These instructions can also be printed off How to Write a Prescription Pumered bry Newt rug These pages provide ae overview of your fen Tx sytem Although ou pages ae desyei to Se easy 10 use electronic preso eg mherently diTerert then the re er paper We strongly suggest that at the very kast these 5 pages be completely reviewed prior to prescribieg or watch the video on the Adis Page Bure names are ZGeroped wth lt gt Most of pou wil artar ar fram your EMR ger aser gt wtormaton ol be d se Doctors for best results we sugges that naal use of are be by your office staff Ths wil buid drug ri pharmacy and healtielan Sets 26 refills are processed Bonus rect staff to ww the Ro
16. meee dae Orie mad Dharman Processes Cal Te Pr et mud ak Pret fery Pak ter Tete Tiere User Thestinetion E e D E 4 Rx Hex 3234444444 2 11 2010 1194 08 AM cst Sohn Abraham Fas Eagle VA 22602 omen C ECE TA Sig History a ton Date Doc to Shy LAM Locate LO 1057 Current Mod e Select the ReTransmit Batch button and the Transmit Rx screen will be displayed The Failed prescriptions can now be faxed to the Pharmacy Excelicare ePrescribing User Guide AxSys Health User Documentation 13 4 Staff Processing List This list indicates prescriptions which are pending further review Stat Processing List Patiprit Doctor Ascunee User Or x Location Sender e Selecting the patient will navigate the user to the Route Rx screen for printing or transmission to a pharmacy i da IE Bch Parma ZA Drug A30 teotretinaln 10 mo 1 capsule by mouth twice Pont Rn Adi te Corrert Mede Tranerd Re 13 5 All Doctor Review List This list displays prescriptions that have been set aside by the Mid Level Staff or other Doctor Prescribers for this Doctor Prescribers review as well as incomplete prescriptions All Doc LOF R eview L ist d Jat ad pate brug Ed KE Oog InProc PER N og FR SEN Kier x rg 10 mg Sap rede Heath Con kode MPree Zeep mq Cap beer sonal asain e Selecting the patient will navigate the user to the Route Rx screen for printing or transmission to a pharmacy The patient mus
17. message for pharma rs C St 1013 Eagle VA 22602 Telephone 3126781012 Pharmacy 4 Rx NDC 00071053523 Quantity 30 Tablet Form Hot specified No Product Selection Indicated Strength Lint Not specified Number of refills 2 Reference Net specified Last Demand Fill 02 09 2091 3 16 54 PM Date SIG Take 1 in the morning Dwections No child proof caps please Excelicare ePrescribing User Guide AxSys Health User Documentation e Selecting Deny and Rewrite will deny the prescription and allow the provider to create an alternative e Selecting Deny will deny the prescription e The user can also enter a denial reason and add a message to the Pharmacist e To accept the prescription select the Accept Button and addition refills if appropriate e Select the Return to Correct Errors Button to amend any prescriptions if necessary 12 1 2 Unknown Patients Unknown Patients are those who cannot be matched to existing patients in the system e On selecting the Renew Pend Icon from the Main Toolbar the renewal request screen will be displayed to proceed with the renewal process e On selecting the Unknown Patient s tab a list of patients requiring medication renewals are displayed e Select the icon to view the drug details e Select the Drug Hyperlink to open the Deny Screen j Lem gel Gewese MET N he rer Or OMe meow Mercere t phetha inh LARK SERE OM S Wo Gecke DOC TEST EPONE g Ag
18. nam Leger deectiy into thew om ar PM uitwas Theretore Excelicare ePrescribing User Guide AxSys Health User Documentation 14 1 3 4 Orientation Views Orientation Views can be used by the user as a guide to the system There are five hyperlinks detailing instructions of prescribing and three videos the user can watch for information e Select the reduired hyperlink and the pop up window will be displayed showing the instructions or video e To print off the instructions select the Print button from the toolbar tas P TEE EE EE LIN a Moed 4 ag Fees E RE H aa ihe Ee sie aromes ELECTRONIC PRESCRI O08 Geely ees La I OT coll te stall and do tors gt Automates and speeds the Rx wi process i our reasons 10 stari with rene we e Create a medication record amp che 14 1 3 5 Account Manager s News Account Managers News displays any information that the account manager wishes to post and can function as a daily blog The information listed here can be only entered or deleted by the Account Manager 14 1 3 6 Office Bulletin Board The Office Bulletin Board may be used to informally display messages to all staff throughout the day Type the message that you wish to send and click the Save button Excelicare ePrescribing User Guide AxSys Health User Documentation 15 Help 15 1 Support Materials ePrescribing is designed to be simple and intuitive In the event that you need i
19. patient available in the HIE hub It also allows users to enter new diagnoses When a diagnosis has been entered and saved it will appear in the CCD Note Diagnoses can be linked to a drug during the prescribing process Please refer to Section 7 2 for further information 9 1 1 Viewing Diagnoses e Select the Diagnoses button located at the top right corner of the ePrescribing navigation LY bar Sex bewe oo eegen een kee CON TEI TEN EN NEE IN es NES Excelicare ePrescribing User Guide AxSys Health User Documentation 9 1 2 Entering a New Diagnosis e Enter a Code or Description followed by selecting the return key on your keyboard Note Selecting Clear will remove any criteria entered in the fields mm e e m vr TT Wi Ce aye Unelig gt A Le Seen WW Tata haart r rate o Tm vee Ze as t ae to bne i on wel LT OER ER RE ER er Acodertal out curcbare perfor ation of hencrhage darg heat catheter takin e A list of values will appear allowing you to select the required diagnosis from the list e Change the Onset Date and add Notes if required e Click Ok The new Diagnosis will be added to the list The User is now required to select one of three options available at the bottom of the screen Provider James Cameron save Save amp Close Cancel Changes e Save selecting this option will save the new record and the user will remain in the Diagn
20. prescription status as described below InProc In Process newly selected or left unfinished drugs DR awaiting Doctor Prescriber Review prescription left by clinical staff for a doctor to review H NS Needs Staffing Attention prescription that has been approved by the doctor and left for staff processing Pending prescriptions can be edited by selecting the drug hyperlink or the Edit button within the grid If you wish to delete a pending prescription select the delete button to remove the drug Excelicare ePrescribing User Guide AxSys Health User Documentation 7 10 Current Medications The Current Medications list is displayed with the most recently added drug at the top Current Medications can have multiple sources These can be written by all doctors within your account and displayed with the location medication entered by staff from the Med Entry page or additional prescription records that may have been loaded from outside sources such as RxHub Select Current Medications for James Watson Drug Review instant Renewal Bogus Pharmacy Phone 111 Nowhere San Francisco O Discontinued Previous C Cancelled Mid Process C Pharmacy Communication C Denied Tinted Rx are external entered via MedEntry or imported source shown Note Any medications with a shaded tinted background are from an external source Discontinued drugs
21. times Dosing recommendations are based on the cdinical erature irrespective of FDA status Wigh Daily Freg Sela Defauk Screening Record Maintenance Dose 1 00 4 00 Ries Deitz Screening Record Single Dose 1 00 1 00 Select the Dose Type The calculation screen will be displayed as shown below Cancel Close Dosing and Podiatric Dose Calcubstion Enter the Dose mg and select the Calculate button The calculation will be displayed on selection of the Calculate button Excelicare ePrescribing User Guide AxSys Health User Documentation 7 3 Completing the Prescription The prescription can now be routed printed saved to current meds or left for another member of staff by selecting the Take Complete Rx to Review Page button 7 3 1 Pending Rx CET HIE Open Edt for Dosing Va Loc EE N ource Didofenac Potassium 25 mg Ca Er n Not In Formuls Cameron Ki x Route Page The Route Page allows the user to print or transmit via fax electronically prescriptions Number of copies H 7 Leaflet English i Prescriptions Check or uncheck to create a processing batch _ Select language first can be split Sho se here for batch processing Doc Refill Loc Leaflet gt Gr Source You can specify the number of copies of the prescription you wish to print from the Number of copies drop down list
22. 5555 VEL West LI BARS prescription Tent 455 LARESPUR DR S Weymouth Springs CA C0080 Prone 995 148 5438 Fox 995 248 5497 PATEN Janes Watson Gender Mate DOS 02 15 1962 DAY TEL Jamas Street Hew York HY 11702 MEN VY EENDE I7 1225687 SR Deed REFILLS Brand Medically ME OT y QUANTITY L 2 capeules by mouth daily 28 twenty eight Capsule a N ots Zei HI Pi mp TT ra zeg SISA AR Pret ptios a voed f the marider of Gup prescribed amp nol noted Federal law requires cal vert tza fer centrofed sebutaeces Docto rs Sig natu re required once printed 7 3 1 2 Transmit Rx Select the Transmit Rx button for those prescriptions you wish to route electronically If a prescription is a refill and was previously sent to a pharmacy the pharmacy name address and phone number will be displayed by default If the prescription has no pharmacy name this can be selected from the Pharmacy List on the Transmit Rx page as displayed below 12 22 19 Didafenac 50 mg Tab Delayed 3 tablets by mouth daily as needed Ka mProc Release PRN Tablet Ge Cameron Tere Click here to specify mait order home delivery for af the above Rx Return to Route Rx to modify as needed Click here for detailed formulary benefit and mal order information Transmit Rudd to Record 5555566556 Pharmacy List _ Add Pharmacy KETENE SCH Phone ers fax 555 555 S555 Sogus Pharmacy Selected Pharmacy Details JESUS T PINERO
23. 855 3001 Excelicare ePrescribing User Guide AxSys House Marchburn Drive Glasgow Airport Business Park Paisley PA3 2SJ T 00 44 0870 840 8600 E Training axsyshealth com
24. AVE 278 280 402 770 SAN JUAN PR 00927 7046 2103 SOUTH ATLANTIC BOULEVARD Select the Transmit Rx Add to Record button to route the prescription Excelicare ePrescribing User Guide AxSys Health User Documentation When the prescription is transmitted electronically you will have the option of previewing a printable proof of transmission The copies on the page are in addition to the one printable from the Transmit Rx screen aa ETER Select the Ka hyperlink to De ard date decided a bas veer de sete 311 lombate oe Peseta my cA Seege Prone at 3 28 AM Comtral Tise print op Wednesday December 22 2010 of the James Cameron receipt cere test 1 22456 DEA BOLLE HET bot 20455 Test 455 LAAKSPUR DN S Weymouth Spriegs CA 30099 Poir 099 348 5458 Te VIS 148 5457 PATENT Tames Wateon Gemder Male DOS OKT TK re lames Street Hew York WY 11709 WAN ga VEMNG UIH SIS Ier orde HEF LLE Trad Haer Vie wyd y 3 tablets by mouth daily as needed PAN 90 ninety Tettet A n Preceseed iy eren Leen 995 340 MIE ONO Cory OF PAL WIL TOR Oe IR Cory OF PSC ike Note If there are remaining prescriptions for the patient you will see a hyperlink adjacent to the Print link that will display the number of prescriptions still to be processed on the Route screen Selecting this link will allow the user to process the remaining prescriptions 2 remaining Click here to continue routing Important Inf
25. E N MIND Excelicare ePrescribing User Guide AxSys Health User Documentation 16 Important Information There are certain reduirements that should be taken into consideration when issuing prescriptions to patients e Prescription paper should be 8 1 2 inch by 11 inch non perforated e States of New York New Jersey Kentucky and Indiana o Prescription paper will be perforated at the upper left hand corner o Prescriptions should be printed on non perforated paper o Prescription paper will contain pre printed headers e State of Florida o Prescriptions can only be transmitted one at a time Excelicare ePrescribing User Guide AxSys Health User Documentation 17 Surescripts Participant Bulletin Eligibility Requests Lamm VEER Surescripts Prescription Peter March 1 2011 Change to Certification Requirements Regarding Eligibility Requests in Version 5010 Implementations and Certifications Surescripts hereby notifies all Prescriber Technology Vendor Participants of a change in Surescripts Certification criteria with respect to Eligibility requests in ASC X12 Version 5010 The new Certification requirements stipulate that vendors only initiate one 1 Eligibility check for the same patient by the same physician within any three 3 calendar day period Background The new Surescripts Certification requirements stipulate that vendors only initiate one 1 Eligibility check for the same
26. ENLE J tec States recone leed This prompt will always appear until the Provider has set a default location 3 1 1 Setting your Default Account Location A Provider may spend the majority of his her working time at the same Location A default location can be configured from the ACE Configuration button on the CCD screen Ban OAO J B EET DEEL TY H 1 ARE DEM TIME MY Eege we Select the ACE Configuration icon The ACE Configuration screen will be displayed as shown below Excelicare ePrescribing User Guide AxSys Health User Documentation Excelicare ePrescribing User Guide FOOD EED EE EDE eRx Settings i Account Name AxSys Account Location Name Test Hospital N R Provider Name Level Mid Change eRx Prescriber Location Account Settings Select the ellipse to a view all locations associated with the user l Ed wesese Mr N OO EE Ee EE Oe ee ES geg TN wyg e hert Wee D al F x VLOEAELL Wi MIGE KINN i H eto 192 168 254 157 excelicareace Anse OV ML WE By em ON asp t OVID 2816 Deiere tal AxSys Health User Documentation 3 1 2 Mid Level Prescribers Nurse Prescribers A Mid Level Nurse Prescriber may prescribe a prescription on behalf of a Doctor however the Doctors name must appear on the prescription When a Mid Level Nurse Prescriber has accessed Excelicare ACE and searched for a patient they s
27. InProc A e The default pharmacy will be displayed as shown below The user can enter a message for the Pharmacist if required Click the Accept button Reviews performed Drug Drug 0 found Drug Allergy O found Drug Disease 1 found Drug Condition Disease Condition Drug Review Response Rx will be sent to Diclofenac Potassium 25 mg Cap SIG 1 2 DAILY DISP 28 Refills 0 Message to Pharmacist Bogus Pharmacy Phone 111 Nowhere San Francisco e A confirmation box will be displayed Select Continue to complete the process Reviews performed Drug Drug 0 found Drug Allergy 0 found Drug Disease 1 found Drug Condition IcD9 Disease Condition Drug Review Response Rx will be sent to Diclofenac Potassium 25 mg Cap SIG 1 2 DAILY DISP 28 Refills 0 Message to Pharmacist Bogus Pharmacy Phone 111 Nowhere San Francisco Accept Send Confirmation Drug Info Transmission Method Status Status Description Diclofenac Potassium 25 mg Cap Electronic Important Information f a default Autorouting Pharmacy is not configured prescriptions are left for Staff to process NS Excelicare ePrescribing User Guide AxSys Health User Documentation 7 1 1 Autorouting Prescriptions Autorouting prescriptions allow the user to send prescriptions automatically to a default ePrescribing Pharmacy Autorouting can be configured on a per drug basis or for all drugs sent via the Accept Send option on the Compo
28. Medications gt 90 Days Drugs which are greater than 90 days old within the Current Medications will be displayed with a highlighted background as shown below Select this link for the drug to remain on the patients Current Medications Lipi H ma Tab Rx gt 90 days Leave an Current Meds 05 04 10 Select the D C check box to discontinue the drug There are two options available in order to deal with these medications e Leave on Current Meds Selecting this option will leave the drug within the Current Medications and the highlighting will be removed e Discontinue the Drug Selecting this option will remove the drug from the Current Medications The drug can be viewed using the Discontinued Previous filter displayed below the Current Medications Excelicare ePrescribing User Guide AxSys Health User Documentation 7 18 Scheduled Drugs Scheduled drugs must be printed and signed by a Provider The ePrescribing module will not allow the user to transmit scheduled drugs electronically Scheduled drugs are denoted with a number displayed within the Sch column of the Pending Rx grid Pending Rx Doc Refil Loc Source Cameron MG If a user tries to transmit a scheduled drug the following message will be displayed Number of copies 9 Leaflet English zs ElFrint as Singles Check or uncheck to create a processing batch Select language first You have attempted to send a Scheduled
29. Message Chat wi appear on arery pinced Er Lent Status Page Dak to Currest Lecaten Save Account Settings Show Automated Prescripben Reoutng Account Manager s News CET Hat Bowed Please use peefesscec drugs Sefore braid Gruss AxSys Health 14 1 Reports Three fixed reports are available to the user from here Pharmacy Communications Log this report displays a User Documentation record of all electronic Communications with pharmacies via the Surescripts network The log provides the user with a way to view a record of all Renewal Requests that have been received from pharmacies electronically If a prescription is denied a record of the transaction will appear here 31172010 75 15 Lawrence Mayo AM ALL Set 7 15 37 Lawrence Moyo AM ALL 2010 0 065 Martin Edvan AM OTT 60720 Mam Edwin AM ALL 2010 20944 Martin Edwin JAM Prescriber Report this report provides a printable doctor Phong Jois 3334444444 Abraram C St Eagle shi Phong kin 33344446444 Abrahem C St Eagle 41 Phone John 3344446444 Abraheem C St Eagle ahi Phone Jn 3534444444 Ar gham C St Fag Phone Jobn 3334444444 Ahraham C St Eagt Ropo Bato AAW Fit nen tSn Reason Status Hein tts ensim 3 13 2010 11 38 10 Approved aM 3 11 2010 11 29 28 Demed st 3 11 2010 7 24 30 Approved AM 3 12 2010 ew S i je z te feller 3 11 2019 7 22 51 Deriad AM log of all prescripti
30. NIET m at e ke w n i Cafe WA 22600 uhbess DOS 10000771 Gere Mate ewok MY Gi Drug Wartarin 1 mg Tab NDC EMOKTEET Zar 20 Tablet ho Mehal Beaten HON Hede ated km EE or Seer Unt Not weofed mba df Ab t Lae error MAIOTA S TT 44 POL Hef sed Mat rise Mend S Take tthe mgit IT No tak proof cave please e Select a Denial reason from the dropdown list available along with a message to the Pharmacist e Select the Deny Button Excelicare ePrescribing User Guide AxSys Health User Documentation 12 2 Pending Medications The Pending tab displays a list of patients whose prescriptions are currently in the Pending Sans aan status for the logged in user Select the icon to expand each patient name A list of the pending meds will be displayed Select the drug hyperlink from the Drug info column The patients Pending Meds will now be displayed on the Compose Rx screen Open Edit for Dosing Kx Date Doc Loi Re fill re Stage Drug 02 08 11 Take 1 n the morning lt 4 InProc Not In Formulary If the prescription requires to be modified select the Edit button and complete the prescription as required Select Take Complete Rx to Review Page or Accept Send and complete the process The patient will be removed from the Pending list on the Prescription Renewal screen Excelicare ePrescribing User Guide AxSys Health User Documen
31. Non Specific Inhibitors Phenylacetic Acid Derivatives Dermatological Antineoplastic or Premalignant Lesions NSAID s Diclofenac 0 1 Eye Drops Generic Diclofenac 1 Topical Gel Diclofenac 1 5 Topical Drops Diclofenac 25 mg Tab Delayed Release Generic Diclofenac 3 Topical Gel Preferred Preferred Diclofenac 50 mg Tab Delayed Release Generic Diclofenac 75 ma Tab Delaved Release Generic e Select the required drug from the list by single clicking the drug name hyperlink Note If you wish to view more information regarding the drug you have searched for the user can select Monograph or Leaflet Excelicare ePrescribing User Guide AxSys Health User Documentation 7 1 1 Generic Brand Drugs e When the generic name is found within the Drug Search Results Generic is displayed next to the drug name as shown below otin Forman Aspirin 975 mg Tab Delayed Release Genere J e When generic alternatives are available for a drug found within the Drug Search Results Generic Available is displayed next to the drug name as shown below Hotin Formulary Aspir Low 81 mg Tab OT Generic Available e If you wish to search for the Brand Name of the drug displayed within the Drug Search Results select the Show Brands link Lipitor fAtnnuactatin Monograph Leaflet Antihyperlipidemic HMG CoA Reductase Inhibitors statins Show Brands Lipitor 10 mg Tab Lip
32. acy Fo D and or Message to Pharmacist AROMEN seed oer approvel emy ra 3a the follwing pharmacy An aasgned rx wil chow A e Bogus Pharmacy Phone 17 Nuwhere Sas Frasooco Fax 5555555555 Office Processing Automatically amal new approve Gety mse following Separate with commas teava Re tor Staff when scoepted when deed Shows a5 NS on Status Page es Drug Review Override Select drug verarm garde essen Rx Noles Swe Note Babie usa imponan to raad the Mac An Guide Bast to lake with bod to lessan SOME h upset Awdid during last 3 months of pregnancy Swellow whole with water Da not fe down for 10min May make you drowsy ot dzzy Orve wih Cato Medication Adkninistretion Sample Detaits ArirnetrabonDete Tine Drug details can be entered here Add any additional notes or Patient Education here tise Control key to oudttc tect add text as noel AxSys Health User Documentation 7 13 Editing a Prescription The Edit button is located within the Pending Rx and Current Medications The button allows the user to alter the prescription as required PITY Vote Cogais Reto Rowen Page Ace Sond NN ry rere Wett bo L VC Tee Sm Isi Shaded Area d highlights incomplete the 0 FS rescriotion Oretre 5mh or A H p e Select the Edit button for the required drug and make the appropriate changes e Click Save Rx to save the modifications Note Changes to drugs are reco
33. al for kver function test elevabons with use of any diclofenac containing product Cases of druginduced hepatotoxicity including hepate faikre resubing in death of requinng transplantation have been reported Healthcare providers shouid monitor Tansammase levels penodcaly in those patierts receiving long term therapy The majonty of pabents had iver egene abmomnailities detected in the Arst 1 2 months of therapy Dut abnoemaihes can occur at anytime throughout the realment couse Optimal montanng intervals are not Known bul wiin 4 8 weeks after initiation may be advisable based upon cirecal trials and posimarketing experience fF abmonnal ber tests persist or worsen if cirecal signs ardor symptoms consistere with Iver disease develop ar if systemic manifestations occur eg easinonhika rash abdominal pain diarrhea dark unne diclofenac sodium should be dscantinued immediately Done iiemet Protected Mode Dif zu g 10 v m Selecting the Leaflet hyperlink will open the Lexi Pals Advisory Leaflet screen as displayed below This leaflet contains patient educational material which can be printed off Leaflets can be printed in various languages to suit the needs of the patient U S Brand Names Fiector Pennsed Sctarane Votarwn Get Canadian Brand Names vorwen Emuiga Pharmacologic Category tionsterokts Ars infimmatory Drug NSAID Nonsterokta Antinflammatory Drug NSAID Topical wee ed warnings ves l sons er enge od kb i
34. ameron EDIT mR DI NSAIDs For information on Autorouting all prescriptions for the patient please refer to Section 11 1 3 Automated Prescription Routing Excelicare ePrescribing User Guide AxSys Health User Documentation 7 8 Instant Renewal An Instant Renewal allows the user to simply select all the drugs you wish to renew and select the required pharmacy to transmit to e To perform an instant prescription renewal from the patients list of Current Medications check all the tick boxes of the required drugs and then select the Instant Renewal button Current Medications for James Watson Drug Review Doc Refill Loc Source OE ME Ed 50 mg Tab Dela 3 daily as needed PRN 12 22 10 Release Si Cameron Time Diclofenac 50 mg Tab Delayed 3 daily as needed PRN 12 22 10 Release Gs Cameron o i Ime mme 10 ma Can i 2 21 10 Asparaginase 10 000 unit Solution is unit intramuscular inject ss or Injection SE eg EE da Instant Renewal e Bogus Pharmacy Phone 111 Nowhere San Francisco e Select the required pharmacy from the drop down list e Select the Instant Renewal button to transmit the prescription e The prescription will appear at the top of the screen above the Pending prescriptions Instant Renewal Confirmation Drug Info Transmission Method Status Status Description Diclofenac 50 mg Tab Delayed Release Electronic e You can view the status of the renewal by selecting the Rx Detail i
35. care ePrescribing User Guide AxSys Health User Documentation Please Note The top section of this screen is applicable to the Location and the bottom section relates to the logged in user 14 1 3 Lists This section provides the functionality to add new Locations and Healthplans for the patient 14 1 3 1 Pharmacy List The Pharmacy List shows each location s list of selected pharmacies The lists can be maintained from here or allowed to accumulate as pharmacies are selected for patients Pharmacy Lists can be used to edit incorrect fax numbers and delete seldom used pharmacies as well as adding new pharmacies to the list Selecting the Location Pharmacy List hyperlink will open the Maintain Pharmacies by Location screen This list is generated as pharmacies are selected for patients To remove seldom used pharmacies check boxes and click Delete To correct a fax number click the pharmacy name enter the number and click Save Add Pharmacy Delete Checked EE Eagle VA 22602 12345 Mountain Road 4X Pharmacy Alexandria VA 22315 703 921 2121 703 921 2199 If you wish to add a new pharmacy e Select the Add Pharmacy button Tiis list ts Generated as pharmacies are selected for patents To remove seldom used pharmacies check bones end cick Delete To correct a fax number cick the pharmacy name enter the mumbar and click Save Add Pharmacy Pharmacy Search Use Zipcode to see local pharmaci
36. ch as McDonald MacDonald Donaldson The list of patient s matching the entered criteria will be displayed in the Search Results below roe ee NS mete ren OT i GEE N N baas tag an mad AN ENE a NW Excelicare ePrescribing User Guide AxSys Health User Documentation 4 1 1 Options available from the Patient Search screen e The Clear button is used to empty all fields where the user has entered information to search for a patient e The Deselect button will deselect the currently selected patient resulting in the patient being cleared from the patient label This button will appear inactivated if no patient has been selected e Selecting the Column headers which are underlined within the Search Results will sort the search results into alphabetical ascending order Corer Readen CL Dalr Lee D ME ID Leg Oars ed brth j Fiore hana i 2 erg iN Dale te 4 1 2 Select Patient The Select option is used in order to select the required patient found from the patient search results Hover over the row containing the patients details A pop up menu will be displayed Excelicare ePrescribing User Guide AxSys Health User Documentation 5 ePrescribing The ePrescribing module assists Providers in prescribing medications to patients as and when required ePresc ePrescribing reduces prescrib
37. con within the Current Medications For further Information on Rx Detail please refer to Section 7 12 Rx Details Note If no pharmacy is selected or the prescription is incomplete it will be moved to the Pending Rx list Excelicare ePrescribing User Guide AxSys Health User Documentation 7 9 Pending Rx on Compose Rx Screen Pending prescriptions are listed at the top of the screen These may be part of the current session or may have been entered by staff and left for a Provider to review The drugs displayed in the Pending Rx screen have not been processed completely and will remain here until a Prescriber or Staff member has completed the prescription Pending Rx Take Complete Rx to Review Page Open Edit for Dosing Date Drug Sig 12 23 10 Release InProc Prefered Musculoskeletal System E __ NSAIDs harong Aspirin 325 my Tab oe Mot In Formulary eae SEs 100 mg Tab E NS Prefenmed Central Nervous System Antidepressants Tricyclic Agents Note The pending prescriptions are not yet a permanent part of the patient record however they are included in the drug interaction checking on the Review page The Rx Date Stage will indicate the pending
38. drug is sent to the hub from a different source it will appear in the ePrescribing system and the user will have to manually delete it here Excelicare ePrescribing User Guide AxSys Health 7 Compose Rx The Compose Rx tab provides the user with the following Core Functionality gt gt gt gt Account Location displayed here ewe Ansys Test occ 7 23 1080 ow Male deste Pie nar deme Tight Cbt Comps n reel he akte reg HI UR IE OE fees P Oiar Aer ST CI AL ATA MO GEE LEI Lect fi 2 Pending Medications Drug Search Create new prescriptions Edit prescriptions Renew existing medications View patients medication history Le Wi Ba batt thee lie 7 CLE teetin lineg ww Zeng t ma Tan mo ed Vel bo Lede Tube Pe suweg TERT LO x et Cusp are Dors Lie Terr EE bebat weder frm II D ji one Amani ma lei laai etenn ME Sall ED K Glam Apie LO ou Tob p E cova ET AR RA D i TEST Epa poyi deken Patat ME mg L Dt 2 dade BE taak Ji mec SI co geg d Pare H7 E Patients Current Medications bc User Documentation TT Atu pisu CA Designated Doctor Prescriber appears on Rx Healthplan Details Patient Allergies ADRs Note RxHub patients are patients who have been prescribed medication claimed through their Healthplan and recorded via Surescripts A patient match with RxHub is based upon First Name Last Name
39. e This information can be modified without having a Doctors Role 14 1 2 8 Limit Status Page Display to Current Location This feature is designed for multi site Practices This will restrict one practice from viewing entries of another practice 14 1 2 9 Automated Prescription Routing Rx Processing Defaults e Select the Show Automated Prescription Routing check box to configure the Accept Send functionality on the Compose Rx Page This will allow Providers to autoroute patients prescriptions to the Pharmacy Enter a valid email address to receive notification when prescriptions are Accepted Li Show Automated Prescription oe Enter a valid email address to receive notification when prescriptions are Denied Processing List Leave Rx for Staff Processing Defaults Shows as NS on Status Page when accepted when denied Select the required checkbox to leave accepted denied prescriptions on the Staff Requested Rx Processing Defaults for this User Denied Meds List on Compose page should display all denials recorded during the last Enter the number of days you wish denied medications to be displayed on the filter list enter number days Note If you leave this field blank all on the Compose Rx page Denied and Canceled Rxs are displayed in the Canceled in Mid Process list on the Compose page Save Automated Rx Routing Video Click here to for further guidance on Automated Rx Routing Exceli
40. e opdra nd Reasons not to take this medicine sl you have an allergy to diciofenac oF ary oher part of his medicine Tell healthcare provider d you are allergic ID any medicine Make sure to tel about the abergy and how it affected you This inchxtes teling about fash hives drem Shortness of beealh wheezing Cough swelling of face ips longue of rol of any other PIE inoived Da not use on damaged sian RANK n be he mo ti ni som sd Sa ef Done Intemet Protected Mode Op EG WM e AxSys Health User Documentation 7 2 Entering Prescription Details When you have selected the drug from the Drug Search screen the system will navigate to the Prescription details screen where you can enter the drug information Adjust Disp only after completing Sig Diclofenac 50 mg Tab 1 Release Ususi adult 24 Four dere 100 000 MG fo 200 000 MG Formulary Prefered Dosing Renal Hepatic siteit Ze NE Select Frequency Available packaging 10 each BLIST PACK 10 each BOTTLE 12 each BOTTLE 14 each BOTTLE fo OM in fe Ga HA en e Enter the formulation and route e DAW Dispense as Written DNS Do Not Substitute selecting this option indicates to the Pharmacist that no alternative drugs should be given to the patient PRN Pro re nata take as needed e Select the One Time tick box if the patient has only to receive this medication once This is for information purposes only e Selec
41. eapprove deny r to the following pharmacy Select Pharmacy Assign in Pt Deag of auto stsign wa Transmit Page H HERR Automated Prescription Routing can be configured here Automatically emal nes D r ug deny re to following Separate with commas Optional patient ID for mduson n email subject line De not use name or SSH Patent Information Current ves MRN Chart ae vs SSN Ga 07 15 1962 Address Line 1454 wandrer street Address Line 21254 site Patient Details City he error State hy EG Address Linel Address Line Read Only Primary Care Physician Employer Healthplen Grow Mail Order Pharmacy Rx Lobel Language Excelicare ePrescribing User Guide AxSys Health User Documentation 11 1 1 Healthplan lnsurance Formulary The user must enter the details of the patients Healthplan Insurance to activate Formulary checking It is recommended that this be done by office nursing staff prior to the doctor using the system Select a health plan from the Medicare Part D drop down list if required Select a health plan from the Primary Secondary Tertiary drop down lists if required Select the Save Insurance Formulary button to save the changes or select the Save Go to Compose Rx to navigate to the required screen Please Note Automatic Formulary checking is assigned for RxHub patients Patients who do not have a Healthplan w
42. er e Fax number is constantly busy Select the patient name hyperlink from the list Failed Pex Trarneentesiont Needs Reprocrssang late Mem fer OV71 2010 Aspen S00 mg Tab mense seat 05 11 2010 Mot iN 400 mg Tap pattie LECH Aaoi tie 500 mg Cap TW IDLO Perkukkd 20 mg ei 0H23 2010 Asprin 500 ma Tab 03 24 2010 Morin 000 mg Ta ORS3 210 ME none 1 mar fv DAC Tyno Akror Ceggeeg Hgf ree 25 et 20 mg EAOROID Hytromrn 250 mg Ta 03002010 Atome n 250 mg Tah OAID Agen SOO mg Tab OV 1LL 2010 Aspirin 500 mg Tab 05 31 2030 Asprin DO mg Tab CVLL 2010 Area dir 20 egy Cm OSL 2010 Aas tin 250 mg Cap O3 11 2010 Starch Theberey Oral Power Vivian Richard 02 24 2010 Nore Oar ter Like Mer n ier heath Comp Abraham MIST HL Test Laer atory Mr nam MIST HT Test Laboratory Abratuam MIST HLT Test Later stry Smit Aas Haat Corp Trat Mare heath Corp Smh Aa Heath Con Sits Ars raal Cop Smh AeSys Haah Cop Smit Ac Hoat Corp Tatt Am Meath Cop Test ME Haai Corp Men held reed By Corp James Gre Hooth Com James haai Haaki Com Man Grp Heath Comp lames y kaaft Corp Clrte Kee 15 Abraham MIST HLT Test Laboratory e The Review screen will be displayed Navigate to the Print Transmission Log per rane Ei rremrteslc L o A fae Put cee Not go eo ap dae Da reorreed mark oF merrie we ore et rem e Th aul be Pete on te Dive Pam A fee recorded Me ae ememr by Pe Per ET regen Faan can be
43. erlink located above the search results Excelicare ePrescribing User Guide Pharmacy Search Use Zipcode to see local pharmacies D digits required Search with at least 2 letters of ZIP Street Name Sm Cross Greet zmimark Search with at least 3 digits Ce Phone Fax l Gate Abiwew Pharmacy If zip does not find your pharmacy try name city street etc Click here if pharmacy mot found If your pharmacy was not found try these next steps If you tried zipcode Erase the zipcode and try searching by city If your city is a common name ie Riverside add the state Cities can be wrong especially in urban areas Try name and street or just phone number Is the pharmacy name exactly correct For example Walgreens appears in the database as Walgreen and Walgreens Try street plus city Pharmacy names can charge Try phone number Unlisted mail order pharmacies will not accept erx print sign fax Missingincomect pharmacies inform Support Services AxSys Health User Documentation e A list of steps will be displayed if these fail select the Missing Incorrect Pharmacies inform Support Services hyperlink e The Request Pharmacy Change screen will be displayed where the user can email Customer Support at NewCrop by selecting the email hyperlink The pharmacy will be added to the list within a matter of hours eee lames Watson e 2 15 1962 we Male A z EET TN ED AE IT 7 4 Ap
44. es Search with at least 2 letters of Street Name Cross Street Landmertk Search with at least 3 digits City Prone Fax Pharmacy Search If zip does not find your pharmacy try name city street etc The user can search for a pharmacy by entering criteria into one or more fields and selecting Search Excelicare ePrescribing User Guide AxSys Health User Documentation e The Pharmacy Search Results list will be displayed as shown below harmacy Search Results Add Checked Pharmacies dress VT ore Fan 403 WEST F ST ONTARIO CA GU 2283 SW 4TH AVE ONTARIO OR 979141900 an EES 4375 E LOWELL ST E ZS 2 I CORNA HEAL THLARE CORP SCA ONTARIO CA 91791 2096801901 2956 S Gove Ontario CA VI7EL 22384 S Euchd Ave Ontario CA 91761 i250 ROUTE 104 BOX 400 BOX 400 ONTARIO NY 14519 143 N EUCLT AVE ONTARIO C4 912 649 NORTH CONCORD SAINT PALA MN SSOTS 351 Sw GTH ST ONTARIO OF 979142573 351 GW 9TH ST ONTARIO OR 97934 1543 E IDAHO AVE ONTARIO OR 97914 M SALDY VISTA PHARMACY 24671313 M BIMART DRUGS 5415972168 r OSa Sn Drug 9727 Sess ane T C S 09729Sar On Express 9725 9093910136 VOGTIEME 7 T Eedem 12 aissas Ges TT GEMMELL PHARMACY OF ONTARIO 3090951129 HITE MAL SERVICE PHARMACY 6111111111 9 HOLY ROSARY HOSPITAL PHARMAC C388 EE M HOLY ROSARY MED CTR PHCY 5415817150 M KMART PHARMACY TEE e Select the tick boxes of the pharmacies to be added to l
45. hould select the ePresc icon from the Main Toolbar They will be prompted to select a Provider and Location Account for whom they are prescribing on behalf of 35 efx Prescnber Loc Acct Webpage Dialog t 3 htp A192168254 157 eeliaeaoe Axsys OV UL WER Imi ON asm LOVID 281 amp BtnSeloct falsoSinable Presi rt er Hare Late Mare Account Name Test capes Area Account 455 LARESPM DA S Vieyra cA LN ed State 3 1 3 Changing the Location To change locations the Provider Mid Level can utilize the hyperlink located at the top left of the screen Hyperlink as viewed by Providers e a Fe n Ss e ne e be sas T Ml l P e Ss on fist bet Ce tt ss mm EE Med L_e wee Le F rd e geg wm wi rg gr e si Providers can select the hyperlink and choose the required location The Location and the Account details are displayed within the hyperlink Excelicare ePrescribing User Guide AxSys Health User Documentation Hyperlink as viewed by Mid Level Nursing Staff BanARE BAD TT z san EF oo e 8 P D Fee E Im 8 Perd 8 TEIT Mid Level Nursing staff can select the hyperlink and choose the required Provider and Location Account of whom they are prescribing on behalf of The Provider Location and Account are displayed within the hyperlink Excelicare ePrescribing User Guide AxSys Health User Documentation A 4 Patient Search Search
46. ig History Action Date Status Sig Doctor Location H sr PRN Leaflet 12 22 2010 10 55 Current Med 3 DAILY PRN Test Hospital James Cameron Y Patient Education Click here to add pre existing notes for the patients information Click Save Note This will be displayed on the face sheet of the Rx for the patient Before use important to read the Medication Guide Best to take with food to lessen stomach upset Avoid during last 2 months of pregnancy Swallow whole with water Do not lie down for 10min May make you drowsy or diary Drive with caution LLJ E Medication Administration sample Details AxSys Health 7 12 2 Pending Rx User Documentation The Rx Detail button within the Pending Rx panel allows the prescriber to set up auto routing for the selected prescription enter additional prescription information as well as entering associated drug information Configure Auto Routing for the Rx Patient Education Excelicare ePrescribing User Guide fake Date Original Entry Date 12 21 2010 Drug Re n Mk Laaf Phenylecetc Aci Derwatwes Dermatological Anoneoplastic or Frematgneant Lenons Hide Diagmeosts Pharmacy St 3 tablets by mouth dak as needed FRA MAT Sig Pharm Message GureScripts Forrrealary anal cnr red Wo AutoRoute this Prescription eqpeested Rx Accept Dery respotso required f checked Assign to Dr Janes Carmen Optional Entar Pharm
47. ill be defaulted to Self Pay 11 1 2 Patient Pharmacies The user can view or enter details of the pharmacy where the patient collects their medication 11 1 2 1 Entering a New Pharmacy lt is possible to change add pharmacies as default pharmacies for the patient e Select the Click here hyperlink as displayed below Patient Pharmacies Add choices from Admin Page Address Contact 12345 Mountain Road Alexandria VA 22315 703 921 2121 y list e A list of Pharmacies will be displayed Eagle VA 22602 EI 12345 Mountain Road 4 nes ER Baa AE 4x Pharmacy Al ria VA 22315 703 921 2121 703 921 2199 save Changes e Select the tick box of the pharmacy you wish to add Please note more than one pharmacy can be selected e Select the Save Changes button to save or Cancel to cancel any changes made Excelicare ePrescribing User Guide AxSys Health User Documentation 11 1 3 Automated Prescription Routing The user can set automated routing of patient prescriptions to a specific pharmacy and email a notification to the patient or any other authorized party that their prescription has been transmitted to their selected pharmacy as shown below Important Information Automated Prescription Routing can be configured for drugs to automatically be sent to the Pharmacy when selecting the Accept Send button on the Compose Rx Page Select the check box to configure automatic routing along with the
48. ing and administration errors therefore improving patient safety and care 5 1 Accessing ePrescribing e Select the ePrescribing icon from the Main Toolbar The ePrescribing screen will appear for the currently selected patient as shown below Prescribing Modules Patient Label e Deg ebe E e Ae SS SS Km MET E ed i 2 gt Compo Es isyan gt ma se DOC TEST wore Agen Fest oe 7 21 1980 er Make em Aere Bam ROO ER pta ty rage Drug Search fe mg siet A fe peetatee Ire UI RS Poe mg al ER VEL d ON keent IKEA dop ad 10 ed AT IR N AD Weer mi geet i Lates teens see Navigation Bar ma RT AE Tr ai i tey ror Ce 1 biian ET TE EEN Mn denke j res Tri boisei roe odt A PARIO men n ree Po rarr e age rg PM PR ei rg gr Int ld as me wima TEE TY TT essi ed Current Medications Note The screen will automatically default to the Compose Rx tab Excelicare ePrescribing User Guide AxSys Health User Documentation 6 Imported Rx Imported drugs are listed at the top of the Compose Rx screen These drugs have been received into the HIE hub from an external source CCD and are passed into the ePrescribing system for information The drugs are listed in this panel as they are unknown to the system kaoni saioei beaute cere mu Imported Rx drugs are not included in drug interaction allergy condition formulary checking since they are not coded and
49. ist e Select the Add Checked Pharmacies button to save the changes The colored circles within the erx column denote Green Pharmacy on Electronic Network Black Patient preferred Pharmacy Blue Pharmacy accepts Mail order Important Information Providers should search for all Pharmacies in their State that they will prescribe to This will save having to add Pharmacies at a later date As all Pharmacies do not accept Mail Order it is advisable to add Pharmacies such as Medco and CareMark which do accept Mail Order Delivery For more information on Adding Pharmacies please refer to Section 7 3 Completing the Prescription Excelicare ePrescribing User Guide AxSys Health User Documentation 14 1 3 2 Healthplan Formulary Lists The Healthplan Lists can be used to build and maintain a list of insurance plans and formularies Selecting the Account Healthplan List hyperlink will open the Current Account Healthplan Formulary List screen Current Account Healthplan Formulary List Add additional healthplans How to Search see Help below Name 5167946565 Aetna New York NY 333 Earle Ovington Boulevard Uniondale 11553 Affinity Health Plan Child Health Plus HY 2500 Halsey Street Bronx 10461 AmeriChoice of New York NY Seven Hanover Square New York 10004 AT amp T MY New York 10013 The screen displays Healthplans which are included within your State e To adda new Healthplan select the Add additional heal
50. itor 20 mg Tab The Drug Search will be auto populated with the Brand Name and a new search will be performed returning the brand name drug as displayed below Drug Search include obsolete drugs Drug Search Results Atorvastatin Lipitor Monograph Leaflet Antihyperlipidemic HMG CoA Reductase Inhibitors statins Show Brands Atorvastatin 10 mg Tab Atorvastatin 20 mg Tab Note The Generic Brand display information is provided by First Data Bank therefore this information may not always be available Excelicare ePrescribing User Guide AxSys Health User Documentation 7 1 2 Monograph Information amp Leaflets Excelicare ePrescribing User Guide Selecting the Monograph hyperlink will open the Lexi Comp Online screen as displayed below This screen displays information on side effects dosing etc rm j 2 aT S 8 E sm is ER page safety Foals s A H me 3 d Lexi Drugs Gene Sg Fragen iesettem Lent fei Engish Jumo Ta Fiski Select Field Hire ky it ALERT U S Boxed Warning The FDA approved labeling includes a boxed waming See wWarnings Pracauhans sechon tor a comise summary of this information For verbatim wording of the boxed warning Cansu the peoduct labeling of wow fle gow it Special Alerts Diclofenac and Hepatic Effects December 2009 Endo Pharmaceupcal Novartis and the U S Food and Drug Adirerestraton FDA notified heathcare providers of the potenti
51. m CCD Select the Save Rx button to save the details of the prescription Note Selecting the Save this sig and add to Doctor s List tick box will add the medication to the doctor s prescribing list The doctor can use this to create a new prescription for a patient with one click For more information on the Doctor s List please refer to Section 7 19 Doctor s List Selecting the Formulary Preferred link will located at the top right of the screen will display a list of Therapeutic Alternatives for the medication being prescribed Diclofenac SR 100 ma 24 hr Tab Preferred Close All drugs with generic available will generally be on formulary preferred so long as the rx allows substitution For more information on Therapeutic Alternatives please refer to Section 7 18 Therapeutic Alternatives Excelicare ePrescribing User Guide 7 2 1 Dosing AxSys Health User Documentation The Dosing hyperlink located at the top right of the screen can be used to calculate the recommended dose for the patient s age sex and weight Please Note The drug being prescribed would require to be a weight related drug Update the weight if required Dosing amd Pedari Dose Calculation Single Dose of Diclofenac Potassium for A8 age 30 70 ky Make for Default Screening Record Update Weight in Kg First Data Bank uses every effort to assure accuracy Nonetheless ak ai judgment shouk be used at all
52. newel Processing videos on the Admin Paga The Accepi Serd arnee allows call to pradatir runs whare at Ni Goes with your ona rhdk zipio Transom office werf EEE IPR eerder S Sees tae RODNE Save Al entrest A page mest be activated to record your Information Typing er Seleciieg of a page wil roi be recorded in De patent record vries lt Save gt or Me appropriate aciivating Guten choked Don t wee the browser Gack button Thee eii cause pou to mme any wreed Ieformnehen ond may chew n ster ed pay that S np longer ar ge Use Dimoni ef obs on the page ty eye lans Maxtnire work space P 71 sd do the on most browsers funny boking page Check pour browser settings for tet mae str Button nat working Check the open mde deplmy at the bette of Se screen amp wonder Can open behind another and be hidden Videos and Mustreted paces are Sosted on The Sg Pana For more dotai each sad ai Ree tink at the zi ERN gt e To view or print the Reference or Admin Manual select the required hyperlink e The pop up window will appear displaying the manual gt Ol ms Em IT ERG It s time to begin Electrosic Prescribing By wong thes sin system you are taking the frst steg m gg your office s 5 s proscnphon hoede You wall fred this process to he both miuiwe ard easy te use H nier ia bgegg AA var Shu ardent the Hant White A Prescaeten naars minlada on the opipa s bite g Admeristranee Page ot use ihe Tow Ink at the pomem of exch page for
53. nied e Selecting the patient name hyperlink will direct the user to the Compose Rx screen where the prescription can be completed and either routed or printed Note The patient must be selected as the current patient from the Patient Search before the patients name will appear as a hyperlink in the Provider s Review List Excelicare ePrescribing User Guide AxSys Health User Documentation 13 2 Failed Electronic New Prescription Needs Reprocessing This section lists any failed electronic prescriptions which were not successfully transmitted These can be reprocessed by following the required steps detailed below e Select the patient name hyperlink from the list eee Electronic New Prescription Needs reprocessing User Watson James Receiver ID not on fie Receiver ID not on fhe 1 10 2011 8 45 40 AM James Diclofenac 50 mg Tab Delayed Release Ames Watson James 1 10 2011 8 43 36 AM anaa James Diclofenac 50 ma Tab Delayed Release egg ID nat on Receiver ID not on Fie 1 10 2011 8 43 36 AM James Diclofenac 50 ma Tab Delayed Release 1 10 2011 8 43 35 AM ee James Diclofenac 50 mg Tab Delayed Release e The Review screen will be displayed Navigate to the Print Transmission Log Print Transmission Log EET E LE ieee Success below indicates the rx has been received by the pharmacy Keel SS a Se ee ee See PE EE we may fully investigate then click Report Missing Rx Date Time User R
54. of March 1 has received the Implementation Guide with the equirements will be required to recertify and meet the compliance deadline 2800 Crystal Drive 380 Saint Peter Street ER ER ry A el ze n IA Ta dE Es EA nk Arlington VA 22202 WWW SUFBSCTIPES COM St Paul MM 55102 T 856 797 3239 F 877 801 2536 T 866 267 9482 F 651 855 3001 Excelicare ePrescribing User Guide AxSys Health User Documentation of 9 1 2012 d Participants that have already certified and are in Production on 5010 Eligibility will be required to recertify and meet the compliance deadline of 9 1 2012 Surescripts Compliance Department will monitor Eligibility volumes to validate that the new requirements are being met For vendors that have been certified on the updated requirements but are determined to be out of compliance a formal compliance process will be initiated and remediation required CALL TO ACTION e All Prescriber Technology Vendor Participants shall ensure that all milestone dates are met as outlined CONTACT INFORMATION Please contact the appropriate account management team at Surescripts with questions Prescriber Technology Vendor Alhances surescripts com Please note Retail Pharmacy Retail Pharmacy Technology Vendors and PBM Pavers are not impacted by this change However if you have questions please contact your Customer Relations Account EXCERPT OF CERTIFICATION REQUIREMENTS Surescripts Application Certification Req
55. olerance Search screen will appear as displayed below Allergy Intolerance Search Common Allergies Intolerance No Known Allergies Ace Inhibitors Bee Sting Codeine No Known Drug Allergies Hay Fever House Dust Nuts Penicillins Sulfas Latex Peanuts e Type at least 3 characters into the search field and select the Search For Allergy button OR e Select one of the hyperlinks available from the Common Allergies Intolerance section e Select the severity of the Allergy ADR from the drop down list Severe Moderate or Mild e Enter any notes if required e Select Save Add Additional Allergy to save the record and record another allergy OR e Select Save Allergy to save the new record and return to the Compose Rx screen The new allergy will be added to the Allergy grid as displayed below Penicillins Severe Egg Note The user can select the magnifying glass icon located on the Allergies lntolerance Search header to view the allergy maintenance log The log displays the user name the actions performed add view etc the date the allergy was viewed added modified the severity and any notes that were entered Allergy Intolerance Search H de Alle Neme Notes Severity 12 29 2010 6 12 37 AM Cameron James e To close the log select the Close button located at the top right Excelicare ePrescribing User Guide AxSys Health User Documentation 9 Diadnoses The Diagnoses screen displays all diagnoses for the
56. ons Contraindications are Severe or there are Duplicate Therapy warnings Antipfatelet and Antithrombovc Dr ups Warfare 4 mg Tab and Aspin 325 mg Tod Check pending prescrobons below bo cance D Wartann 4 mo Tad 211105 Caspel Selecting only the Close link will allow you to continue prescribing the drug Lat e o On herges ed cort ube es Severe interactions are Shown Moderate interacts appear on the Revew Pape e f you wish to continue prescribing the drug s regardless of the warnings select the Close link and you will be directed to the Pending Rx screen You can now select the Edit button to enter the dose formulation etc as required Page Accept Send Adjust Disp only after completing Sig Source Aspirin 500 mg Tab ete Not In ER Van EDIT Note It is recommended Prescribers always add their frequently prescribed medications to their Doctors List This will prevent the need to select the Edit button to complete the Sig dose formalation etc unless it is necessary for making a change Drugs which have been added to the Doctors List will be displayed within the Drug Search Results with the completed Sig as shown below Not In Formulary Not In Formulary Not In Se EEN 500 Lu Tab Delayed Release Generic OTC For more information on the Doctors List please refer to Section 7 20 Doctors List e f you wish to cancel
57. ons authorized by a e Select the required Doctor from the drop down list e Select a date range for the report by clicking on the calendar days e Click the Printer Friendly link and use the browser buttons to print off the report Excelicare ePrescribing User Guide Select the doctor Smith John Select the report type ai Prescrptions Cep DN Select the date range For single dar select on both calendars Start Date End Date AxSys Health Geriatric Drug Usage Profile this report displays the medication usage of elderly patients Excelicare ePrescribing User Guide Aspirin SR 65 mg Teb Precaution Dictofenac 5R 100 mg 24 be Tob recmatan Bbuprofen L00 mg Tah Precaution Motrin SO mg Chewatle Tab Sigg 20 my Tab Frecastion Sanca XR 60 mo 24 hw Cop Proe mde Precaution t ee ye eee Dead TUE Boet SOM BEERS NOREASED RISK FOR BLEEDVULCER USE LOWER DOSES SOMA SEERSOZ RISK OF SERIOUS FATAC GI BLEED ULCER CV FENAL ADV EES SOM BEERSOTIRISK OF SERJOUS FAT AL GI BLEED ULCER CV REWAL Af EES SOM YROTRSO2 RISA OF GEHOU AT di GI BLEEDLA CER Cv WE WAL ADY Dix BEERSOZ SOM ANT CHOLINERGIC AD EFFECTS MAY LOWER DOSE IF AGE gt 75 aby EFFECTS MAY LOWER DOSE IF AGE gt 75 armes ne 30 mg Tab Certrandication SOMESEERSOZ PI POTENSION SEDATION FALLS More BIG my TEE FPreceetion AMTHEL2ESGE A CV EFX SOM BEERSOZ RISK OF SERIOUS FATAc GI BLEED ULCER CV RENAL ADV EFK
58. op up message will be displayed alerting you of any severe allergies contraindications e Select the Allow Doctor Report Export to allow the Prescriber Report to be exported to an excel spread sheet 14 1 2 3 Report Export Select the Allow Doctor Report Export check box to enable Doctors to export the Prescriber Report to an excel spreadsheet 14 1 2 4 24 Hour Dose Checking 24 Hour Dose Checking on Compose Page e Select the Show High Dose Checking check box to display an alert on high dosing recommendations while prescribing e Select the Show Low Dose Checking check box to display an alert on low dosing recommendations while prescribing 14 1 2 5 Show Doctors DEA NPI e Select the Show Doctor DEA on Print Fax check box in order to display these details on the prescription e Select the Show Doctor NPI on Print Fax check box in order to display these details on the prescription Note This information can be modified without having a Doctors Role Excelicare ePrescribing User Guide AxSys Health User Documentation 14 1 2 6 Hide Route Change Alert Select this option to display an alert to the prescriber if the Route of the medication has been changed within the prescription for example the route may be changed from by mouth to inject 14 1 2 7 Rx Messages The user can enter a message in the free text box which will appear on every prescription when printed Not
59. ormation f pharmacies are not registered as e prescribing pharmacies all prescriptions are sent by fax as default 7 3 1 2 1 1 Mail Order Home Delivery Prescriptions can be sent as mail order by selecting the Click here link on the Transmit Rx screen as shown below Mail Order is extremely useful for people who cannot manage into the Pharmacy to collect their prescription Rx Date Doc St Drug sig Roi Loc Source 12 22 19 Diclofenac 50 mg Tab Delayed 3 tablets by mouth daily as needed Kai f Inproc Release PRN Tablet Ow Cameron Tere Click here to fpecfy mag order home delivery for af the above Rx Return to Route Rx to modify as needed Click here tor detaitied formulary benefit and mal order information Transmit Rudd to Record Pamay List Add Pharmacy iil YT 555 555 Ce Bogus Pharmacy San Francisco CA 999999 H 5555 JESUS T PINERO AVE 278 280 301 770 555 555 mo 27 D274 SAN RUAN PR 00927 7046 5555 2103 SOUTH ATLANTIC BOULEVARD 401 770 555 555 Note All prescriptions on the Transmit Rx screen will be submitted as mail order prescriptions when the Mail Order Home Delivery link is selected Selecting the link will display the Edit Verify Shipping Address screen as displayed below Excelicare ePrescribing User Guide AxSys Health User Documentation Edit Verify Shipping Address Home Address James Street New York NY 11702 Shipping Address Linel James Street Line City New
60. oses screen and continue to add any further diagnosis e Save amp Close selecting this option will save the new record and close the Diagnoses screen e Cancel Changes selecting this option will cancel the new record Note The Provider drop down list will default to the logged in user 9 1 3 Editing a Diagnosis e Select the Edit button from the row of the Diagnosis you wish to edit Note Only Diagnosis created in ACE can be edited Any created outside ACE can be viewed but cannot be modified Excelicare ePrescribing User Guide AxSys Health User Documentation e Overwrite the Description or Gode and select the return key on your keyboard Please note the Description or Code can only be amended before selecting Save e A new list of values will appear allowing the user to select a new Diagnosis OR e Edit the note and date as reguired Please be aware the note and date are the only two fields which can be amended after the diagnosis has been saved e Click Ok e Select Save or Save amp Close to save the changes 9 1 4 Deleting a Diagnosis e To delete a diagnosis select the X available from the diagnosis row e The row will then be removed from the list e Select Save or Save amp Close to save the changes Note Only Diagnosis created in ACE can be deleted Any created outside ACE can be viewed but cannot be deleted Excelicare ePrescribing User Guide AxSys Health Use
61. oute Destination PhoneNumber Status Detail Receiver ID not on file ponpen eegne Action Date Status Sig Doctor Location PRN Leaflet Current Med 3 DAILY PRN J e Select the ReTransmit Batch button and the Transmit Rx screen will be displayed The Failed prescriptions can now be reprocessed to the Pharmacy Note To report the prescription missing enter the required details into the text box and select the Report Missing Rx button 13 2 1 Electronic Prescribing Rx Status Prescriptions sent electronically to the pharmacy will be assigned a corresponding status These are detailed below Verified This means the prescription was routed successfully via Surescripts Queued This means the prescription is in a queue to be faxed electronically to the pharmacy e Success This means the prescription was successfully faxed electronically to the pharmacy e Failure This means the prescription was not successfully faxed electronically to the pharmacy not sent to the pharmacy via Surescripts or fax Excelicare ePrescribing User Guide AxSys Health User Documentation 13 3 Failed Fax Transmission Needs Reprocessing This section lists prescriptions which were not successfully transmitted The fax will be sent 7 times before the prescription is added to the Failed Fax list A fax may fail on three reasons e Fax number is not 10 digits e Invalid fax numb
62. patient by the same physician within any three 3 calendar day period A calendar day is defined as 12 00 AM Midnight through and including 11 59 PM Central encounter The requirements impacted by this change have been updated in the Surescripts Application Certification Requirements document v1 3 An excerpt containing the new requirements is set forth below in this bulletin The effective date of the Certification change is March 1 2011 The compliance date for all Participants to have made system changes to comply with the new requirements will be no later than 9 1 2012 This compliance date is consistent with Surescripts standard compliance window which provides Participants eighteen 18 months to comply with the updated certification requirements Additional details a Current Participants that migrate from 4010 to 5010 Eligibility and new Participants must meet these requirements as part of their migration or initial certification Participants that have not started implementation activities on 5010 Eligibility defined to mean those Participants who have not received an Implementation Guide with the new requirements as set forth herein as of March 1 2011 will be required to meet the new Certification requirements immediately upon certification Current Participants who have begun the migration from 4010 to 5010 Eligibility or new Participants who have begun the Certification process to 5010 defined as a Participant who as
63. prescribing the drug s select the Cancel check box for the required drug s followed by the Close link The drug s will be deleted and will not be displayed within the Pending Rx Important Information You may create your own interrelated drug list within the NewCrop Customer Maintenance Portal These drugs will be displayed within the Compose Page Drug Review screen as detailed above Excelicare ePrescribing User Guide AxSys Health User Documentation 7 16 1 Drug Review The Drug Interaction panel displays any Drug Interactions Conditions whilst prescribing medication to the patient The Drug Interaction screen appears following the selection of the Take Complete Rx to Review Page button Reviews performed Drug Drug 2 found Drug Allergy 1 found Drug Disease D found Patient Allergy BERE 4 oie in 250 mg Cap Drug Drug Interaction Warfarin 2 5 mg Tab with Diclofenac Potassium 50 mg Tab More Info Moderate 8 Amedcllin 250 mg Cap with Warfarin 2 5 mg Tab Approve Leave for Staff For further information select the More Info link Finish Add to Current Meds Return Additional Rx Each level of severity if denoted with a color gt Red Contraindicated this indicates a predictably severe consequence of current use of two drugs gt Yellow Moderate this indicates the need to assess the risk to the patient and adjust medications as needed 7 17 Current
64. prove Leave for Staff Selecting this option will save the prescription in the current state and it will be added to the appropriate staff members list on the Status Page for further processing Route Page Appeove d Leave for Staf F mioh Add to Curent Meds Ratum Additional Hu Rx have been designated NS and added to nurse s list on Status Page Note Mid Level Staff Nurses will have the option to select a Leave for Doctor Review button which will place the drug on the Doctor s review list on the Status Page for processing 7 5 Finish Add to Current Meds Selecting this option will save the newly added drug to the Current Medications and return the user to the Compose Rx screen 7 6 Return Additional Rx Selecting this option will allow the user to add another prescription for the patient by returning to the Compose Rx screen Excelicare ePrescribing User Guide AxSys Health User Documentation 7 7 Accept Send The Accept Send button can be configured with Automated Prescription Routing as set in the Pt Presc Details tab e Select the drug you wish to route followed by the Accept Send button Pending Rx Take Complete Rx to Review Page Accept Send Open Edit for Dosing Doc Loc Source Rx Date stage 01 06 11 Diclofenac Potassium 25 mg Cap 1 2 daily 28 0 amp Not In Formulary Cameron EDIT A Drug Sig Refill Icon denotes autorouting has been configured
65. r Documentation 10 Med Entry The Med Entry tab can be used to enter the patients OTC medication or those which have been prescribed out with the practice These medications are added to the patient record and can be selected for modification and re use on the Compose Rx screen 10 1 Adding a New Medication e Enter the Prescriber name and the original start date of the drug Enter optional Outside Doctor and or Original Start Date before selecting drug Replace current doctor Enter Original Start Date I Month D Day D Year D 3 letter min 5 recommended l Include obsolete drugs e Type the name of the first few characters of the drug name in the Drug Search field e Select the Drug Search button and a list of matching drugs will be displayed as shown below Follow the prescribing process as described in Section 7 1 Creating a New Prescription de Deg Search 3 letterman Srecommendes inched obsolete drugs Drog Search Results fuk e be Arii it A S TE ra Stele MA Excelicare ePrescribing User Guide AxSys Health User Documentation e The drug will appear now be added with a tinted background Enter optional Outside Doctor and or Original Start Date before selecting drug Replace current doctor Enter Original Start Date Dr Lawrie Test Hopsital Mar ebe 2008 Accept Send Select to Move to Current Meds or leave for further processing Doc Refill Loc Source e Selec
66. rded within the Rx Detail along with the authorizing doctor and user 7 14 Discontinuing a Drug Drugs may be discontinued when a patient no longer requires the need for medication e To discontinue a drug select the tick box from the D C column for the required prescription Current Medications for James Watson Drug Review Doc Refill Loc Source a HE EE ME EE EIN Diclofenac 50 mg Tab Delayed 3 daily as needed El EE PRN Gs Cameron TE IE Ime e Select the D C button located at the top of the column The drug will now be listed in the Discontinued Previous prescriptions list Excelicare ePrescribing User Guide AxSys Health User Documentation 7 14 1 Deleting a Drug Drugs can only be deleted from the system at time of issuing otherwise they can only be discontinued You may wish to delete a drug from the Pending Rx grid if it is no longer required to be prescribed for the patient e Select the delete icon for the required drug in the Pending Rx grid and the drug will be removed Pending Rx Take Complete Rx to Review Page Accept Send Open Edit for Dosing si 03 25 10 Aspirin 650 mg Packet 1 as directed InProc take as directed 7 15 Filtering the Prescription View To filter the list of drugs displayed there are four options located at the bottom of the Compose Rx screen as displayed below Discontinued Previous T Cancelled Mid Process Pharmacy Communication Denied e Discontinued P
67. revious Selecting this option will show all previously dispensed medications under the Current Medications list Note If medication is restarted the drug can be moved back to the Current Medications section by checking the tick box of the required drug and selecting the Move to Current Medications button Previous Medications for Taylor Philip Move to Current Medications Rx Date 2357 Stage Drug Sig RefilliLoc Source 1 TID PRN 902 Em EDIT e Cancelled Mid Process selecting this option will show any medications that have been deleted with the X icon prior to being added to Current Medications H Pharmacy Communication selecting this option will display a list of Surescripts transactions e Denied this option shows any medications which have been denied during the renewal process Excelicare ePrescribing User Guide Select the by selecting Close Cancel check box to cancel prescribing the drug followed AxSys Health User Documentation 7 16 Prescribing Medication with Warnings When prescribing medication for a patient the system will notify the prescriber of any Interactions and or Contraindications and Duplicate Therapy warnings The prescription is checked against Current and Pending medications as well as Allergies and Diagnosis A warning message is displayed when selecting the drug from the Drug Search screen only when the Interacti
68. rtan Ros P pm A f 2 r 21 2190 Amecavtia VA 22315 703 921 2121 703 21 21 4x Pharmac ot Da AD 4 Ry 1 Eade VA 22602 333 444 4444 444 303 227 12545 Martan Road beur ia VA 22315 this patents provious pharmacies Change on Pt Detaf availabe maihorda ras DE RE elector pharmacy 4 Pia map AGT IITL 03 214 Excelicare ePrescribing User Guide AxSys Health User Documentation 7 3 1 2 1 3 If the Pharmacy is Not Listed Select the Add Pharmacy button The Pharmacy Search screen will be displayed allowing the user to search for the desired pharmacy by entering criteria into 1 or more fields harmacy Search Lie Zipcode to see local pharmacies 5 digits required Search with at least 2 letters of ZIP croot Name Croas Staatl avdmart Search with at east 9 digits More TE Search If Zip does not find your pharmacy try name city street etc Enter the criteria and select the Search button Pharmacy Search Results Full Name Address Telephone erx Fax 16746 E Smokey Hill Rd arene Albertsons Pharmacy 888 Aurora CO 80015 5555555555 222 SMITH ee PRUE ELWOOD NE 689379804 144 DESMOND ST EE SAYRE PA 188402002 BELO PHARMACY ma CUE STE 25 Select the Pharmacy Name hyperlink from the Pharmacy Search Results to add the pharmacy as the designated receiver 7 3 1 2 1 4 If the Pharmacy is Not Found e Select the Click here if pharmacy not found hyp
69. se Rx Page 7 7 1 1 Autorouting Selected Drugs Autorouting selected drugs can be configured from the Pending Rx box 2 3 daily 9OEach 0 SE Musculoskeletal eg Cameron EDIT NSAIDs 01 27 11 InProc Select the Rx Detail icon The Auto Route this Prescription screen is displayed as shown below Auto Route this Prescription Requested Rx Accept Deny response required if checked Assign to Or James Cameron ei Select the required Optional Enter your internal tracking transaction ID pharmacy to auto Pharmacy Processing route the Rx Optional Enter Pharmacy Rx D and or Message to Pharmacist Aymomatcally send new approve deny rx to the following pharmacy An assigned rx wil show 5 e Bogus Pharmacy Phone 111 Nowhere San Francisco Fax 5555555555 Office Processing Aftomatically email new approwe deny rx to following Separate with commas Leave Rx for Staff when accepted when denied Shows as NS on Status Page Save al settings Save al settings Rehan Save the changes The drug will be displayed with the autorouting icon within the Pending Rx box Tick the check box to configure the autorouting of the Rx sde B Take Complete Rx to Review Page Accept Send Send Open Edit for Dosing Rx Date Drug Refill Doc Loc Stage Source 01 27 11 Diclofenac 50 mg Tab Delayed Release 2 3 daily 90 Each 0 1 Preferred Musculoskeletal a C
70. should be moved to the Previous Medication section by selecting the D C drugs check box within the grid followed by clicking on the D C button below Current Medications for James Watson Drug Review Die Rx Doc Date Drug Sig Refill Loc Stage Source SEEN CI 7 11 Drug Review Selecting the Drug Review hyperlink will allow the user to check any allergies diseases and drug interactions for the patient e To perform a drug review select the Drug Review hyperlink located above the Current Medications grid Current Medications for James Watson Drug Review Ro Date Drug Stage iFin 2 l OD Aspirin 325 mg Tab Bogus Pharmacy Phone 111 Nowhere San Francisco O Discontinued Previous Cancelled Mid Process C Pharmacy Communication C Denied Tinted Rx are external entered via MedEntry or imported source shown Excelicare ePrescribing User Guide User Documentation AxSys Health e The Drug Review screen will be displayed as shown below Reviews performed Drug Drug 0 found Drug Allergy 0 found Drug Disease 1 found Drug Condition ICD9 Disease Condition Doctor Medication Directions mm CameronJAspein 325 mg Tab PRN Cameron Didofenac 50 mg Tab Delayed Release 2 tablets by mouth daily as needed PRN Important Information Only current and pending medications are used for the drug review Excelicare ePrescribing User G
71. t there is a link to the Help Page at the bottom of each screen You have two types of help screens to choose from The Popup Help link displays the help screen in a separate screen for your review Alternatively you may choose the Help link which will add the help information to the bottom of the screen you are working on There is also an audio our if you require a quick review ays Cap wee 20049 2090 Peer reg Ur dree LAPURLISHED RIGHTS RESERVED AOGE THE COP PSEGHT ARMS OF THE Ladd TED STATES Privacy eed Tee of line Cowra sd eier notte rare derde awe cite A ieee se Cound te ath A a m Vier rag and L Lecker wie thee covweertialy mme Porn te pareils Ae mou caren sd cevgeete dwa wy slakke tothan rence pnrntpia herota bag VERE HEL od forrast pyan Jegat rd bar haon be dy parune rd ei tenie pa wderaeskedge Ay 1 the oorsoketarsers and acosery of tach dete depend upan the t rchtswrt aod HELE Eg woh afad fu ordered hos commemted skerpe Gear by phy ode ofyyeciant etree Pred d dd beran mingar skerwe needed mwd Sem sad ohr retwedk Attest Dj oxh iwah ngert te apor cy cowEtin in HERE DEK a ebiou WNT TEEN and Grplsy technic Gouge power o tele Out kt Oy Other Ra AE E alari connai wie Mr af of eed rary be Bb perd the coroni d Vars sg and i Gottes and D iara K rar be he blade die re vegd Mar g Orita ohy OT Ofer legal ber de BEE Toa en ggf ip woew dei d wira N af Cavet reederng reed t cet WE whee Zeg teekdten ST 140 MOREEL OI
72. t be selected within the Patient Search screen before you can select the name from the list Note Prescriptions left incomplete after review by the Doctor Prescriber will be returned to the Provider s pending list and designated InProc Excelicare ePrescribing User Guide AxSys Health 14 Admin User Documentation The Admin tab lists a variety of Supportive and configuration functions You can use the functionality to print reports build Healthplan Pharmacy lists and review any supporting materials There are also a variety of Account Settings which can be configured Excelicare ePrescribing User Guide Reports Lists Pay mar Lemmer Log Lpraten Fharme og List Presr er Report Accuute Heottgian et Geristne Dryg sage Profile Support Patients Read Me First How te Write 9 Peescreption Also refer to Help and Tout at the bottom af each poge MegErtry Refit Reference Manual The folowing optens regure a doctor rale to may Adme Real Adis Indwe Drug pred Alergy Interaction Digi He Af Less Severe Drug htersctors Show On Co tand ed if Show Orug Deensa Pregnancy naww Orientation Views Snow GrugPedatrc Gerster ease d Show Duphcate Therapy tosi added Los d Compose Page Drug Review CERES J Allow Doctor Rapoart Export Revels 24 hour Dose Checking on Compose Page Show High Dose Checang Bur 7 Show Low Doce Chacun d how Doctor DEA om Bette Ti Show Doctor W I or Apti Fas Wide Route Canpa Alert
73. t the Frequency from the list This is a mandatory field as indicated by the green background e Choose how many days the medication should be supplied by selecting the blue hyperlinks 7day 1Oday e The Days Supply field will be updated along with the Quantity field Please Note If Add l Sig or as directed have been selected from the Frequency list the Quantity must be updated manually by the user Excelicare ePrescribing User Guide AxSys Health User Documentation Select the 2nd rx 90 Day tick box to generate an additional 3 month Rx This is added to the Pending Rx grid along with the original prescription The available packaging Quantity Qualifier is dependent on the type of drug This is simply a request to the pharmacist as to how to dispense the medication 15g box 30g box Select the number of refills to be given 0 12 if required Prescribers can enter any additional information in the Additional Sig field which will appear on the prescription label The Additional Sig may actually contain the frequency of how the drug should be taken by the patient The user can add a message to the pharmacist by entering text into the Pharmacist Message field This does not appear on the prescription label If the drug is being prescribed for a diagnosis related issue the user can select an option from the Select Diagnosis drop down list This is pre populated with the patients conditions fro
74. t the checkbox to the left of the drug and click Add to Current Medications Important Information Medications which are moved to Current Meds can be included in Drug Interaction checking for the patient e The drug will now appear in the list of Current Medications on the Compose Rx screen with a tinted background denoting it is an external source Select Current Medications for James Watson Drug Review Doc Refill Loc Source SR eg po Please Note If you do not add the drug to the Current Meds the drug will be visible in the Pending Rx grid on the Compose Rx screen for further processing Excelicare ePrescribing User Guide AxSys Health User Documentation 11 Patient Prescription Details The patient prescription details tab details information of the patients Healthplan Pharmacy as well as Demographic and Contact Details Healthplans can be configured here feakthplan trsurance Formulary Medicare Part D EET aa gt Primary Seil Pay No baurance Selected Secondary Sef Dahn brsurance Selected Tertiary Setf Pay No surance Selected Save Weaurance Formdary Save Go to Compose Fi Refer to Pt s insurance card to determine formubery An exact matoh amp not needed Aid Choices trom Admin Page Patient Default Adres Contact Pharmacy Ns gus Pharmacy 111 Nowhere San Francisco CA 999999 here to add update paben pharmacy Ist Automated Prescription Routing Automaticaly send nev
75. tation oa 13 Prescription Status The Prescription Status icon is located on the Main Toolbar of Excelicare ACE The Prescription Status displays lists of all prescriptions which require further processing for the Account wtr Win Mem 2 ter An Peds EN det AT TEN KT UN Pree E EI Im IC Auer F EMFASTT Ah PER IR In kp gief TTT Pere EC SOU 0900 TEE Lg Ca Heifir sti dog Om em ei Te TT Er RT weg TT MAAC ewtien 7 wy Tan DIE ODE agen Sry Ta MAOD Trial Marg Cowen pare Ta TE ry N rep Ta WATI Mik vere ege fe MAT VER N ED wy TA DE OR OO ET state cy et ven Lg DiE TT EET ET Tat OAR Maer LE rag Deeg Te CHOW Hiema L rm Te TVR ale ey Ta EDE Tie f m Di edel TN TE DLT SCREC GESTS Note The Status Bar is located directly above the Navigation bar in the center of the screen It indicates the number of Assigned Rx Messages for the account requiring review The numeral indicates the quantity of pharmacy requests faxes requiring attention and prescriptions pending review Selecting this link will navigate the user to the Prescription Status screen There are various grids displayed within the Status screen which are detailed below 13 1 Provider Review List This list displays any prescriptions which are pending for the logged in Provider John Smith Review List Patel Assi Philip Taylor 04 07 10 Hahn Smith inp Pangestyme EC 20 000 4 500 25 000 urit Cap Requested Rx must be Approved or De
76. te prescribing The module is integrated with Excelicare ACE therefore it can display patient s medications diagnoses and allergies recorded within the CCD 1 1 Your Implementation of ePrescribing This manual contains sections and screen snapshots of the standard implementation so there may be some subile differences between what is shown in the manual and how the screens are presented to you Such differences have no effect on the functionality provided A Please Note You will see the triangle symbol beside a few sections in this manual this symbol denotes that some sections may not be visible or display differently in your implementation For information on the ePrescribing Setup within the Excelicare Configuration Console please refer to the ePrescribing Administration User Guide v1 1 Excelicare ePrescribing User Guide AxSys Health User Documentation 2 Getting Started 2 1 Confidentiality Security of data and patient confidentiality are of paramount importance when developing a patient database The system is password protected and users are required to provide a login name password details of the Security Image displayed in the Login screen and select a Location from the drop down list in order to access the system A22 Logging On e Select the Excelicare ACE web link You will then be presented with the following screen Loge Name Passani t 7st v tamte mosh meg tert tibe res Prvocy Statement
77. than one drug at the one time e Select the Doctor s List button to search for the required drug 3 letter min 5 recommended l Include obsolete drugs e Any drugs which have been added will appear in the list as shown below Doctor s List James Cameron Remove from List a TRG FR Re REE A E i SR day after meals No Screwtop Bottes n Adult Low Dose Aspirin Asprin REEE DEE Augmentin E 2 2 g EE GEES Ed EEN so mii Monograph Leaflet Aminopenicillin Betalectamase Inhibitor Combinations Amozdcillin Pot Clavulanate e Avomentin 200 mo 28 5 mo S ml Oral Susp 1 mL by mouth OID 1 Milliliter 4 times per day before meals Generic Available EE EET Coumadin 1 ma Tab N EN o Avallable e Check the tick box es to the left followed by the Select button or the drug name hyperlink for the drug s you wish to prescribe e To remove a drug from the Doctor s List check the tick box to the right for the required drug followed by the Remove from List button e The drugs will now be added to the Pending Rx grid for further processing Excelicare ePrescribing User Guide AxSys Health User Documentation 8 Adding an Allergy ADR Allergies and Adverse Drug Reactions can be recorded from the Compose Rx screen Allergies and ADRs are included in the Drug Interaction checking when prescribing medication e Select the Allergy Intolerance Search button Intolerance Search The Allergy Int
78. thplans hyperlink Select and Add to Account List Cites bated for your sate ore displayed Use search box to find national accounts General Motors TEM or individual employers Houston ISD Friendly Local Bar etc Add To List Close Lat E Mame Mike ese State Je id Phone T 1199 Home Care Industry Benefit 330 West 42nd Street 10036 464739200 M 1199 Manana Benefits amp Pension Fund 330 West 42nd Street 10036 2126318269 10013 2t53883445 F 328 Labor ant Unon Group 6th Avenue 333 Enrie Ovington T Aitra How York E Aetna New York M Aetna Hew York POS T Aatna New York POS N Asma Kew York PPO La Anine New York PPO I Affinity Health Pian Chid reet Phas Affingy Health Plan Family Heath Pus Affinty Health Pier formerly Bronx Heath Pen I Affine Medicare Solutions affingy Medicare ultimata LR AFTRA Boulevard 333 Earle Ovingtan Souleverc 333 forie Ovngton icukverd 333 Earle Ovngton Bouleverd 333 Enrie Ovington Boulevard 333 Earle Ovington Boulevard 2500 Halsey Street 2500 Haisey Street One Fordham Piaz 2500 Kaisey St 2500 Halsey Street 201 Madison Avene 12553 5867046565 11553 3167946565 15353 11553 11553 8003328742 11333 8003328742 161 10461 10458 787534747 10461 8772344499 10461 877244499 10016 80050244490 28S 8 SE SE SKS 25425 e Check the required tick boxes and select the Add To List button Note The Search field can also be used to
79. uide AxSys Health User Documentation 7 12 Rx Details 7 12 1 Current Medications The Rx Detail button displays a summary of information including any additional directions leaflet printing prescription batch and previous pharmacy transmission information If any prescriptions are lost or misdirected the RePrint or ReTransmit buttons can be used to provide a replacement and a record of the duplicated transaction is recorded The user can also enter free text and click on Save Note to save any changes If a note has been recorded the Rx Detail button on the Current Medications screen is displayed with a green background Excelicare ePrescribing User Guide Click here to view or print Monograph Information or Leaflets for the patient Click here to RePrint or ReTransmit the Rx AxSys Health User Documentation Excelicare ePrescribing User Guide Enter any additional notes here Drug Review Override Select drug review override reason Notes Rx Notes cbybxb a Print Transmission Log The Drug History is displayed here Please gese ae eg od GE Success below indicates the rx has been received by the pharmacy If you are told otherwise please enter the pharmacists name and full additional details so that we may fully investigate then click Report Missing Rx Report Missing Rx Detail Date Time User H Destination PhoneNumber Status S
80. uirements document v1 3 The Participant shall ensure an Eligibility request is associated with a patient encounter The Participant shall ensure an Eligibility request is sent no more than 3 calendar days before the patient encounter The Participant shall request Eligibility for a patient only once during a 3 calendar day period unless an error is encountered in the Eligibility retrieval process Information returned in the Eligibility response e g Member Unique ID shall be used within 3 calendar days of receipt FEM and the Participant shall be able to process an Eligibility request response that has both the subscriber and dependent levels populated Participant PBM must be able to process any valid 2 0 request and 2 1 response valid data elements and values including optional elements supported by ANSI X12 must not cause processing failure at the end point 3 Application shall alert the user if a given field in the application allows for more characters than the X12 standard transaction allows for that data element Definition A calendar day runs from 12 00 AM to 11 59 PM Central Time regardless of the location of the requesting provider the receiving FBM or the patient encounter 1 Process does not mean that the participant can systematically default to returning an error in this scenario 2800 Crystal Drive 920 Second Avenue South Arlington VA 22202 WWW SUPeScripts com Minneapolis MN 55402 T 866 267 9482 F 651
81. wf d geg on ben gas tal Aard SP ERA o K be Dew da byw Ra Om mod Vee Lesen erger Adobe ders mn hr by rog L n we dd eg dee Hede e Enter the login name followed by your password e Type the Security Image text in the empty field displayed next to the image e Select Login Note Clicking on the keyboard icon will display an on screen keyboard that can be used to enter your password E Excelicare ePrescribing User Guide AxSys Health User Documentation 3 Accounts Location A Location is a Practice Provider Address a physical location which has been registered within the Excelicare Configuration Console Locations An Account is a Prescribing Account which can be associated to one or multiple locations Providers Mid Level and Nursing staff are all associated with Locations and Accounts within Excelicare It is of great importance that the correct Location Account has been selected by the Provider Mid Level before prescribing medication to patients as these details appear on prescriptions When a Provider has accessed Excelicare ACE and searched for a patient they should select the ePresc icon from the Main Toolbar The Provider will then be prompted to select a location before prescribing medication to the patient efx Loc Acct Webpage Dialog In 192168 2 167 Tes TA een Vis SS LAAKSOUR DE S Weyrecuth Gers se kr Pet States AUSTIN GLENN 4222 HEM FREMONT AV
82. xcelicare ePrescribing User Guide AxSys Health User Documentation K 12 Prescription Renewal Pendin pend The Prescription Renewal Pending tab is located on the Main toolbar of Excelicare ACE lis purpose is to provide a list of patients who require renewal of their medication and display any pending prescriptions The total number of renewal requests for the account including requests made through the Pharmacy for known and unknown patients are displayed on the Renew Pend Icon along with the total number of Pending prescriptions 12 1 Renewal Requests When a patient requests a renewal of a prescription at the pharmacy the pharmacy forwards a renewal request for authorization 12 1 1 Known Patients Known Patients are those who can be matched to existing patients in the system e On selecting the Renew Pend icon from the Main Toolbar the Renewal Request screen will be displayed ee Ben 7 fee toe Ep Latz v EI re n e On selecting the Known Patients tab a list of patients reguiring medication renewals are displayed e Select the icon to view the drug details e Select the drug hyperlink to open the Pharmacy Confirmation screen Confirm pharmacy request and renewal match No change allowed Use lt Deny and Rewrite gt Return to Correct Errors O2 1 0 15 Total number of Deny and Rewnte Deny refills anoroved 1 0 Message to pharmacist Accept Select deal reason of enter

ePrescribing User Manual

Contents

Download Pdf Manuals

Related Search

Related Contents