Slide Presentation from the AHRQ 2007 Annual Conference

Summary: Adoption and Workflow

• eRx w/ advanced transactional capabilities can be rapidly adopted by small, community-based practices
  • PMS integration, no license fee + small incentive
  • Large (>2/3) dependence on surrogates
    • Implications for decision support and safety benefits unclear
    • Policy guidance? P4P?
  • Big impact on efficiency and communication channels, but...
    • Paper-based internal communication still predominates
    • Faxing is tough to beat re: overall resource requirements
    • Opportunity for additional efficiency with more pharmacy participation plus true e-messaging within the practices
  • Conventional wisdom challenged:
    • eRenewals drive adoption (?)
    • Surrogates provide bridge to MD adoption (?)
    • eRx is a stepping stone to a full EMR (?)