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Electronic Prescriptions for Controlled Substances (EPCS)

Electronic Prescriptions for Controlled Substances (EPCS). Rob Silverman | Kenny Condie | Jamie Crumley August 21, 2012. Objectives – Pharmacist. Objectives – Pharmacist. Objectives – Pharmacist. Objectives – Pharmacy Technician. Objectives – Pharmacy Technician.

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Electronic Prescriptions for Controlled Substances (EPCS)

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  1. Electronic Prescriptions for Controlled Substances (EPCS) Rob Silverman |Kenny Condie| Jamie Crumley August 21, 2012

  2. Objectives – Pharmacist

  3. Objectives – Pharmacist

  4. Objectives – Pharmacist

  5. Objectives – Pharmacy Technician

  6. Objectives – Pharmacy Technician

  7. Objectives – Pharmacy Technician

  8. WHO is affected by EPCS?

  9. What was that about the RESIDENTS?

  10. WHAT prescriptions are impacted by EPCS? Code of Federal Regulations SECTION 1308 SCHEDULES OF CONTROLLED SUBSTANCES

  11. Driving the Point Home What schedules of controlled substances are impacted by EPCS? • Just C-II • C-II and C-III only • ALL Schedules of legal controlled substances, C-II through C-V

  12. WHY do we have to do this? http://www.deadiversion.usdoj.gov/ fed_regs/rules/2010/fr0331.pdf

  13. POLL RESULTS

  14. WHERE does all this show up?

  15. WHEN will EPCS impact my site?

  16. Big Bang Theory

  17. CPRS v29 Timeline 8/17/12 IOC Milestone 1/23/12 – 7/30/12 CPRS v29 Develop/TEST 8/17/12 – 11/16/12 V29 Production Test 11/19/12 – 3/8/13 V29 National Release 4/1/12 7/1/12 10/1/12 1/1/13

  18. HOW are we going to do all this?

  19. COMPONENTS CPRS, Pharmacy and Kernel VistA Patches PIV Cards and Card Readers

  20. Provider Setup Chief of Staff’s Office Credentialing Office Pharmacy Service Informatics Service IRM / IT Service Provider’s VistA Account CPRS Parameters / File Properties

  21. Prescription Writing Process Flow • Write prescription as usual • CPRS checks prescriber privileges • DEA# or VA# • Valid Expiration Date • Drug Schedule is Authorized • VistA electronic signature • PIV card and PIN • 2 FACTOR AUTHENTICATION

  22. Prescription Finishing Process Flow • Pharmacist receives pending prescription • VistA pharmacy checks received prescription against the digitally signed version (file #101.52) • PKI Server is used to perform cryptographic comparison

  23. The PKI SERVER

  24. TheBIG SWITCH &the little switch

  25. What’s this THIRD PARTY I keep hearing about? How Can I Be Invited?

  26. Outpatient pharmacy received paper Rx’s for stimulants from a nurse practitioner (NP) NP did not have privileges for [C-II n] controlled substances How does EPCS address this situation? Case Study

  27. EPCS and Prescribing Privileges How will EPCS help address the scenario described in the case study? • Record the specific privileges using the XU EPCS EDIT PROVIDER DATA application • Assume all schedules are permitted if no explicit data is defined • Remove the provider’s DEA# and VA# if there is definitive evidence that they have no privileges • All of the above

  28. POLL RESULTS

  29. https://www.deadiversion.usdoj.gov/ webforms/validateLogin.jsp

  30. CPRS SCREEN IMAGES

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