Literature DB >> 18999153

Enhancing an ePrescribing system by adding medication histories and formularies: the Regenstrief Medication Hub.

Linas Simonaitis1, Anne Belsito, J Marc Overhage.   

Abstract

Medication histories improve health care quality and safety; formularies serve to control costs. We describe the implementation of the Regenstrief Medication Hub: a system to provide both histories and formularies to the Gopher ePrescribing application. Currently the Medication Hub aggregates data from two sources: the RxHub consortium of pharmacy benefit managers, and Wishard Health Services. During one month, the system generated 53,764 queries, each representing a patient visit. RxHub responded with 4,012 histories; Wishard responded with 23,421 histories. The Medication Hub aggregated and filtered these histories before delivering them to Gopher. However, clinician users accessed the histories during only 0.6% of prescribing sessions. The Medication Hub also managed drug benefit eligibility data, which enabled formulary-based decision support. However, clinicians heeded only 41% of warnings based on the Wishard Formulary, and 16% of warnings based on commercial formularies. The Medication Hub is scalable to accommodate additional pharmacy data sources.

Entities:  

Mesh：

Year:  2008        PMID： 18999153      PMCID： PMC2655932     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  7 in total

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Journal:  J Am Med Inform Assoc       Date:  2006 Nov-Dec       Impact factor: 4.497

2.  E-Prescribing collaboration in Massachusetts: early experiences from regional prescribing projects.

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Journal:  J Am Med Inform Assoc       Date:  2006-02-24       Impact factor: 4.497

3.  Physicians' experiences using commercial e-prescribing systems.

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Authors:  W M Tierney; C J McDonald; D K Martin; M P Rogers
Journal:  Ann Intern Med       Date:  1987-10       Impact factor: 25.391
  7 in total
  9 in total

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Authors:  Vivienne J Zhu; Wanzhu Tu; David G Marrero; Marc B Rosenman; J Marc Overhage
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2.  Building a production-ready infrastructure to enhance medication management: early lessons from the nationwide health information network.

Authors:  Linas Simonaitis; Brian E Dixon; Anne Belsito; Theda Miller; J Marc Overhage
Journal:  AMIA Annu Symp Proc       Date:  2009-11-14

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Authors:  Kate L Lapane; Molly E Waring; Catherine Dubé; Karen L Schneider
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5.  Development and use of a medication history service associated with a health information exchange: architecture and preliminary findings.

Authors:  Mark E Frisse; Lianhong Tang; Anne Belsito; J Marc Overhage
Journal:  AMIA Annu Symp Proc       Date:  2010-11-13

6.  Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors.

Authors:  Joshua M Pevnick; Katherine A Palmer; Rita Shane; Cindy N Wu; Douglas S Bell; Frank Diaz; Galen Cook-Wiens; Cynthia A Jackevicius
Journal:  J Am Med Inform Assoc       Date:  2016-01-17       Impact factor: 4.497

7.  Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.

Authors:  Mindy E Flanagan; Jason J Saleem; Laura G Millitello; Alissa L Russ; Bradley N Doebbeling
Journal:  J Am Med Inform Assoc       Date:  2013-03-14       Impact factor: 4.497

8.  Integration of Provider, Pharmacy, and Patient-Reported Data to Improve Medication Adherence for Type 2 Diabetes: A Controlled Before-After Pilot Study.

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9.  The Connected Community Pharmacy: Benefits for Healthcare and Implications for Health Policy.

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Journal:  Front Pharmacol       Date:  2018-11-28       Impact factor: 5.810
  9 in total

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