2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)

Overview

The e-prescribing measure requires the Eligible Professional (EP) send more than 50% of all prescriptions electronically and have drug formulary enabled for the duration of the reporting period. E-refills are considered electronic prescriptions and count towards meeting this requirement. If you haven’t already, sign up to e-prescribe with Practice Fusion.

Depending on whether or not you are able to send electronic prescriptions for controlled substances, you will attest to one of the following measures:

  • e-Prescribing: Permissible
  • e-Prescribing: Permissible and Controlled Substances

If you will be attesting to e-Prescribing permissible and controlled substances, please indicate this on your Meaningful Use Dashboard.

Drug Formulary is a list of preferred medications based on a patient's insurance and allows providers to save prescription costs for patients. Practice Fusion automatically enables drug formulary functionality for all providers enabled for e-prescribing. Make sure that you complete the e-prescribing verification with Practice Fusion within 24 hours of the start of your EHR reporting period.

e-Prescribing: Permissible

Practice Fusion Meaningful Use Dashboard Calculation

  • Denominator: Number of permissible prescriptions written for non-controlled substances during the EHR reporting period.
  • Numerator: Number of prescriptions from the denominator that are queried for a drug formulary and transmitted electronically.


e-Prescribing: Permissible and Controlled Substances

Practice Fusion Meaningful Use Dashboard Calculation

  • Denominator: Number of prescriptions, including controlled substances, written during the EHR reporting period.
  • Numerator: Number of prescriptions from the denominator that are queried for a drug formulary and transmitted electronically.


Exclusion (Learn more about exclusions)

Any provider who:

  • Writes fewer than 100 prescriptions during the EHR reporting period
  • Doesn’t have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the practice location at the start of the reporting period.

Measure Requirements: Practice Fusion Suggested Workflow

1. Select Record in the Plan section of an encounter note (see Graphic 1 below).

Graphic 1: Plan Section of SOAP Note

2. Choose Medications from the tab window on the left and select from Frequent, Previous, or Record to associate a medication with this encounter (see Graphic 2 below). Once you choose a medication on the left hand side, you can see it added in the notes portion on the right (see Graphic 3 below). Click on the newly added medication to proceed with ordering.

Graphic 2: Choose Medication

Graphic 3: Medication in Notes Section

3. Add directions and a start date, along with any notes to the pharmacy in the details window. Click Order to send the medication (see Graphic 4 below).

Graphic 4: Order Medication


4. Review your prescription summary and select a pharmacy to fill the order (see Graphic 5 below). Click Send eRx.

Graphic 5: Prescription Summary

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For additional instructions, see How do I send an eRx (e-prescription)?

More information

Meaningful Use

  1. What is Meaningful Use?
  2. How do I attest for Meaningful Use?
  3. How does the Meaningful Use Dashboard work?
  4. 2018 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  5. 2018 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  6. 2018 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  7. 2018 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  8. 2018 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  9. 2018 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  10. 2018 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  11. 2018 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  12. 2018 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  13. 2018 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  14. 2017 Medicaid Meaningful Use Stage 2 Objective 1: Protect Patient Health Information
  15. 2017 Medicaid Meaningful Use Stage 2 Objective 2: Clinical Decision Support
  16. 2017 Medicaid Meaningful Use Stage 2 Objective 3: CPOE for Medication, Lab, and Radiology Orders
  17. 2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)
  18. 2017 Medicaid Meaningful Use Stage 2 Objective 5: Health Information Exchange
  19. 2017 Medicaid Meaningful Use Stage 2 Objective 6: Patient-Specific Education
  20. 2017 Medicaid Meaningful Use Stage 2 Objective 7: Medication Reconciliation
  21. 2017 Medicaid Meaningful Use Stage 2 Objective 8: Patient Electronic Access
  22. 2017 Medicaid Meaningful Use Stage 2 Objective 9: Secure Electronic Messaging
  23. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health Reporting
  24. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Immunization Registry Data Submission
  25. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Syndromic Surveillance Data Submission
  26. 2017 Medicaid Meaningful Use Stage 2 Objective 10: Public Health - Specialized Registry Reporting
  27. What are the Modified Stage 2 Meaningful Use requirements for 2017?
  28. What are the exclusions for Meaningful Use?
  29. What patients are counted for Meaningful Use?
  30. How do the components of a chart note relate to Meaningful Use?
  31. How do I print the Meaningful Use Dashboard?
  32. How do I minimize or refresh CDS notifications?
  33. How can I send a referral using Direct Messaging?
  34. How does patient portal access and auto-invite relate to Meaningful Use?
  35. What constitutes a "unique" patient?
  36. Meaningful Use attestation for previous years
  37. How do Meaningful Use payment adjustments work?
  38. How do I apply for a Meaningful Use Hardship Exception?
  39. How do I find Practice Fusion's CMS EHR Certification ID?
  40. How do I register for the Medicaid Meaningful Use Program?
  41. Can I change, modify, or cancel my attestation?
  42. How do I choose my reporting period duration for Medicaid Meaningful Use?
  43. Is Practice Fusion a certified EHR?
  44. Patient records maintained in the EHR for Meaningful Use attestation
  45. How do I get my AIU letter from Practice Fusion?
  46. How do I report eCQMs for Medicaid Meaningful Use?
  47. Do I have to meet all 10 objectives to achieve Meaningful Use?
  48. Can I participate in both MIPS (Medicare) and Meaningful Use (Medicaid)?
  49. Are there patient education materials available in Spanish?
  50. How do I select or change my reporting period start date?
  51. When do I need to sign chart notes for Meaningful Use? Can I sign a chart after the reporting period?
  52. How do I contact my state about the Medicaid EHR Incentive Program?
  53. How do I qualify for Meaningful Use if I see patients in multiple locations?
  54. How many exclusions can each provider claim for meaningful use?
  55. How do I use multiple EHR's to qualify for Medicaid Meaningful Use?
  56. What stage of Medicaid Meaningful Use am I in?
  57. How do I prepare for the PQRS Penalty Informal Review?
  58. How do I prepare for a Meaningful Use audit?
  59. How do I batch export patient data from the EHR?
  60. How can I report CQMs for PQRS?
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  62. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control (CMS 182v5)
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