RESUMO
Massachusetts payers and providers have encouraged clinician usage of e-Prescribing technology to improve patient safety, enhance office practice efficiencies, and reduce medical costs. This report describes three early pilot e-Prescribing projects as case studies. These projects identified the e-Prescribing needs of clinicians, illustrated key issues that made implementation difficult, and clarified the impact of various types of functionality. The authors identified ten key barriers: (1) previous negative technology experiences, (2) initial and long-term cost, (3) lost productivity, (4) competing priorities, (5) change management issues, (6) interoperability limitations, (7) information technology (IT) requirements, (8) standards limitations, (9) waiting for an "all-in-one solution," and (10) confusion about competing product offerings including hospital/Integrated Delivery System (IDN)-sponsored projects. In Massachusetts, regional projects have helped to address these barriers, and e-Prescribing activities are accelerating rapidly within the state.
Assuntos
Prescrições de Medicamentos/estatística & dados numéricos , Sistemas de Registro de Ordens Médicas , Programas Médicos Regionais , Implementação de Plano de Saúde , Humanos , Massachusetts , Sistemas de Registro de Ordens Médicas/economia , Sistemas de Registro de Ordens Médicas/organização & administração , Sistemas Computadorizados de Registros Médicos , Projetos Piloto , Sociedades Médicas , Software , Planos Governamentais de Saúde , Estados UnidosRESUMO
The state of Massachusetts has significant early experience in planning for and implementing interoperability networks for exchange of clinical and financial data. Members of our evolving data-sharing organizations gained valuable experience that is of potential benefit to others regarding the governance, policies, and technologies underpinning regional health information organizations. We describe the history, roles, and evolution of organizations and their plans for and success with pilot projects.