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Dell PocketScriptTM User's Manual

1. PocketScript M e Prescribing ZIXCO D User s Guide CARE DELIVERY SOLUTIONS with Exercises Pocket PC v5 51 Care Delivery Solutions 2711 N Haskell Ave Suite 2300 LB 36 Dallas TX 75204 1 866 864 8444 www zixcorp com 2004 Zix Corporation All Rights Reserved AEBB1103 v5 51 7 All other brands product names company names trademarks and service marks are the properties of their respective owners This document is only reproducible with the express written consent of Zix Corporation TABLE OF CONTENTS WHAT S NEW IN VERSION 5 51 sisiscessonssasciscausscesscecssssasusscantedvaunnccebaronacivconensedneoasadveibuacduaenacouetucseiivad 1 1 0 OVERVIEW e 1 20 DEVICE BASICS Pc M E 2 30 WRITING A PRESCRIPTION oiccsscsscsconcdescsssdcenccasesssconsccedsausenssedenscosconsossetesacassscstavensensasssoceseuosces 3 40 ADDING A FAVORITE DRUG wrcsssccstncsicatssissdesnesascotasdescestoaisesincsedsewaeneacstacdesiest stad csdacenseosaocaccetss 13 5 0 ADDING A MACRO e 14 60 CHECKING DRUG INTERACTIONS seseseseeeeserseseseccesesosoesesereeoesosorsesereeceeeosorseseseeoesosoreeseeeeeeee 14 70 CHECKING DRUG ALLERGIES eesesessesesececeesoroesesercesesosoesesereecoesosoreesereeoeeosorseseseeoesesoreeseeeseeee 15 8 0 VIEWING FORMULA RIES eesesesereesesereesesereecesororseserocceesosorsesereecoesosorsesereroeeosorsesereroesosoreeseeeeeeee 15 9 0 APPROVING QUEUED PENDING PRESCRIPTIO
2. 3 3 In addition to a list of Preferred Approved alternatives PocketScript displays a text message that explains why there may be a better choice than the original selection such as formulary status or a dispensing limitation To select a Preferred or Approved drug double tap it or tap to highlight it and then tap Select Alternatively you can proceed with prescribing your initial selection by tapping Prescribe Original NLIELJGEESSS siox Formulary Message R After you complete the script you can print pre authorization forms by selecting Print Pre auth Important You must complete the form and sign it before faxing it to the patient s plan see 3 3 below Completing the Script The details of the script are managed from the Script Summary screen Using the stylus and the keyboard you can enter and modify the values for dosage refills quantity instructions and pharmacy E Prescription Confirn ez lt 5 40 fok Patient Name Eight Test Patient Weight 130 LB Drug 1096 of Oxy 10 lotion Qty 30 Thirty Refills O Generic Yes Pharmacy POCKETSCRIPT Sig Take applied topically 2 times a day _ Print Patient Copy Print Pre auth Ces Coe 09 File Tools Help Rx 5 gi E After you click Send or Print the Confirmation screen appears where you review the Aj Therapeutic Altern 4 5 40 ok Oxy 10 lotion Differential Co Pay Formulary Alternatives
3. ir tablet B ofibra G fenofibrate zea ricor N fenofibrate capsule ricor N fenofibrate tablet KU eA m oH ld Pregnancy Warning patkaindicated in pregnancy Coza File Tools Help Rx 5 E The most recently faxed pharmacies for the patient are displayed on the Script Summary screen 1 Tap Pharm to select from all the pharmacies that the practice uses 2 Tap Search by Name to select from the practice wide list 3 Enter the first 3 or 4 letters of the pharmacy s name poc and then tap Go 4 Tap to highlight the PocketScript Test pharmacy and tap Select 36 Care Delivery Solutions Exercise 4 Sending a Prescription to the Pharmacy Send will fax the prescription to the selected When all of the script details have been entered you can fax pharmacy the prescription to the pharmacy Print will print the l Tap Send at the bottom of the screen Note The Send prescription at the network button is not available for over the counter drugs or printer Note Printed Schedule 2 drugs in the PocketScript system prescriptions require a handwritten signature 2 The Confirmation screen appears for you to check the script for accuracy Choose Yes to send the script EZ Choose P Eti nt E 4X 4 15 ut Jee 7 i E i DNE N Chart Clear 3 A confirmation box appears indicating that the prescription mu has been recorded Tap OK to dismiss the box Findeerintiocs Aut Select Modify Ref
4. 36 search by phone number 10 Pocket PC 32 PocketScript reinstall 33 power 31 power loss 33 practice management system 28 preg warning 9 prescription confirmation screen 13 37 deny 17 dose 9 instruction 9 log 18 print 13 quantity 10 queue 16 24 refill 9 send 17 summary 8 treat 11 print 13 patient copy 13 prior authorization 7 40 Care Delivery Solutions Q quantity 10 queue 16 24 R refill 5 9 queue 16 reinstall 33 reset 31 router 31 RxHub 16 S screen settings 30 script log 18 security 29 send prescription 17 send script 13 signature 2 speech recognition 28 summary screen macros 14 prescription 8 support 32 T time out 3 tips 23 treat 11 treatment 6 treatment options 11 troubleshooting 30 U upgrading Pocket PC 32 V voice 28 W warning 9
5. Lipitor Allergic Reactions File Tools Help Rx 29 Ej 22 Care Delivery Solutions 14 0 WORKFLOW HINTS AND TIPS e Prescribing can be faster than writing a prescription on a pad if you use the shortcuts built into the PocketScript system One shortcut is a Macro a pre written prescription that you create on the fly during the normal prescribing process and then can re use PocketScript remembers every detail of the script that you save in the Macro 1 To create a Macro first fill in the details of the script you wish to make into a Macro Be sure to include details like the Course of Treatment and Refills 2 Onthe Script Summary screen tap Macro 3 Give your Macro a name name it something that you will remember later For example if you are prescribing Amoxicillin 250 mg three times a day you might want to call your Macro Amox 250 3x You your office staff and patient all save time when you electronically transmit the prescription to the pharmacy Your PocketScript system comes pre loaded with most pharmacies in your area but as new pharmacies open you ll want to include them too 1 Launch the PocketScript Internet Browser version Maintenance pages by clicking the Maintenance tab and then selecting Maintenance Pages from the menu 2 Click Pharmacy Maintenance 3 Click Search All Pharmacies and then type in a portion of the pharmacy s name Note that before you can add a pharmacy
6. Phone 800 555 1212 DOB 12 16 1932 Gender File Tools Help Rx amp s Ej 3 To add allergies from the Pocket PC after you select a patient on the Choose Drug screen tap Allergies The Allergies screen appears 4 Tap Add The Add Allergy screen appears 5 Select an allergy Class by tapping the drop down arrow and then select a Category if available and EF Choose Drug E 4 12 41 D Macros elect Macro z al A Mlergies Li Include Expired Treatment 06 25 04 Lipitor Refills 0 10 mq T File Tools Help Rx Ej desired by tapping the drop down arrow AND OR 6 To enter a specific drug tap Advanced 7 Using the keyboard enter the first few letters of the drug name and tap Go A list of drugs meeting the criteria appears Search By Drug O Class Category 23 1 2 3 4 5 6 7 8 9 0 maba w e r t v ju rjo p L ALB File Tools Help Rx 5 P Cr 773 Allergies 1 Modify a patient s demographic data by selecting the patient and then tapping Modify The patient s information is shown on two screens 2 Tap Next gt to go to the second screen or lt Prev to return to the first screen For example you can update the patient s telephone number when you are prescribing a 46154 Q Patient EIGHT TEST Allergies class Category Drug penicillin lass amp mine Antifungals Classification lass Heparins Classi
7. right corners of the screens to return to the main menu 31 Care Delivery Solutions 17 0 18 0 19 0 19 1 e Tap the PocketScript icon or select PocketScript from the Programs menu If you still have problems connecting use the stylus to press the Reset button on the side of the Pocket PC e Retry opening PocketScript and if there is still no connection contact PocketScript Support or see the Appendix 19 1 2 Setup for New Installations PocketScript Setup POCKETSCRIPT SUPPORT On the bottom toolbar tap Help and then select Help to view online Help that will guide you through the basic e prescribing process In addition to this PocketScript e Prescribing User s Guide with Exercises for Pocket PC your practice can download the PocketScript Internet Browser User s Guide with Exercises from the online Help You also receive the following material at start up e Quick Start Guide e Device guides and manuals For additional assistance in using PocketScript you can also telephone PocketScript Support at 1 866 753 9234 or email pssupport 9 zixcorp com DOCUMENTATION FEEDBACK Your comments and suggestions on PocketScript online Help and printed documentation are welcome Please send documentation feedback to caredel documents zixcorp com APPENDIX Setting up the Pocket PC Upgrades and New Installations The procedures below outline the process for upgrading or installing PocketScript s new access poi
8. the Script Summary screen appears Make any desired changes The queued script s Summary screen indicates the intended destination with on the Send or Print button 9 2 Queued Scripts Display Options The Options menu lets you sort organize and select the queued scripts that you want to review You have the following options e Charts pulled charts requested charts or charts with no chart information request e Script Authorization all prescriptions pre authorized only or authorized pending Note Physician Assistants may queue scripts and pre authorize them for prescribers Scripts queued by Registered Nurses and Medical Assistants have authorization pending status Prescribers may choose to view pre auth only scripts first to quickly approve and send them to the pharmacy and then view auth pending only scripts which may require more review e Doctor Scripts all prescribers or individual prescribers e Redirect To names of all prescribers in your practice e Location all locations in office or call in Care Delivery Solutions 10 0 VIEWING THE SCRIPT LOG The script log enables you to view all of your scripts written using the PocketScript system within certain parameters To access the script log do one of the following e Tap Tools on the bottom toolbar and then tap Script Log OR e Tap Log on the Choose Patient screen The script log appears for the current day To chang
9. the pharmacy most recently requested by the patient For more options tap the drop down arrow to display any network pharmacies and up to five patient favorite pharmacies used in the past For new patients the practice s favorites are listed If the patient wants to use another pharmacy Basic Search enables you to search on pharmacy name or phone number You can use Advanced Search to refine the search criteria Tap Pharm to select from the full pharmacy list lj search Pharmacy 4 2 O Search by Phone Numb Advanced Note Favorites are shown in green and other pharmacies O Favortes Search bY Wem are shown in purple Be s CVS 225 12TH CVS 1000 WB Basic Search CVS RT 6 BOX e Tap Favorites to select from the Pharmacy Favorites list Jaye 1925 manl GZ Highlight the desired pharmacy and then tap Select CVS 665 E SR PocketScript adds the newly selected pharmacy to the CVS 1206 16m prescription information and will display it for future eve aA E scripts for this patient CVS 8512 W SF Pharmacy OR Tl e Tap Search by Name to select from the full list File Tools Help Rx amp 5 Ej Enter pharmacy name or town and tap Go Tap to highlight the desired pharmacy and tap Select rs rs Note You can also add it to your Favorites list by tapping MJQ ESTILE ERE Add Favorite Pharmacy Search OR Pharmacy Name e Tap Search by Phone Number enter the partial or full area Code phone number or nam
10. warning information for the drug appears in this area Refills e To the right of the Refills field tap the drop down arrow to display refill options and tap the number to highlight and select it OR e Tap the Refills field and type the number of refills Generic Tap the Generic check box to select or clear the check mark thus allowing checked or disallowing unchecked generic substitution for brand name drugs Dosage The default dosage is the lowest available You can change the dosage amount as well as units such as cc ml etc e To the right of the Dose field tap the drop down arrow to display dosage options and tap to highlight and select a dosage OR e Tap the Dose field and type the desired dosage and unit such as mg cc ml etc Instructions e To the right of the Instructions field tap the drop down arrow to display instruction options and tap to highlight and select an instruction OR e Tap the Instructions field and type the instructions Care Delivery Solutions Quantity In addition to quantity you can key in units such as vial box etc e To the right of the Quantity field tap the drop down arrow to display quantity options and tap to highlight and select a quantity Note The default quantity is 30 OR e Tap the Quantity field and type the quantity Pharmacy The Script Summary screen displays the patient s mail order pharmacy if included in the patient s pharmacy benefit plan or
11. you must first search for it in the database this helps prevent duplicate entries Speed patient selection by having office staff enter appointments for the following day on the Internet browser version You can select the right patient more easily and quickly from a short list of those with appointments on the current day At the end of the day your staff can enter appointments for the following day Adding appointments is easy 1 Click the Maintenance tab and then select Maintenance Pages 2 Click Scheduling Maintenance 3 Type the first few letters of the patient s name last name or enter more details if desired and click Search 23 Care Delivery Solutions 4 Select the patient for whom you want to schedule an appointment and click the associated See Patient page link 5 Type the Date m d yyyy and Time h mm of the appointment and then click Schedule When you click Waiting on the Pocket PC or Incoming Calls on the BlackBerry a list of patients with appointments on the current date appears Use your office staff to help Your office staff can connect to the Internet go to http www eprescriber com and log in to the software to queue prescriptions in response to telephone requests for refills These prescriptions will be ready to approve from the browser or your handheld device This will save you many seconds even minutes that quickly convert to tangible dollar savings for you Be sure to dock
12. ABenzoy Peroxide G benzo PBrevoxyl N benzoyl peroxi Fop ET The formulary determines default dosage and quantity options You can select from available options or key in desired values Eg script Summary e q 12 35 p Preg Contraindicated in pregnancy Refills Generic Dose Inst Take 1 tab s orally once a day Qty ept O Toni oe rl Pat wt 0 00 LB File Tools Help Rx 3 an prescription before it is faxed to the pharmacy or printed Select Print Pre auth to print a pre authorization form in the office The form is partially populated with the prescription information for ease in completion Important The form that is printed at your office must be completed and faxed to the health plan at the fax number shown on the form File Tools Help Rx 3 an Ej Care Delivery Solutions 3 3 1 ENTERING SCRIPT DETAILS Patient Tap Patient to edit patient information or select a different patient and start over Note Information on the Script Summary screen may be lost if a new patient is selected Drug To select a different drug tap Drug to go to the Choose Drug screen If the drug is changed the information on the Script Summary screen will be changed To view the PocketScript Drug Reference information concerning the prescribed drug tap Ref See section 13 0 PocketScript Drug Reference for details about the wide range of information available Pregnancy Warning Preg Pregnancy
13. NS cscsssssssssssssssssesssssnsscsscssessesseees 16 10 0 VIEWING THE SCRIPT LOG wisiseessssssesssatesecscasssnssutessassevsecsasensetesncavaunss susscatvessseecasesadassussesssnessie 18 11 0 MODIFYING PATIENT INFORMAT ION eere eene teen tosta suse tn sas tn sss en sensn sensa sensns 19 12 0 MAINTAINING PHARMACY INFORMATION eere eene entes en enne tn sns tn sins tn senatu sensns 20 13 0 POCKEISCRIPT DRUG REFERENCE iciskess thor ob epu PIS ee E PE Gol ess PIS IP a YE e Sene IRE S Ie EUE NS 21 14 0 WORKFLOW HINTS AND TIPS ieriicestsitkseus Speer ERES HN ERR epHIEEMESE ERE REESE IUE SPEM ERR es PE ERES EEUU 23 15 0 FREQUENTLY ASKED QUESTIONS wisisscenscsscssscicesccuseiesacesacavccusassaneastatvecsnarednssscousasnnisasanscevee 25 16 0 TROUBLESHOOTING wsccsssiacecssscnsstasssssissseencs isatadssissencetssocedeestecs cesta Oro e Even Hato oo IR ES MER I A ERR 30 17 0 POCKEISCRIPT SUPPORT sscsscessssssscsseaaccncece sata ddavsssssisscoenteensecasiessauncsscbicesvestevesdeapsuassesssssstesses 32 18 0 DOCUMENTATION FEEDBACK ccsscsssscsesssessssscssvssssasscsesceassses cassesascncsesdesnssens ceatectssnssentoesczessue 32 19 0 APPENDIX E 32 20 0 EXERCISES e S 35 Care Delivery Solutions What s New in Version 5 51 Major new features are as follows e New version information on Log In and About pages for improved diagnostics e Ne
14. Network among your Pocket PCs Additionally the router connects you via the Internet to the PocketScript secure servers that store your patient demographic data pharmacies and the databases that supply drug information formularies and patient eligibility information Refer to the foldout card shipped with your Pocket PC and follow the step by step setup instructions Be careful not to connect your device to your PC until you are prompted to do so Linksys and Pocket PC Software Setup Contact your Internet Service Provider ISP for the information particular to your high speed Internet connection Set up the Linksys software with the settings you obtain from your ISP and generate the WEP Key Synchronize your Pocket PC with your desktop calendar contacts email etc Install the TrueMobile CompactFlash card driver furnished by PocketScript to configure your wireless network Important Do not install the driver on the device CD ROM PocketScript Setup Use this procedure for initial setup and to reinstall PocketScript if your Pocket PC experiences a complete power loss resulting in the loss of the PocketScript application Note None of your practice data is stored on the device your practice data will always be intact in the event of power loss to your device On the Start menu of your Pocket PC tap Internet Explorer to open the browser If the address bar isn t visible tap View at the bottom of the browser window and
15. PocketScript is open PocketScript does not close When power is restored the PocketScript application appears If this occurs within the password time out period you should be aware that e prescribing is available to anyone holding the device WRITING A PRESCRIPTION After you have logged in the e prescribing process is as follows 1 Select a patient 2 Select a drug 3 Complete the prescription details 4 Send the prescription to the pharmacy OR e g 2 EZ Choose P Eti nt d x 3 32 D Print the prescription to give to the patient z Gsipor Fst 88 e Name O Chart DOE JOHN 12 16 1932 77694354 DOEBE LI ERIKA 10 31 1965 4666 DOERING KAREN 04 18 1949 14120 Ea Selecting a Patient You can search for a patient by name by chart ID or from a list of waiting patients who are scheduled for appointments Details DOB 12 16 1932 Weight 210 0 LB Search by Name SSi 99 99 9999 Ins Genesis Health Plan of Ohi e On the Choose Patient screen select Name x oe select Log add Modify Waiting File Tools Help Rx 3 Ej Care Delivery Solutions 3 2 3 2 1 e Using the keyboard enter the first 3 4 letters of the patient s last name and then tap Go It is not necessary to enter the entire last name Search by Chart ID e On the Choose Patient screen select Chart e Using the keyboard enter the chart number and then tap Go It is not necessary to enter the entire
16. ails Care Delivery Solutions 7 0 8 0 If you view the Interaction Details tap Back to return to the Interaction Warning screen and make your decision about prescribing the drug 2 In the Select a Different Drug dialog box tap Yes to choose a new drug or No Use this One to select the drug Proceed to 3 3 Completing the Script CHECKING DRUG ALLERGIES PocketScript automatically checks for patient drug allergies and if any are detected displays an Allergy Warning Note Patient allergies are usually entered in the Internet Browser version Maintenance Pages Patient Maintenance You may also add allergy information from your Pocket PC after you select a patient and tap Allergies on the Choose Drug screen See 11 0 Modifying Patient Information 1 To view allergy details tap Interaction Details If you view the Interaction Details tap Back to return to the Allergy Warning screen and make your decision about prescribing the drug 2 In the Select a Different Drug dialog box tap Yes to choose a new drug or No Use this One to select the drug Proceed to 3 3 Completing the Script VIEWING FORMULARIES The formulary is a list of drugs covered by a health insurance provider or pharmacy benefit manager PBM When you select a patient with an insurance plan that participates in the e prescribing system you see information about the formulary status of drugs that may help you find a less costly solution for the patient The e
17. alleraies Ped ET ok Patient EIGHT TEST Allergies class Category Drug penicillin lass amp mine Antifungals Classification lass Heparins Classification Categor File Tools Help Rx Ej Tap the Colors button to view a list of formulary color codes and how they indicate whether a drug is covered by the patient s drug insurance plan Color Code Comments Black Prescription insurance not on file Green Preferred Drugs covered by the health plan Blue Approved Drugs covered by the health plan but taking a higher co pay Purple Requires Prior Authorization when information is available Drugs for which the prescriber must submit a request for coverage under the medical review process Selecting one of these drugs will display preferred and approved alternative drugs Red Not Approved information is available Drugs that are non formulary Selecting one of these drugs will display preferred and approved alternative drugs when PRIOR AUTHORIZATION AND THERAPEUTIC ALTERNATIVES Drugs that require prior authorization or approval based on the formulary coverage for the patient are indicated by purple text and left facing arrow If you select a drug that requires prior approval a message about the formulary coverage of the selected drug and a list of therapeutic alternatives approved by the formulary appear See 8 0 Viewing Formularies Care Delivery Solutions
18. appears DOB 12 16 1932 Weight 210 0 LB SS 999 99 9999 Ins Genesis Health Plan of Ohio 3 Tap to highlight any patient with the last name Test and then tap Select Waiting _ File Tools Help Rx Ej 35 Care Delivery Solutions Exercise 2 Selecting a Drug PocketScript provides several methods for selecting a drug e Drug List described in detail below e Drug History see Exercise 5 below and more details in Section 5 3 in this User s Guide e Macros see Section 5 2 in this User s Guide To Choose from the Drug List 1 Tap Drug List The Choose Drug screen appears 2 Using the keyboard enter the first 3 4 letters of the drug s name It is not necessary to enter the entire name Type lipi and then tap Go Drugs that match the search criteria are displayed 3 Tap to highlight lipitor 4 Double tap the drug name or tap Select Exercise 3 Completing the Prescription The details of the script are managed from the Summary screen You can enter and modify the values for dosage units refills quantity instructions and pharmacy Here we will manage the pharmacy I Choose Drug E d 12 41 old Patient FOUR TEST Favorites Select Favorite Macros elect Macro B Include Expired 06 25 04 Lipitor Refills 0 10 mq T Cancer File Tools Help Rx 53 Ej m y Select Dr Ped hace Cok l LN Patient Name JOHN DOE Drug Name Go O Generic Only
19. articipate in the e prescribing system For patients whose insurance providers are not included in the e prescribing system generic drug options are indicated in green text with up arrows Patients without insurance For patients without insurance there is no color coding however generic drug options are indicated in green text with up arrows Formulary Option Individual Patient Coverage PocketScript displays general formulary information however some formularies may provide different levels of coverage to individual plan members If the patient s PBM supports coverage lookup through RxHub the PocketScript system performs the following e Checks coverage detail with a real time lookup for the specific patient and selected drug e Changes the color arrow formulary indicators if the patient s coverage is different from the general formulary e Displays a compliance message and suggested alternatives if necessary APPROVING QUEUED PENDING PRESCRIPTIONS Queuing Process Medical assistants can use PocketScript to set up prescription refill orders and queue them for physicians to approve The medical assistant drafts the medication orders via the Internet Browser version at www eprescriber com The physician then approves the prescriptions on the Pocket PC portable device 1 After you log in if there are prescriptions in the queue for you to approve a red Rx icon is displayed To view these prescriptions do one o
20. chart number Search by Waiting Patients with Appointments Click Waiting to see a list of all patients with appointments that have been entered in the Internet Browser version Note If queuing is enabled the list also includes all patients who have refill requests in your queue for approval All search methods e A list of patients meeting the criteria appears Note If no patient is shown you may add the patient to the system by tapping Add e Tap to highlight the desired patient and then tap Select Notes When you use the Name or Chart ID search method the system checks patient insurance eligibility so that you have up to date information in prescribing This may take a few seconds If the appointment has been entered the day before the information may already be available You can change patient demographic information while prescribing by tapping the patient s name to highlight it and then tapping Modify See Section 11 0 Modifying Patient Information Selecting a Drug After you choose a patient by tapping Select the Choose Drug E choose Drug aun screen appears with the patient s drug history derived from your Patient FOUR TEST practice s e prescribing experience The system provides three Favorites Eelect Favorite E additional methods for selecting a drug All four are described Macros Select Macro H in detail below Treatment Li Include Expired e Drug List 06 25 04 Lipitor Refills 0 10 mq T e Favori
21. e time required to recharge the battery e Move the slider to the right to increase the brightness of the display On battery power for when the device is not in the cradle On external power for when the device is docked and you are drawing power from an external source Pocket PC touch screen keeps going dark e Follow the instructions above to get to the Brightness screen Keep in mind that increasing the amount of idle time before the screen dims reduces battery life When the device is in the cradle on external power it also increases the time to recharge the battery 30 Care Delivery Solutions Tap the Battery Power tab at the bottom and then tap the drop down arrow to select a new amount of idle time before the screen dims Tap the External Power tab at the bottom and then tap the drop down arrow to select a new amount of idle time before the screen dims Pocket PC won t power on Dock the Pocket PC securely in the cradle that is connected to the AC adapter and a power source Check that the power source is on Charge the main battery for at least 4 hours Press the Power button on the front of the Pocket PC On the Start menu tap Programs and then tap PocketScript If PocketScript does not open call PocketScript Support or follow the instructions on PocketScript setup in section 18 1 2 Setup for New Installations below to reload the application Linksys router The Power and Wireless lights on the route
22. e information to find the Address appropriate pharmacy and then tap Go City State Advanced Pharmacy Search Zp Code Rather than search a long list of pharmacies you can use oea D Advanced Search to narrow the search criteria Cancel File Tools Help Rx 3 sBES Care Delivery Solutions Notes Tap Advanced at the top right of the screen The button label changes to Basic Enter the information that you may have about the patient s desired pharmacy You can use any one or more of the available search fields Tap Go The search results are displayed in order of most matches with the search criteria Note that the highlighted pharmacy s details appear in the gray area below With the desired pharmacy highlighted tap Select and you are returned to the prescription detail screen or tap Back to change the search criteria and try again o To add a new pharmacy tap Add Pharmacy See 12 0 Maintaining Pharmacy Information o To modify the currently selected pharmacy tap Modify Pharmacy See 12 0 Maintaining Pharmacy Information Pharmacy Favorites are pharmacies that patients request frequently and are practice wide not prescriber specific Before deleting Pharmacy Favorites be sure to consult with other prescribers in the practice Also be careful to avoid duplicating an existing pharmacy entry If you are upgrading from the on site server version to the new access point version you will now have acces
23. e last Test results show that over 100 prescriptions can be written on one battery charge Results vary based on usage Is it OK to keep the handheld prescriber plugged in 24 7 Yes You cannot over charge the battery or harm the e prescriber in any way by allowing the unit to remain in its charging cradle Does speech recognition work on my system The PocketScript system is the first in the industry to use voice to instantly access patient and prescription information at the point of care The system combines a patient s name with your Macro list to quickly generate a prescription with minimal tapping on the PDA screen Where can access information about my handheld device The device was shipped with a manual PocketScript also provided this manual to cover the most common questions and concerns about using the device Additional information may be found on the PocketScript Web site http www zixcorp com caredel or the device manufacturer s Web site Can others use my handheld device Yes Any prescriber with a valid username and password can use any available handheld to write prescriptions with the PocketScript application All of your personal information is stored on the server not on the handheld therefore your customized Favorites and Macros lists are available to you when you log on to any handheld device 28 Care Delivery Solutions Data and Security Q A Where is my patient and prescription data s
24. e the timeframe tap one of the following e Today default e Yesterday e 2 Days ago e 7 Days ago The log for the desired timeframe appears Once you are in the desired time frame ey Script Lot a 4x4 24 GD Select which script to view all Prescriptions OCKETSCRIPT hone 513 701 6000 Fax 513 701 6076 Show Scripts added Since amp Today 2 Days ago Yesterday 7 Days ago Im File Tools Help Rx 5 aj 1 Select which type of scripts to view from the drop down list box e All prescriptions e Scripts that were successfully transmitted to the pharmacy or printer e Scripts that had transmission errors e Queued scripts refills that were denied when reviewed by the prescriber 2 To view script details double tap the script The Script Log displays the following details for the selected prescription in addition to the script information you see on the Confirmation screen e Issued date and time e Status whether or not script was successfully transmitted or pending if script was just recently sent e Pharmacy details including telephone and fax numbers Care Delivery Solutions 11 0 MODIFYING PATIENT INFORMATION EO Patient E Eri Patient E Er 4x3 29 Last wr First Name Weight Q Kgs e Lbs Insurance Genesis Health Plan of Ohio ust Chart ID 77684354 SSN Address Ema ciy TOWN Comments State AL zip Code 56432
25. efill details py Pull Chart Send 3 Tap a test patient name to highlight and select it 4 To approve the refill request click Send 38 INDEX A access point 32 additional scripts 13 allergies add 19 view 7 warning 15 application reinstall 33 assistance 32 B battery 28 C change script 13 charge 24 28 color codes formulary 7 confirmation 13 37 connectivity 31 coverage 16 D deny prescription 17 dispensed drug history 6 dock 24 dose 9 drug 9 allergies 15 drug history 6 37 dispensed 6 drug interaction alert 14 drug list 4 Drug Reference Guide 21 drug utilization review DUR 14 E error message 31 exit 13 F favorite drug 5 13 pharmacy 10 formulary color codes 7 formulary option 16 G generic 9 H help 32 hints 23 39 Care Delivery Solutions HIPAA 29 HL7 interface 28 include expired 5 individual coverage 16 instruction 9 interaction 14 Internet 30 L Linksys 31 33 log prescription 18 log in 2 logoff 13 macro 5 23 new 14 mail order pharmacy 26 maintenance 23 N network 31 P password 2 patient 9 coverage 16 data entry 27 demographic data 19 27 drug history 6 37 management system 28 new 27 pharmacy 25 add 11 20 23 advanced search 10 favorite 10 mail order 26 modify 11 21 search by name 10
26. elete Pharmacy If selected the pharmacy will not appear in the available list It can only be added back in the Internet Browser version Pharmacy Maintenance page e Practice Favorites Select to add to Favorites clear to remove from Favorites 13 0 POCKETSCRIPT DRUG REFERENCE The PocketScript Drug Reference is a comprehensive drug database that provides information on virtually every drug available to prescribers Because keeping up with current drug offerings is critical the information is updated continuously Note Medical supplies and equipment are not covered in the guide Refills Generic Dose 10 ma Inst Take 1 tab s orally once a day v Qty on A Pharm B lect Ph 1 Access the PocketScript Drug Reference on the Script a Summary screen by tapping Ref wrest Fra The General tab appears shown below and displays a Macro Pat Wt 0 00 LB description of the drug i 2 To view more information about the drug tap the tabs File Tools Help Rx d Ej 21 Care Delivery Solutions e Drug Leaflet e Generics e Brands e Interactions e Dosing e Clinical Information e Manufacturers e Allergic Reactions e Packaging e Ingredients e Contraindications e Therapeutic Class Drug Reference Guide Examples es i m DA Script Summary 4 Lipitor General Information Drug Name Lipitor Generic Name atorvastatin Dosage Form tablet Available Dosage
27. en signature When all of the script details have been entered you can send the prescription to the pharmacy 1 Tap Send at the bottom of the screen Note The Send button is not available for over the counter drugs or Schedule 2 drugs in the PocketScript system You must print the prescription and the prescriber must sign it and give it to the patient Care Delivery Solutions 2 The Confirmation screen appears for you to check the script for accuracy Select one of the following options e To send the script and write another script for the same patient choose Additional e To send the script and return to the Main Menu choose Yes e To return to the Summary screen in order to make a change choose No 3 Select Print Patient Copy to print a voided copy of the prescription for the patient 4 If you choose Additional or Yes a confirmation box appears Aglchooser nt sP 4x45 indicating that the prescription has been sent Tap OK to l Last First GO dismiss the box and go to the selected destination E pE 3 3 4 PRINTING A PRESCRIPTION cava sui 7 3 4 4 0 Follow the above procedure for sending the prescription to the GD Prescription Sent pharmacy except select Print in step 1 i Logging Off and Exiting the Program To logoff without exiting PocketScript Select Modify ing Tap File and then tap Logoff File Tools Help Rx EH To exit PocketScript 1 Tap the X at the top right corner of the progra
28. ent You may add new pharmacies or edit existing pharmacy records as necessary For assistance contact Support at 866 753 9234 25 Care Delivery Solutions o Q A What happens if the fax prescription is not received by the pharmacy The first line of defense is office staff checking your Internet Browser Script Maintenance page at least twice a day to see if there are any problems transmitting scripts to the pharmacies You can also check the Script Log on your device The PocketScript system continuously monitors system performance If a fax prescription is not successfully received on the first attempt retransmission is attempted every six minutes As a safety net after twenty minutes the system generates an email to PocketScript staff who investigate the situation and take the necessary steps to ensure that your prescription is accurately and quickly transmitted Can send prescriptions directly to mail order pharmacies Currently Express Scripts AdvancePCS and Medco accept PocketScript generated prescriptions We are also working with other services to develop acceptable formats An interim solution is to print the prescription for the patient to submit directly to the mail order service In addition please contact the mail order customer service department and request PocketScript functionality Your input plus our continued relationships with these companies will help us work towards a permanent sol
29. er and the patient s pharmacy Does HIPAA impact use of the ZixCorp PocketScript product Yes if Dispensed Drug History is available for a patient you must ask the patient s permission to view it Dispensed Drug History displays prescriptions written by other practices that participate in the system Providers may screen drugs such as those used in the treatment of HIV AIDS or substance abuse Other Applications Q A Can use the PocketScript system handheld to store and manage my personal information schedule Yes Each PocketScript handheld e prescriber comes with all of the basic Pocket PC functionality including the following programs e Calendar e Notes e Pocket Word e Contacts Address Book e Internet Explorer e Inbox E Mail e Pocket Excel 29 Care Delivery Solutions 16 0 o Caution In some cases troubleshooting and repairing PocketScript problems may require a memory reset of your handheld and result in the loss of personal data If you depend on the data contained in these programs be sure to hot sync your handheld to a computer other than the PocketScript system server to prevent possible data loss Consult the handheld manual for more information Can browse the Internet from my PocketScript system handheld Probably Most networks are compatible with the Linksys Wireless Router If this is the case your handheld will be automatically configured for Internet access To start browsing t
30. f the following e Tap the Rx icon py OR Pull Chart Tap Tools on the bottom toolbar and then tap Queuing e A list of queued scripts appears 2 Tap to highlight the prescription you want to approve Note You can tap and drag the stylus to select multiple scripts Care Delivery Solutions 3 Select from the following options Send to approve and send the prescription to the designated pharmacy or office fax Deny to cancel and not send the prescription but send a record to the Script Log Clear to remove highlighted scripts from the Pending Scripts box This does not affect script status just whether they are displayed SlIPocketScript Pe EE amp Back to go back to the previous screen Pull Chart to mark the script and have the chart pulled This returns the script to the originator queue in the practice The script is removed from the list of queued scripts and the red Rx icon is changed to black unless other scripts without chart pull requests remain in the queue A chart icon is on the bottom menu bar The chart is tan colored when there are no charts pulled and red colored when py an assistant confirms in the Internet Browser version that one Pull Chart or more requested charts have been pulled Tap the chart icon to see the related scripts After you send or deny chart pull scripts the chart icon color returns to tan View Script details To view a queued script double tap it and
31. fication Categor Ej File Tools Help Rx 5 Patient EIGHT TEST TEST Class Benicillins and Relatedy Category Drug Comment penicillins E 1 Ej File Tools Help Rx 3 19 Care Delivery Solutions 12 0 12 1 8 Tap to highlight the desired drug and than tap Select You are returned to the prior screen The Drug Class and Category are displayed if available 9 To choose this Drug only and ignore its Class and Category in drug allergy considerations tap Drug Only 10 Enter any Comments in the space provided 11 When done tap Save MAINTAINING PHARMACY INFORMATION During initial setup most of the pharmacies in your area are entered into your PocketScript system Over time new pharmacies will be built and existing pharmacies may change their names or fax numbers and updates will be necessary Most practices will perform maintenance via the Internet from the Browser version of PocketScript You may also make changes from your handheld device To access the Add Modify Pharmacy screens 1 On the Script Summary screen tap Pharm 2 Onthe Search Pharmacy screen tap Add Pharmacy or Modify Pharmacy Adding a Pharmacy Add Mod fj harm e x 4 16 fok w City isd State C Zip Email Fax a Phne Password TIGMBHEIOD i RAR File Tools Help Rx amp 5 BEH Be careful not to duplicate an existing pharmac
32. he Internet simply launch Microsoft Internet Explorer from the Start menu If you have problems our Support staff can help with common network troubleshooting tasks More advanced network troubleshooting and or setup are available at an additional cost Call 866 753 9234 for more details Can I run other applications on the PocketScript system handheld Yes ZixCorp encourages you to use your handheld device for its PDA functionality ZixCorp however does not support third party software Additionally a poorly written application could interfere with the PocketScript application cause the handheld to malfunction and require a hard reset of the device to restore the PocketScript system Can I print from Pocket Word Pocket Excel etc Yes you can hot sync your handheld with another computer and use that computer s print capability TROUBLESHOOTING If you are experiencing network device or application problems the following are some simple troubleshooting steps that you may try If the troubleshooting steps do not resolve the issue contact PocketScript Support by telephone at 1 866 753 9234 or email pssupport zixcorp com Pocket PC touch screen is too dim e On the Start menu tap Settings e Tap the System tab at the bottom of the screen and then select Brightness Keep in mind that increasing the screen brightness reduces battery life When the device is in the cradle on external power the brighter the screen the mor
33. ill Request Workflow _ Waiting Exercise 5 Refilling Prescriptions from Drug History File Tools Help Rx You can use a patient s prescription history to refill a medication e Use the procedure above to select the same test patient e On the Choose Drug screen the patient s drug history is shown in the text box e Note that the prescription you wrote for Lipitor above is now listed in the patient s drug history 3 choose Drug Er q 12 41 p Patient FOUR TEST Favorites f5 Macros belect Macro L Include Expired 5 04 Lipitor Refills 0 10 mq T A as D Drug Lt LAxpire File Tools Help Rx 3 Ej Refills are fast and easy To refill do the following Tap the prescription to highlight it and then tap Refill All the details of the original prescription appear on the Script Summary screen If no changes are required the refill is ready to send to the pharmacy Just click Send as shown in Exercise 4 above 37 Care Delivery Solutions Exercise 6 Approving Refill Requests A test patient refill request should first be entered in the Internet Browser version to follow this exercise When you have refill requests waiting for your approval the Rx CA RASSA E 4 939 Q icon at the bottom of the screen appears red 1 Tap the Rx icon OR Tap Tools and then tap Queueing A list of patients with queued scripts appears above 2 Use the horizontal scroll bar to see the r
34. ls and hits send Pt Doctor logs into PocketScript and selects a patient Patient eligibility is checked via RxHub which returns eligibility status and formulary ID Care Delivery Solutions 2 0 2 1 2 2 The result is fewer rejected prescriptions enhanced patient safety and fewer resources dedicated to managing prescriptions As easy to use as it is powerful ZixCorp s e prescribing solution is delivered via a Pocket PC device or secure Web site to ensure maximum usability from anywhere DEVICE BASICS Launching PocketScript On the Start menu select PocketScript Logging In After you have launched the PocketScript program you need to log in l AF You must change y amp x 3 18 ok Using the keyboard enter your Physician ID if necessary It may be entered for you You Must Change your Password S Eeke Enter your password and then tap OK mr New Password f e Notes Initial log in Your Physician ID is usually the first letter of se your first name and entire last name A password is provided for your initial login and you are required to change the provided password to one that you create Your password must comply with the following security requirements e At least 8 characters in length e Atleast 1 of each of the following letter number special character gt lt 4A amp 4 If your practice has registered multiple printers in the I
35. m OR Tap File and then tap Exit 2 In the Quit PocketScript dialog box tap Yes to exit the program ADDING A FAVORITE DRUG Favorites are shortcuts to drugs that you prescribe frequently uu subary 4 dx 4 38 Your favorites list can hold up to 200 different drugs Favorites are available for selection on the Choose Drug screen 1 To add a drug to your Favorites list on the Script Summary Do you wish to add Ativan screen tap Favorites solution to your favorites 2 Tap Yes on the Add to Favorites dialog box Note To delete Favorites use the Internet Browser version Eppt Favorite Maintenance Pages Favorites Maintenance Trea Khronc M mr Pat Wt 210 00 LB Cancel File Tools Help Rx 5 Care Delivery Solutions 5 0 6 0 ADDING A MACRO Macros are shortcuts to entire pre written prescriptions and are available for selection on the Choose Drug screen A few Macros are preloaded and can be edited Macros can be developed when you are writing a patient s prescription or they can be entered using the Internet Browser version Maintenance Pages Macro Maintenance Macros should be fully completed The system will automatically insert default values in empty fields 1 To add a Macro on the Script Summary screen complete the script information exactly the way you want it to be saved 2 Tap Macro and the New Macro screen appears 3 Using the keyboard enter a Mac
36. net Browser User s Guide 34 Care Delivery Solutions 20 0 EXERCISES Initial Log On Test Patients and Pharmacy New Prescription Workflow Exercise 1 Selecting a Patient Exercise 2 Selecting a Drug Exercise 3 Completing the Prescription Exercise 4 Sending a Prescription to the Pharmacy Refill Workflow Exercise 5 Refilling Prescriptions from Drug History Exercise 6 Approving Refill Requests Initial Log On and Device Basics For basic information about the Pocket PC device and launching PocketScript see Section 2 of this User s Guide Test Patients and Pharmacy The PocketScript system includes several patients with last names of Test and a pharmacy named PocketScript Test so that you don t have to use real patient data or pharmacies when you are trying out e prescribing Do not delete the test patients and pharmacy because new staff members can practice with them in the future New Prescription Workflow Exercise 1 Selecting a Patient You can search for a patient by name or by chart ID EF Choose P nt a x3 32 ok 1 On the Choose Patient screen select Name or Chart tast poe First G0 e Name O Chart DOE JOHN 12 16 1932 77684254 DOEBE LI ERIKA 10 31 1965 4666 DOERING KAREN 04 18 1949 1412C 2 Using the keyboard enter the first 3 4 letters of the patient s last name It is not necessary to enter the entire last name Type tes and then tap Go am D A list of patients meeting the criteria
37. nt version for the Pocket PC These procedures may vary from practice to practice 19 1 1 UPGRADE FOR EXISTING POCKET PC INSTALLATIONS e Your office needs to arrange for your upgrade with Installation Support telephone 1 866 753 9233 PocketScript representatives will do the following o Schedule time for data conversion o Check to make sure that the appropriate ports and network connectivity are available o Make sure that your site has DSL or cable Internet connections Note Hospital network connections to the Internet are not recommended e The existing PocketScript site server patient database will be disabled and Internet connectivity established to the hosted PocketScript patient database Care Delivery Solutions Optionally you may also establish connectivity to your practice management system with a free HL7 connection A PocketScript representative will provide the software and instructions to load the PrintServer software on the old server or a PC to enable remote printing at your site 19 1 2 SETUP FOR NEW INSTALLATIONS Important Request detailed installation instructions from Installation Support telephone 1 866 753 9233 The following is an outline for general information purposes only Hardware Setup Install the Linksys access point at the site The Linksys acts as a router and firewall creating a link between the Internet and any computers attached to the router It also creates a Wireless Local Area
38. nternet Browser version Maintenance Pages gt Doctor Maintenance you are prompted to select a printer for this prescribing session See the Internet Browser User s Guide and Exercises for more information Nidieyoussisnntte withdhie AJ PocketScript 4 9 09 9 BB AF Pocketscript Png RER X stylus the way you want it to amp nter your User ID and Please Sign for Today s appear on the prescription Henewond Prescriptions Tap Continue to proceed or User ID tap Clear to erase the Password signature and rewrite it Ok Primary Care Edition Copyright 2004 ZixCorp 5 1231 2 3 4 5 o g o 0 j ajw e r t v u i o p File Help aj Care Delivery Solutions 2 3 3 0 3 1 Time outs and Security Password There is a 20 minute password time out period After 20 minutes of inactivity when you resume using PocketScript and attempt to send or print a prescription the System Locked screen appears System Locked You must reenter your password and tap Verify to send or print Enter the password for the physician the prescription with the User ID ckunz Signature Password iss The signature default time out is 12 hours and it applies to the entire practice You can change the practice signature time out in Verty the Internet Browser version Maintenance Pages gt Practice Maintenance Security Awareness File Tools Help Rx 3 E If your device powers off manually or automatically while EAS 7
39. o change patient demographic information from the handheld No You can change patient information using the browser version logging into www eprescriber com and choosing Patient Maintenance from the Maintenance Pages on the Maintenance tab 27 Care Delivery Solutions Does the PocketScript system link to my patient management system ZixCorp offers a free HL7 interface that connects the PocketScript system to your practice management system The HL7 requires a Windows 2000 PC or higher to run the PocketScript portion of the interface Consult your practice management system vendor about link availability and cost issues for its system Custom connectivity may also be available for your practice at an additional fee Contact PocketScript Support at 866 753 9234 for more information on this service What is the difference between medical and prescription insurance plans Prescription insurance only covers a patient s outpatient prescriptions while medical insurance covers a variety of medical products and services including doctors fees lab tests hospital stays and inpatient drugs Prescription insurance is provided under a medical insurance plan and may be administered by the medical insurance provider or a specialized pharmacy benefit management company PBM Patients covered under Medicare Medicaid however may obtain separate prescription insurance Pocket PC Q A o How long does the handheld battery charg
40. prescribing system also identifies generic drugs that can aid in prescribing for other patients Note Most patients with prescription coverage participate through their PBM in the e prescribing real time eligibility look up system that automatically checks for up to date coverage and formulary information and displays it on your Pocket PC The insurance plans of other covered patients may have provided formulary information to PocketScript that you can access when prescribing however your office staff must select the insurance company manually when the patient s record is added in PocketScript s Internet Browser version see User s Guide and or online Help for instructions Patients with insurance plans that participate in the e prescribing system PocketScript indicates formulary medications that are covered by a patient s insurance plan by using color codes and arrows in displaying the drug information See 3 2 8 for color definitions The formulary includes both the drug and dosage A drug may be considered preferred or accepted at one dosage and require prior authorization at a different dosage Note While the system provides information about the plan s formulary the prescriber is free to select any drug using the system whether or not it is in the formulary Care Delivery Solutions 9 0 9 1 On the Choose Drug screen tap the Colors button The formulary color key appears Patients with insurance plans that do not p
41. r should be a constant green If the Power light is red or not lit check your power source and connection The Internet light on the right should be green and flash If the Internet light is not lit check that the Internet cable is securely connected at the source and at the Linksys The four Port lights in the middle will not be illuminated unless you have connected multiple PCs to the ports in the back of the Linksys DNS not found error message on the Pocket PC Use the stylus to press the Reset button on the side of the Pocket PC Disconnect the Internet cable from the back of the Linksys router and then reconnect it If the problem persists contact PocketScript Support Network not found error message on the Pocket PC Try the steps above for the DNS not found error message and see if that resolves your problem If the problem remains on the Pocket PC Start menu tap Settings Tap the Connection tab at the bottom of the screen Tap Wireless Networks In the Wireless Networks box below Add New Settings check to see if psuser is connected If yes contact PocketScript Support If psuser is unavailable tap the Network Adapters tab Tap Agere Wireless Network Driver H2 Accept the next screen select Server assigned IP address and tap OK in the upper right corner The Adapters box appears Tap OK in its upper right corner Note Do not remove the TrueMobile CompactFlash card from the device Tap the OK or X in upper
42. ro Name e g Lipitor 10 hypertension 1 4 Tap OK and then tap Yes to save the Macro i 2 Script Su Efi ary Er 4x 4 40 I New Macro Macro Name hypertension 1 File Help Rx amp Note To delete Macros use the Internet Browser version Maintenance Pages Macro Maintenance CHECKING DRUG INTERACTIONS PocketScript provides decision making support by automatically performing a drug utilization review DUR The system checks for interactions against other prescriptions written by the practice and by others if dispensed drug history is available If any potential problems are detected the system displays a Drug Interaction Alert Drug alerts may be ranked by severity Notes PocketScript displays a special message when dispensed drug information returned by the patient s insurance provider lacks the identifiers required for drug interaction checking Expired prescriptions are not considered unless you select Include Expired on the Choose Drug screen Select a Different Drug y Interaction Warnil amp z 11 45 fok ALERT Potential interactions with Tricor Coumadin Major Drug Interaction ipitor Major Drug Interaction ovastatin Major Drug Interaction Interaction Details No Use this One lt i File Tools Help Rx amp 5 ej 1 To review information regarding drug interaction double tap the drug in question or tap to highlight it and then tap Interaction Det
43. rug and then tap Select or double tap the drug name 3 2 2 FAVORITES AND MACROS 3 2 3 Favorites are shortcuts to drugs that you prescribe frequently Your favorites list can hold up to 200 different drugs 1 On the Choose Drug screen tap the down arrow at the right of Select Favorites and your list of favorites appears 2 To select a drug double tap the drug name to highlight and select it Macros are shortcuts to pre written prescriptions and require little or no modification in order to complete the script A few Macros are preloaded and can be edited 1 On the Choose Drug screen tap the down arrow at the right of Select Macro and your list of Macros appears Macros Treatment O Include Singulair tablet chewa dT ylenol with Codeine pU gt 11 03 Ativan Rerllis U 2 mg mi 07 25 03 Humalog Mix 75 25 PEN R D7 25 03 Hydrochlorothiazide Refill D7 23 03 Avalide Refills 3 12 5 M cp ay E m File Tools Help Rx amp 5 E 2 To select a Macro double tap the Macro name to highlight and select it DRUG HISTORY You can use a patient s drug history to renew a prescription 1 Select Include Expired to display all medications both expired and unexpired Care Delivery Solutions 3 2 4 3 2 5 2 Onthe Choose Drug screen the patient s drug history is shown in the text box Tap to highlight the prescription that you would like to renew and then tap Refill Note After
44. s 10 mg 20 mg 40 mg 80 mg Generic Brand Brand Drug Route ORAL This is not a Scheduled Drug 27 ix Allergic Reactions Therapeutic Class 4 gt EF Script Summary 4 4 1 29 ok Brands Dosing Clinical Information Lipitor Clinical Information k The manufacturer considers atorvastatin contraindicated in any patient who presents with active liver disease or unexplained persistent elevations of serum transaminases Liver Function tests prior to and at 12 weeks Following initiation of therapy periodically and following any dose increase are recommended File Tools Help Rx 3 gag Lipitor Therapeutic Classes 7 Script Summary PI Script Summary E E127 i NI Adult Hyperlipoproteinemia Type IIa Elevata Adult Hyperlipoproteinemia Type IIb Elevate dult Hyperlipoproteinemia Type III Elevate DT Initial dose 10 20 or 40 mg orally once a day The 40 mg starting dose is recommended for patients who require a reduction in LDL cholesterol of more than 4595 Maintenance dose 10 to 80 mg orally once a day File Tools Help Rx 5 ap E Pd FFS ok antihyperlipidemic agents HMG CoA reductase inhibitors Altocor N tablet extended release aduet N tablet escol N capsule escol XL N tablet extended release File Tools Help Rx F ait Ej s Interactions Allergic Reactions Therad
45. s to the global pharmacy list maintained on the remote PocketScript monitored servers and gain the following benefits PocketScript can update the global pharmacy list more frequently with phone fax number changes You can e prescribe for patients who are traveling PocketScript can identify when pharmacies are having I i x Fle Zoom Tools Help AJ Pharmacy SearchR 4 lt 9 55 ol BETRO BETRO PHARMACY 508 660 1190 924 MAIN ST WALPOLE MA Back File Tools Help Rx amp 5 ag Ej problems receiving faxes and can fix the problem for all sites PocketScript can change the status of a pharmacy to Print Only if there is a problem and then return it to normal status when the problem is resolved Expiration Date Exp Dt The system fills the Expiration Date field when you select a treatment below The Expiration Date is the date after which this script will no longer be considered for drug to drug interactions and is not related to the drug s shelf life Treatment Treat To the right of the Treat field tap the drop down arrow to display course of treatment options and tap to highlight and select a treatment This will enter an expiration date at which time the Care Delivery Solutions 3 3 2 3 3 3 script will be removed from the patient s current medication list Expired prescriptions are not considered when evaluating drug to drug interactions The options are as follows Chronic u
46. ses expiration date Chronic PRN uses expiration date Acute 3 days expires in 3 days Acute 5 days expires in 5 days Acute 7 days expires in 7 days Acute 10 days expires in 10 days Acute 14 days expires in 14 days Acute 1 month expires in 30 days Acute 2 months expires in 60 days The Expiration Date is calculated based on the selected treatment and the number of refills The formula is as follows number of refills 1 number of days on course of treatment Patient Weight Pat Wt Double tap the Patient s Weight and the Modify Patient screen appears where you can change the patient s weight Note Only the weight field can be edited on this screen Favorite Tap Favorite to save the current drug as a favorite See 4 0 Adding a Favorite Drug Macro Send will fax the prescription to the selected pharmacy Tap Macro to save the current prescription information excluding the patient s personal information as a Macro Print will print the prescription to See 5 0 Adding a Macro the network printer in your office CANCELING THE PRESCRIPTION If multiple printers are registered in the Internet Browser version the script will be printed on the printer you selected when you To cancel the prescription on the Script Summary screen tap logged on for this session Cancel You will be returned to the Choose Patient screen Note Printed prescriptions SENDING A PRESCRIPTION TO THE PHARMACY require a handwritt
47. t s standard health plan process Every three months when you view Dispensed Drug History you will be reminded that it may be incomplete Can write a prescription off formulary Yes you always have complete freedom in prescribing Patients and Coverage Q A 9 Can I still e prescribe if a patient s insurance plan is not in the system or the patient is not insured Yes the only difference you ll see is that the drugs are not color coded and that all generic drugs are indicated with up arrows At start up how do l enter patient data in the PocketScript system While your office staff can enter patient data manually the best method is to produce a patient demographic data report from your practice management system and send it to ZixCorp to transfer the data into the system Call ZixCorp s PocketScript technical service department at 866 753 9234 for information about a number of methods to accomplish the data transfer How do add new patients to the PocketScript system The most common way to enter a new patient s demographic data into the PocketScript system is to manually enter it from the desktop using a Web browser connected to the Internet Another possibility is to link to your practice management system with a single directional interface You may also add patients directly from your handheld You only need to enter the name date of birth gender and zip code to get a match with the insurer Do I have t
48. tes and Macros e Drug History D e Dispensed Drug History DRUG List File Tools Help Rx 5 aj The Drug List is an alphabetical listing of all available drugs Care Delivery Solutions To use the Drug List in prescribing follow the directions below 1 Tap Drug List The Choose Drug screen appears 2 Decide whether you want to select from a list of All drugs or narrow the drug search to include only name Brand drugs or just Generic drugs and tap the related button Note In the Internet Browser version Doctor Maintenance page you may also make this selection and it will appear on the Pocket PC If you select Generic and enter a brand name drug for which there is no generic equivalent the brand name drug will still be displayed and is available for your selection 3 Using the keyboard enter the first 3 4 letters of the drug s name and then tap Go It is not necessary to enter the entire name Drugs that match the search criteria are displayed Generic drugs are shown with a G and Non Generic Brand drugs are shown with an N EF Select Dr a dx3 45 0A Patient Name JOHN DOE al Drug Name GO C Brand Only LIPI O Generic Only _ipitor N atorvastatin tablet B ofibra G fenofibrate sede ricor N fenofibrate capsule ricor IN fenofibrate tablet eee Pregnancy Warning Contraindicated in pregnancy File Tools Help Rx 3 mj 4 Tap to highlight the desired d
49. then tap Address bar to select it 33 Care Delivery Solutions 19 2 e Tap in the Address bar to highlight the current address and replace it by typing https www eprescriber com handheld and then tap Go Important Be sure to add the s for the secure hypertext transfer protocol https e Follow the on screen instructions o Type your User ID and Password and tap Login Note Your User ID must be activated by logging in to the Internet Browser version of PocketScript as detailed on the PocketScript Welcome card shipped with your device o This will automatically initiate the download of the PocketScript application o After several files download to the device you are returned to the login screen Log in again You are now ready to begin e prescribing with your Pocket PC Installing Local PrintServer ZixCorp e prescribing solution enables you to print scripts patient copies voided and reports to any printer in your facility that is connected to a PC with high speed Internet access and running Windows NT 4 or higher Follow the procedures in the nternet Browser User s Guide with Exercises Local PrintServer setup is a two step process 1 Install PocketScript PrintServer on an office PC with high speed Internet access see Section 21 1 Appendix Installing Local PrintServer 2 Add your printer s in the Browser version of PocketScript See Section 14 2 Doctor User Maintenance in the PocketScript Inter
50. tored if it isn t on my handheld Your data is stored in the SysTrust and SAS 70 certified HIPAA compliant ZixData Center Access to this data center is controlled by various methods including biometric finger scanning and security codes What information does the PocketScript system collect about my prescribing practices The PocketScript system only collects information about the number of scripts written and certain statistical information All patient demographics are stripped from the reported data Patient privacy is totally secure How secure is the PocketScript system The PocketScript e prescriber provides security on many levels e Your password is required at log on e If the handheld is unused for a period of time you must re enter your password e All patient and prescription information is transmitted through a 128 bit or higher encryption mechanism e Each prescription has a unique PocketScript ID number associated with it This number assures the pharmacy that any script received through PocketScript is authentic The security of PocketScript also relies upon you to control access to your handheld device Just as prescription pads should not be available to unauthorized persons once you log on to your handheld it should not be left unattended How does the ZixCorp PocketScript product relate to HIPAA PocketScript uses HIPAA compliant methods to securely transmit your patient s data between you the prescrib
51. ution What is recommended when patients do not know where they want to have their prescriptions filled You could place a supervised printer near the patient sign out area Prescriptions could be printed on that machine signed and handed to patients as they leave Note Be alert so that patients get the right prescriptions and that they don t feel their personal relationships with the prescriber are impaired How can we correct or update pharmacy fax numbers In PocketScript Internet Browser version use the Maintenance Pages Pharmacy Maintenance page to make changes to pharmacy information Drugs and Formularies Q A Does the drug database include durable goods such as diabetic supplies Yes the drug database includes medical supplies that you can prescribe in the same way that you prescribe drugs 26 Care Delivery Solutions Q A Why do I have to accept or reject the Multum license agreement every six months Multum provides the drug information that is used in the PocketScript application Under the terms of the Multum license agreement for this information users of the data must reconfirm their acceptance of the agreement every six months Does Dispensed Drug History include all drugs prescribed by other practices No Dispensed Drug History may be incomplete The displayed history will not include for example categories of drugs protected from disclosure by regulation or not paid through a patien
52. w Toolbar with shortcuts to Log Out Queuing Script Log Help and About screens e Online Help for direct immediate assistance Additional improvements Internet Browser the Script Maintenance search options are expanded to include Denied scripts so that staff can easily identify renewal requests that prescribers denied All platforms o A queued script s Summary screen indicates the intended destination with on the Send or Print button o PocketScript displays a special message when dispensed drug information returned by the patient s insurance provider via RxHub lacks the identifiers required for drug interaction checking 1 0 OVERVIEW The ZixCorp e prescribing solution PocketScript brings the accuracy and efficiencies of e communication to the prescription process But it does more than enable physicians to write and transmit prescriptions directly to the pharmacy It provides point of care access to comprehensive drug information including patient drug histories drug to drug interactions and detailed drug lists for multiple formularies Status of the e prescription is logged and monitored in PocketScript How it Works Ee Fe PocketScript checks for drug to drug and drug to allergy interactions for patient Doctor is alerted if there is a potential interaction The e prescription is transmitted to the Doctor selects a pharmacy selected pharmacy completes the script detai
53. y display the data returned by the patient s insurance provider via RxHub this data may be incomplete due to their filtering or other access restrictions For example a provider may screen drugs used in the treatment of HIV AIDS and substance abuse 2 Tap to highlight the medication that you would like to refill and then tap Refill 3 To return to the practice drug history tap the Show Dispensed check box to clear it Note If the Show Dispensed check box is not selected only the drug history for your practice appears TREATMENT The Treatment dropdown list box shows different types of treatment Choose Chronic or Acute to display only those medications that are suitable for the selected type of treatment or select All to view all medications Care Delivery Solutions 3 2 6 3 2 7 3 2 8 3 2 9 ALLERGIES Before selecting a drug you can view a list of the patient s allergies by tapping the Allergy button A list of allergies that are drug or class specific appears Note If you select a drug to which the patient is allergic the system automatically displays an Allergy Alert described in section 7 0 Checking Drug Allergies EXPIRE FUNCTION The Expire button lets you manually expire a prescription so that the drug will no longer be considered when evaluating potential drug to drug interaction for this patient Tap the prescription to highlight it and then tap Expire FORMULARY COLOR CODES E
54. y entry The duplicate entries will appear on the pharmacy list that everyone in the practice will view 1 From the Search Pharmacy screen tap Add Pharmacy 2 On the Add Modify Pharmacy screen enter the following information e Pharmacy Name required usually the name of the chain and the street e Street Address City State and Zip Code e Email Address e Fax Number required if fax or print only option on the next screen will be set to fax e Phone Number required e Password specific certificate key for email encryption or to meet other state regulations 3 Tap Next to reveal the next screen and enter the name of the Chain if applicable 20 Care Delivery Solutions 4 Select Fax or Print Only e Fax enables the system to fax prescriptions using the fax number entered on the previous screen with the exception of Schedule 2 and OTC drugs e Print Only prevents sending fax prescriptions to this site 5 Select Favorites to add this site to the practice Favorites list 6 Tap Save to add the pharmacy record 12 2 Modifying a Pharmacy 1 After you have selected a pharmacy on the Search Pharmacy screen tap Modify Pharmacy 2 Onthe Add Modify Pharmacy screen make the needed changes to the pharmacy s information and then tap Next 3 Onthe continuation screen make any needed changes to the following and then tap Save to record the changes e Chain name e Fax or Print Only e D
55. you renew a prescription the original prescription is expired and no longer visible in the Patient Drug History table unless you select Include Expired DISPENSED DRUG HiSTORY DDH Dispensed drug history DDH is different from the drug history developed via the ongoing use of PocketScript by your practice because it also includes medications prescribed by physicians in other practices specialties and dispensed to patients PocketScript retrieves DDH if available and displays it if you request it PocketScript checks DDH for drug drug interaction and displays warnings if appropriate Note PocketScript displays a special message when dispensed drug information returned by the patient s insurance provider lacks the identifiers required for drug interaction checking Dispensed drug history is not available for all patients For eligible patients a Show Dispensed check box will appear on the Choose Drug screen c4 50 Q 2 Choose Drug Patient ONE TEST Select Favorite Macros emm Macro E Include Expired ME Show Walesa 04 24 2004 Cyclobenzaprine Hydrochlor 04 24 2004 Triamcinolone Acetonide Tc Favorites 4 Dr se File Tools Help Rx 29 Ej 1 To show dispensed drug history tap the Show Dispensed check box to select it The prescription list refreshes and displays the patient s dispensed drug history If the PBM returns sufficient data the drug history will be color coded Note The system can onl
56. your Pocket PC when it s not in use If your Pocket PC isn t docked you could lose the PocketScript software loaded on the device To ensure that this doesn t happen a frequent prescriber recommends keeping the charger in a prominent location within the office If you inadvertently leave the Pocket PC out of the charger contact PocketScript Customer Support at 866 753 9234 You don t have to sign your signature every time you log on to PocketScript As a security precaution after a certain period of inactivity PocketScript requires that you re enter your password The security time out default is 12 hours so after your first login of the day when you enter your password and sign your signature the rest of the day you will not have to sign your signature In the Internet Browser version Practice Maintenance page you can change the security time out to a different time period if desired 24 Care Delivery Solutions 15 0 FREQUENTLY ASKED QUESTIONS Implementation Q A o What kind of effort does it take on my part to be able to effectively implement ZixCorp s PocketScript system To gain the full benefit of the PocketScript system you must be prepared to write every script using the system If scripts are written outside the system your electronic records will be incomplete Initial information requirements from you and your staff include the following e Complete data dump from your patient management s
57. ystem e Your favorite scripts e Your favorite pharmacies Most important please make sure that everyone in your practice is prepared to work towards a successful implementation of electronic prescribing Will using PocketScript speed up prescribing PocketScript can substantially reduce the time required for the prescribing process especially after your practice has been using it for a while A few examples e Renewal requests can be queued by your staff on the browser so that all you need to do is approve and send the scripts to the pharmacies e The patient s drug history is available on one screen you don t need to leaf through pages of paper records e Drug interactions and allergies are flagged and detailed information is readily available saving you time in looking it up e You have direct access to multiple formularies so it s fast and easy to accommodate patients needs Pharmacies Q A Can PocketScript prescriptions be sent to all of my pharmacies Yes prescriptions can be sent to all pharmacies that accept fax prescriptions During setup all pharmacies in your geographic area are included in the system database with fax numbers that allow electronic transmission of your prescriptions If a particular pharmacy s fax machine is temporarily broken or its fax information is not available the pharmacy can be set to Print Only This setting enables you to print your prescription and then sign and give to the pati

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