Preparing for Electronic Prescribing of Controlled ... EPCS Enablement Update... · Drug Overdose Death Rates Misuse of Controlled Substances: Epidemic and Growing Health Threat Laws

Copyright © 2015 by Surescripts, LLC. All rights reserved. Copyright © 2015 by Surescripts, LLC. All rights reserved.

Preparing for Electronic Prescribing of Controlled Substances (EPCS) in New York

Ken Whittemore, Jr. R.Ph., MBA

Senior VP, Professional & Regulatory Affairs

Copyright © 2015 by Surescripts, LLC. All rights reserved.

Agenda / Objective

During this session Surescripts will:

Provide information on national EPCS

adoption status and trends

Share real and practical barriers for

all affected stakeholders

Explain the steps toward the adoption of

EPCS for medical practices

Share information as to what

Surescripts is doing to help you

succeed with EPCS

2


Drug Overdose Death Rates

Misuse of Controlled Substances:

Epidemic and Growing Health Threat

Laws are emerging to allow broad availability of opioid antidote

Pharmacies and prescribers are intervention points, also subject

to investigations and loss of license

3

increase in drug overdoses since 1995 3X

of the U.S. population has used an opioid pain reliever non-medically

4.8%

emergency department visits related to substance abuse in 2009

1.2M


EPCS Adoption Status as of September 30, 2015

4

Over 7.6 million New Rx messages sent across the network in 2015

Yearly Volume:

2012 = 37k

2013 = 330k

2014 = 1.6M

2015(projected) = 10M

100+ prescriber vendors are certified

53,000+ active* e-prescriber are enabled for EPCS

*Sent an e-prescription in the last 30 days.

46 pharmacies and pharmacy vendors certified

51,000+ pharmacy locations are enabled for EPCS (~81% of total)

40,000+ pharmacy locations have processed EPCS in last 30 days (~64% of total)


Sampling of Certified EPCS Software

5

Pharmacy Companies Provider EHR Companies

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=4yD2QZtM2GpXRM&tbnid=nalkXq9_tjbhvM:&ved=0CAUQjRw&url=http://imedicare.com/&ei=UY9VU6GzNJHmsASIpIKgDg&bvm=bv.65058239,d.aWc&psig=AFQjCNE75OWb8B-T4gxrq_fnHEeDJR5Dgg&ust=1398202562413841


EPCS Transaction Volume (as of September 30, 2015)

1,352,968

-

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

Jul-1

1

Se

p-1

1

Nov-1

1

Jan

-12

Ma

r-12

Ma

y-1

2

Jul-1

2

Se

p-1

2

Nov-1

2

Jan

-13

Ma

r-13

Ma

y-1

3

Jul-1

3

Se

p-1

3

Nov-1

3

Jan

-14

Ma

r-14

Ma

y-1

4

Jul-1

4

Se

p-1

4

Nov-1

4

Jan

-15

Ma

r-15

Ma

y-1

5

Jul-1

5

Se

p-1

5

Nov-1

5

Monthly EPCS Volume + Monthly Forecast

Month Total Forecasted Month Total

Massive Q/Q

Growth in 2015

Q3 2015 = 3,644,480

NEWRX – 41%

increase over Q2

Q2 2015 = 2,587,964

NEWRX – 88%

increase over Q1

Q1 2015 = 1,376,782

NEWRX – 75%

increase over Q4

6


All 50 States Plus the District of Columbia

Allow EPCS

7


New York EPCS Enablement


EPCS Adoption Barriers Updating EHR

Software Determining status

and how providers

can get their software

EPCS ready

Confirming

Identify Know approach

for proving and

authentication

user identity with

EHR system

Setting Access

Controls Set local controls to

grant prescriber

access permission for

EPCS transactions

9

False

Knowledge

Competing

Workload

Priorities

Changing

Regulatory

Requirements

Education

Gaps Cost

Concerns Fear of Non-Compliance

Limited

Time

3rd Party

Audits for

Software

Software

Updates

Gaps Between

Pharmacy and

Provider

Readiness

Identify Proofing

and Two-Factor

Authentication

Setting Access

Controls

Uncertain

Action Steps

Provider/

Pharmacy

Coordination


Step 1

Step 2

Step 3

Key Steps for EPCS Transactions

10

EHR Vendor/ Provider EHR Updates Software • EPCS Certification

• Select Identity Proofing

• Verified Audit

Enable Provider EHR

Systems • ID Proofing Setup

• Dual Authentication Device

• Training

Prescriber ready to send

EPCS

IT Vendor/ Pharmacy Vendor Updates Software • EPCS Certification

• Select Identity Proofing

• Verified Audit

Enable Pharmacy Systems • Access Controls Set

• Training

Pharmacist Ready to Receive

EPCS

Systems connected to

Surescripts network for

secure EPCS

transactions

EHR PMS


I Want to E-prescribe Controlled Substances….What Do

I Do?

• First and foremost, your e-prescribing application needs to be upgraded so the it

complies with the rules and regulations that govern EPCS

• Your EHR must go through a Surescripts certification

• Your EHR must successfully complete a Part 1311 third-party software audit

• Your EHR must work with a Certificate Authority (CA) and a Credential Services

Provide (CSP)

• In the case of an Institutional Provider, your institution may take on all or

some of the roles of a CA and CSP.

11

If your EMR has done all of these things, you can take the next

step!


PLACEHOLDER FOR GETEPCS.COM VIDEO

12


One More Step!

• In the State of New York, you must register with the Bureau of Narcotic

Enforcement (BNE)

• If you are a prescriber you can do this online at:

https://commerce.health.state.ny.us

13

https://commerce.health.state.ny.us/




Supporting EPCS Collaboration –

Online Resources

14

www.surescripts.com/epcs


View State Status, Identify EPCS Enablement

15



Find Local Physicians and Pharmacies Already

Enabled for EPCS

16


Copyright © 2015 by Surescripts, LLC. All rights reserved. Copyright © 2015 by Surescripts, LLC. All rights reserved.

Q&A

Copyright © 2015 by Surescripts, LLC. All rights reserved. 18

Documents

Preparing for Electronic Prescribing of Controlled ... EPCS Enablement Update... · Drug Overdose Death Rates Misuse of Controlled Substances: Epidemic and Growing Health Threat Laws