2017 Medicaid Meaningful Use Stage 2 Objective 4: Electronic Prescribing (eRx)

Overview

To achieve the e-prescribing measure, you must send more than 50% of all prescriptions electronically and have drug formulary enabled for the entire 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.


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.


e-Prescribing: Permissible

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

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.


Practice Fusion workflow

1. From the encounter note, select Record in the Plan section.



2. Choose Medications from the tab window on the left and select from Frequent, Previous, or Record to associate a medication with this encounter.


3. Once you have chosen a medication on the left hand side, it will add it to the notes portion on the right. Please click on the newly added medication to proceed with the ordering.


4. Add directions and a start date along with any notes to the pharmacy, etc in the details window and click Order to send the medication.



5. Review your prescription summary and select a pharmacy to fill the order. Click Send eRx.

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


More information

Review the CMS specifications for more information about this measure.


For more information on the EHR Incentive program, you should visit the Meaningful Use Center.

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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