I-Pros and Cons of E-Prescribing

U-E ukumisela iindlela zokuthumela i-prescription okanye ulwazi olunxulumene nemithi phakathi kwe-prescriber okanye i-dispenser kwifomathi yekhompyutheni ngokuthe ngqo okanye ngokusebenzisa inethiwekhi e-e-prescribing. Lo myalelo uchaza oogqirha, ootitshala abancedisayo, okanye omnye umqeqeshi orenjisiweyo okanye obhalisiweyo ovumelekile ukukhupha izidakamizwa okanye imveliso. Umthengisi ubhekisela kumseli-mveliso okanye omnye oqeqeshiweyo okanye obhalisiweyo oqeqeshiweyo ukuba avumele izidakamizwa okanye imveliso.

Ukuthengiselana okubhekiselwe ukuba kuhanjiswe njenge-e-odinga kubandakanya:

• Imiqathango emitsha
• Ukuhlaziya
• Utshintsho
• Ukukhanselwa

Ukufakwa komgaqo-nkqubo weModare Modernization Act (MMA) ka-2003 wanikela ngokukhawuleza kwintsebenzo, kwaye i-Institute of Medicine yeJulayi 2006 ithi ingxelo ye-e-prescription ekunciphiseni iimpazamo zamachiza zanikwa uluntu olubanzi, olunceda ukwandisa ulwazi Ukuthatha indima ekujongeni ukukhusela isigulane. Ukwamkela imilinganiselo yokulungiselela uku-e-cwangcisa ngenye yezinto eziphambili kwisicwangciso sikaRhulumente ukukhawuleza ukutholwa kweirekhodi zezobugcisa zonyango kunye nokwakha i-infrastructures yezempilo ye-elektroniki e-United States.

Funda kabanzi malunga noku-e-prescription kuquka neendleko kunye nemiba esemthethweni.

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Iimpawu zokufaneleka

Ngokwenkqubo ye-E-Prescribing Incentive Programme, inkqubo efanelekileyo yokumisela iyakwazi konke oku kulandelayo:

• Ukuvelisa uluhlu olupheleleyo olusebenzayo lwamachiza olubandakanya idatha ekhompyutheni efunyenwe kwii-pharmacy ezichaphazelekayo kunye nabaphathi beenzuzo ze-pharmacy (i-PBMs) (ukuba ikhona)
• Khetha imishanguzo, ukuprinta imiyalelo, ukuthumela imimiselo ngekhompyutheni, nokuqhuba zonke izilumkiso (kubandakanywa ngokuzenzekelayo)
• Ukubonelela ngolwazi olunxulumene neendleko eziphantsi, iindlela ezifanelekileyo zokwelapha
• Ukubonelela ngolwazi kwi-formulary okanye kumachiza okufomula, ukufaneleka kwesigulane kunye neemfuno zokugunyazwa ezifunyenwe ngekhompyutheni kwisicwangciso seziyobisi zesigulane.
• Ukudibanisa iinkcukacha zokuthumela imiyalezo

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Iindleko

Iindleko zokuphumeza inkqubo yo-e-ofisi yezokwelapha ziyahlukahluka ngokusekelwe kubukhulu kunye nendawo. Ngaphambi kokuba wenze isigqibo sokufaka inkqubo e-e-prescribing, kukho izinto ezininzi kufuneka ziqwalaselwe ezinxulumene neendleko. Ukuthengwa kwezixhobo kunye nesofthiwe, iimali zenyanga, kunye nokugcinwa okuqhubekayo okanye ukuphuculwa kwezinto nje zizinto ezimbalwa zokuqwalasela.

Iinkonzo

• I-CMS inokukhupha iindleko ngeendlela zokumisela i-e.
• Ingabandakanywa okanye ifakwe kwi-EMR kwinkqubo
• Igcina ixesha ekusebenziseni izicelo zokugcwalisa izidakamizwa ezisindisa kwiindleko zokusebenza

Umxhasi

• Ukuthengwa nokufakela inkqubo entsha yemveliso kunokubiza
• Iindleko zibandakanya iintlawulo ze-line kunye nokugcinwa

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Imveliso

Naliphi na ixesha inkqubo entsha okanye inkqubo iphunyezwa kwiofisi yezobugcisa, umveliso unokuchaphazeleka. Ezinye iinguqu zandisa umkhiqizo okanye zinciphisa umkhiqizo ngokukhawuleza okanye ngaphezu kwexesha elixa abasebenzi befunda okanye bafunda inkqubo entsha. Umqobo omkhulu kunokuba unokumelana nokutshintshwa ngababini kunye noogqirha.

Iinkonzo

• Ukuxhuma ngokukhawuleza kwi-pharmacy kukhawuleza kunomnxeba wendabuko
• Ukunciphisa ixesha eliyithathayo ukucela ukuhlaziywa kwamachiza
• Ukwandisa isantya seefowimiti zokufowunela
• Ukunciphisa ixesha elithatha ukufaneleka kokuqinisekisa

Umxhasi

• Ngamana ingamchaphazela okwethutyana umsebenzi weofisi yezobisi
• Ukufakwa kunganciphisa inkqubo yangoku
• Abasebenzi bezeMpilo kunye noqeqesho logqirha banokunciphisa umkhiqizo

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Zomthetho

Abaninzi kwiinkampani zonyango behluleka ukuqonda ukuba ukumisela iziyobisi kuyinkqubo yomthetho. Ukuqwalasela imilinganiselo eyamkelwe yi-CMS, ezinye iinkqubo kwiofisi yezobugqirha ngoku zibhekwa njengezingekho. Ukongeza kwiiphoso zokubhala ngesandla ezinokuthi zenzeke, ukuthengiselana okubandakanya ukudibanisa okanye ukunyanzeliswa kwezigulana zobumfihlo kungasweleka sonke kwisigaba somthetho.

Iinkonzo

• Iphelisa iimpazamo zokubhala ngesandla
• Iyanciphisa umngcipheko weephene ngenxa yokudibanisa okungenzeka ngefowuni
• Ezinye iiprogram zivumela ukuhlolwa kwe-cross-checking malunga nekhompyutheni yezokwelapha ze-elektroniki ukunciphisa iziphumo ezimbi

Umxhasi

• Izikhuselo kufuneka zithathwe ukukhusela ukuphulwa kolwazi lwesigulane
• Isofthiwe yokhuseleko kufuneka ifakwe kwiidivaysi zonke kubandakanywa ngesandla

> Umthombo:

> "Inkqubo yokukhuthaza i-Electronic Printing (eRx)." cms.gov.