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Overview

This data is critical for certain functions within a hospital and clinic setting. The two most important include: 1) Medication Reconciliation upon admission to the acute care or clinic and 2) when a patient is being discharged, the ePrescribing system can utilize this data to ensure there are no therapeutic duplications, improved medication compliance, less controlled substance abuse, and fewer adverse drug events from drug-drug interactions. All these clinical checks have been moved from the retail pharmacy directly into the provider’s screen as they ePrescribe the discharge Rx. The improvements to these functions from implementation of Retail Prescription History Solution will improve global clinical care as well as reduce overall readmission rates.

Justification for Electronic Rx History

Electronic ambulatory prescription history information is available at the point of admission and at discharge. This data allows providers to get accurate medication reconciliation data rather than depending on an oral history from the patient or family member. Medication reconciliation is a major component of safe patient care in any environment.
1.5 million people are harmed by adverse drug events costing $3.5 billion annually
The accuracy of the medication list is directly proportional to the quality of overall care and inversely proportional to adverse drug events. Approximately 7000 deaths occur yearly in the United States as a result of medication errors, and 1.5 million people are harmed by adverse drug events at a cost of $3.5 billion per year. This may be largely due to the quality of medication lists in the medical record: Among complicated patients, complete agreement between the medication list and what the patient is actually taking occurs in only 5% of patients. Unless there is improved medication reconciliation, it will be difficult to realize the potential safety benefits of information technology. Inadequate reconciliation of medication accounts for 46% of all medication errors and up to 20% of adverse drug events among hospitalized patients.

Integration and Features

Veridikal’s Retail Prescription History Solution takes into consideration the existing environment of the Client and the necessary steps to integrate the program to the Client’s native systems. Potential integration includes, but is not required: ADT downstream interface as the initiating system for a Rx History Request, interface to EMR to push the history results to the EMR database, clinical screening of drug profile, drug interaction checking with potential new drug profile entries, pharmacy and provider data, and active versus old drug profile sorting.

Data Sources

To collate the most accurate and robust data source for Retail Prescription History, Veridikal polls these distinct sources:
  • ePresribing Data
  • PBM Data
  • Ambulatory Switch Data
  • Direct Medicaid Payer Sources
  • Wide Area Patient Search (WAPS)

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