Re: Sign a prescription and then FAX

[Guest guest]

Steve’s signature is scanned into

our EMR and it puts that signature on the rx’s that are faxed out of the

system to the pharmacies. Starting this year, the pharmacies have been

rejecting those rx’s, stating that they need an “original”

signature. Typically, they fax it to us, we print it out, Steve signs it, and

we scan it and fax it back. Mind you, the signature is his original signature

and cannot be generated except under his user id/password. This is NOT

consistent among pharmacies. And they will still take a verbal, which makes no

sense to me whatsoever. It is a royal pain.

I don’t know about the iPad thing,

but that would be worth looking into since we’re looking at migrating to

an off-site server (ASP) and using an iPad when the tablet breaks down.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Wednesday, November 17, 2010

9:32 AM

To:

Subject:

Sign a prescription and then FAX

I am hoping one of my very

smart colleagues can help me out here.

For a bunch of prescriptions (schedule III think ) you had to have

the provider SIGN the script before it was faxed to a pharmacy.

For the last two years, despite having an EMR for many of those scripts

(ambien, lyrica, vicodin) we had the extra pain of having to PRINT those RXs so

I could sign them, then have a staff person fax them to the right pharmacy.

This is painful and often things get lost of the faxes don't always go through.

I was under the impression that we just had a better EMR that could incorporate

my signature or way for me to sign on the computer it could be auto-faxed

through the system to the pharmacy (or through an e-scribe). But in my

own experiments I know hear that it was the DEA that insists that everything

get printed and signed for the schedule III.

There are some nifty programs for ipad which can do scripts and let you

sign them on the screen--and then fax them over the internet 3g or wifi-- (Can

you sign stuff online in practice fusion?)-- would that be ok or is it STILL a

violation since I did not physically print and sign it?

[Guest guest]

iPad not so useful because you can't print from it (yet), o/w I'd get one

 

Steve’s signature is scanned into our EMR and it puts that signature on the rx’s that are faxed out of the system to the pharmacies.  Starting this year, the pharmacies have been rejecting those rx’s, stating that they need an “original” signature.  Typically, they fax it to us, we print it out, Steve signs it, and we scan it and fax it back.  Mind you, the signature is his original signature and cannot be generated except under his user id/password.  This is NOT consistent among pharmacies.  And they will still take a verbal, which makes no sense to me whatsoever.  It is a royal pain. 

 

I don’t know about the iPad thing, but that would be worth looking into since we’re looking at migrating to an off-site server (ASP) and using an iPad when the tablet breaks down.

 

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Wednesday, November 17, 2010 9:32 AMTo:

Subject: Sign a prescription and then FAX

 

 

I am hoping one of my very smart colleagues can help me out here.

 

For a bunch of prescriptions (schedule III think ) you had to have the provider SIGN the script before it was faxed  to a pharmacy.  For the last two years, despite having an EMR for many of those scripts (ambien, lyrica, vicodin) we had the extra pain of having to PRINT those RXs so I could sign them, then have a staff person fax them to the right pharmacy. This is painful and often things get lost of the faxes don't always go through.

 

I was under the impression that we just had a better EMR that could incorporate my signature or way for me to sign on the computer it could be auto-faxed through the system to the pharmacy (or through an e-scribe).  But in my own experiments I know hear that it was the DEA that insists that everything get printed and signed for the schedule III.

 

There are some nifty programs for ipad which can do scripts and let you sign them on the screen--and then fax them over the internet 3g or wifi-- (Can you sign stuff online in practice fusion?)-- would that be ok or is it STILL a violation since I did not physically print and sign it?

 

 

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

[Guest guest]

If you use dropbox you can, now don't ask me how...

 

iPad not so useful because you can't print from it (yet), o/w I'd get one

 

Steve’s signature is scanned into our EMR and it puts that signature on the rx’s that are faxed out of the system to the pharmacies.  Starting this year, the pharmacies have been rejecting those rx’s, stating that they need an “original” signature.  Typically, they fax it to us, we print it out, Steve signs it, and we scan it and fax it back.  Mind you, the signature is his original signature and cannot be generated except under his user id/password.  This is NOT consistent among pharmacies.  And they will still take a verbal, which makes no sense to me whatsoever.  It is a royal pain. 

 

I don’t know about the iPad thing, but that would be worth looking into since we’re looking at migrating to an off-site server (ASP) and using an iPad when the tablet breaks down.

 

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Wednesday, November 17, 2010 9:32 AMTo:

Subject: Sign a prescription and then FAX

 

 

I am hoping one of my very smart colleagues can help me out here.

 

For a bunch of prescriptions (schedule III think ) you had to have the provider SIGN the script before it was faxed  to a pharmacy.  For the last two years, despite having an EMR for many of those scripts (ambien, lyrica, vicodin) we had the extra pain of having to PRINT those RXs so I could sign them, then have a staff person fax them to the right pharmacy. This is painful and often things get lost of the faxes don't always go through.

 

I was under the impression that we just had a better EMR that could incorporate my signature or way for me to sign on the computer it could be auto-faxed through the system to the pharmacy (or through an e-scribe).  But in my own experiments I know hear that it was the DEA that insists that everything get printed and signed for the schedule III.

 

There are some nifty programs for ipad which can do scripts and let you sign them on the screen--and then fax them over the internet 3g or wifi-- (Can you sign stuff online in practice fusion?)-- would that be ok or is it STILL a violation since I did not physically print and sign it?

 

 

-- M.D.www.elainemd.comOffice:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- Sangeetha Murthy M.D7830 mont Mesa Blvd #287San Diego, CA 92111www.mypcponline.com

[Guest guest]

My understanding is that the “new” iPad

(this is according to Steve) has network printing capabilities. My

understanding is that if we have an ASP (server off-site), the iPad is

connecting to the off-site server, and telling the server to print to our

network printer, thus printing from the iPad indirectly. Maybe my

understanding of this is wrong, though, since we’re not actually using the iPad

in our office yet (it’s still a pipe dream!)

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Wednesday, November 17, 2010

9:49 AM

To:

Subject: Re:

Sign a prescription and then FAX

iPad not so useful because you can't print from it

(yet), o/w I'd get one

On Wed, Nov 17, 2010 at 9:47 AM, Pratt

wrote:

Steve’s signature is scanned into our EMR

and it puts that signature on the rx’s that are faxed out of the system to the

pharmacies. Starting this year, the pharmacies have been rejecting those

rx’s, stating that they need an “original” signature. Typically, they fax

it to us, we print it out, Steve signs it, and we scan it and fax it

back. Mind you, the signature is his original signature and cannot be

generated except under his user id/password. This is NOT consistent among

pharmacies. And they will still take a verbal, which makes no sense to me

whatsoever. It is a royal pain.

I don’t know about the iPad thing, but

that would be worth looking into since we’re looking at migrating to an

off-site server (ASP) and using an iPad when the tablet breaks down.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From:

[mailto: ]

On Behalf Of

Sent: Wednesday, November 17, 2010

9:32 AM

To:

Subject:

Sign a prescription and then FAX

I am hoping one of my very smart colleagues can help me out

here.

For a bunch of prescriptions (schedule III think ) you had to have

the provider SIGN the script before it was faxed to a pharmacy.

For the last two years, despite having an EMR for many of those scripts

(ambien, lyrica, vicodin) we had the extra pain of having to PRINT those RXs so

I could sign them, then have a staff person fax them to the right pharmacy.

This is painful and often things get lost of the faxes don't always go through.

I was under the impression that we just had a better EMR that could

incorporate my signature or way for me to sign on the computer it could be

auto-faxed through the system to the pharmacy (or through an e-scribe).

But in my own experiments I know hear that it was the DEA that insists

that everything get printed and signed for the schedule III.

There are some nifty programs for ipad which can do scripts and let you

sign them on the screen--and then fax them over the internet 3g or wifi-- (Can

you sign stuff online in practice fusion?)-- would that be ok or is it STILL a

violation since I did not physically print and sign it?

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

[Guest guest]

All of my scripts are turned into PDFs prior to faxing with the signature embedded in it.If the pharmacy requires a wet signature, we  create the PDF without the signature, load it into a PDF editor, sign it, save it back as PDF and then fax it .. all paperless but time consuming with the extra steps.

My understanding is that the “new” iPad

(this is according to Steve) has network printing capabilities.  My

understanding is that if we have an ASP (server off-site), the iPad is

connecting to the off-site server, and telling the server to print to our

network printer, thus printing from the iPad indirectly.  Maybe my

understanding of this is wrong, though, since we’re not actually using the iPad

in our office yet (it’s still a pipe dream!)

 

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Wednesday, November 17, 2010

9:49 AM

To:

Subject: Re:

Sign a prescription and then FAX

 

 

iPad not so useful because you can't print from it

(yet), o/w I'd get one

On Wed, Nov 17, 2010 at 9:47 AM, Pratt

wrote:

 

Steve’s signature is scanned into our EMR

and it puts that signature on the rx’s that are faxed out of the system to the

pharmacies.  Starting this year, the pharmacies have been rejecting those

rx’s, stating that they need an “original” signature.  Typically, they fax

it to us, we print it out, Steve signs it, and we scan it and fax it

back.  Mind you, the signature is his original signature and cannot be

generated except under his user id/password.  This is NOT consistent among

pharmacies.  And they will still take a verbal, which makes no sense to me

whatsoever.  It is a royal pain. 

 

I don’t know about the iPad thing, but

that would be worth looking into since we’re looking at migrating to an

off-site server (ASP) and using an iPad when the tablet breaks down.

 

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From:

[mailto: ]

On Behalf Of

Sent: Wednesday, November 17, 2010

9:32 AM

To:

Subject:

Sign a prescription and then FAX

 

 

I am hoping one of my very smart colleagues can help me out

here.

 

For a bunch of prescriptions (schedule III think ) you had to have

the provider SIGN the script before it was faxed  to a pharmacy.

 For the last two years, despite having an EMR for many of those scripts

(ambien, lyrica, vicodin) we had the extra pain of having to PRINT those RXs so

I could sign them, then have a staff person fax them to the right pharmacy.

This is painful and often things get lost of the faxes don't always go through.

 

I was under the impression that we just had a better EMR that could

incorporate my signature or way for me to sign on the computer it could be

auto-faxed through the system to the pharmacy (or through an e-scribe).

 But in my own experiments I know hear that it was the DEA that insists

that everything get printed and signed for the schedule III.

 

There are some nifty programs for ipad which can do scripts and let you

sign them on the screen--and then fax them over the internet 3g or wifi-- (Can

you sign stuff online in practice fusion?)-- would that be ok or is it STILL a

violation since I did not physically print and sign it?

 

 

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

 

If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

What I've done - still not convenient - is fax the Rx'd for controlled substances that can be called in - ie Valium -- then call the pharmacy voicemail and leave a short message - Fax for Patient X is called in for X, Y, Z meds.

I usually don't go through the whole dosing, etc, just verbally confirm the fax is real.

The local pharmacies seem to accept this as a " verbal " message and then take all the detailed info off the fax.

Not ideal, but works OK.

Locke, MD

[Guest guest]

I have a contract with patients on controlled substances -- they need to come in

every 3 months for med check/refills. Yes it is a very boring appointment for

most stable patients, but almost every med check appointment has an " oh by the

way. " And the visit is usually covered by insurance, unlike the psychiatrist

appointments (not saying that is right -- I would love it if all my benzo

patients went to a psychiatrist). Controlled substance refills used to be the

bane of my prescribing existence, and now I look forward to seeing those

patients, discussing usage, risks/benefits/habituation, and alternative

treatments. It is an education piece for at least 2 years -- I still have to

email some and remind them...

And yes, some folks don't want to come in every 3 months, and they have gone to

" hamster wheel " clinics that do not have time to see them, so they get the

refill -- but I don't do it... part of my transition to becoming a

" non-work-a-holic " is saying NO to some non-compensated chores...

a Garrido, ARNP

www.villagefamilyclinic.com

>

> >

> > I am hoping one of my very smart colleagues can help me out here.

> >

>

> For a bunch of prescriptions (schedule III think ) you had to have

> the provider SIGN the script before it was faxed to a pharmacy. For the

> last two years, despite having an EMR for many of those scripts (ambien,

> lyrica, vicodin) we had the extra pain of having to PRINT those RXs so I

> could sign them, then have a staff person fax them to the right pharmacy.

> This is painful and often things get lost of the faxes don't always go

> through.

>

> I was under the impression that we just had a better EMR that could

> incorporate my signature or way for me to sign on the computer it could be

> auto-faxed through the system to the pharmacy (or through an e-scribe). But

> in my own experiments I know hear that it was the DEA that insists that

> everything get printed and signed for the schedule III.

>

> There are some nifty programs for ipad which can do scripts and let you sign

> them on the screen--and then fax them over the internet 3g or wifi-- (Can

> you sign stuff online in practice fusion?)-- would that be ok or is it STILL

> a violation since I did not physically print and sign it?

>

>

>

[Guest guest]

If your prescriptions come to you in electronic form,  you can use Snagit to screen capture the Rx image,  use your mouse or electonic pen to check the refills, etc, and sign,  and fax back to pharmacy directly from Snagit (print it to your fax modem.)

 

I am hoping one of my very smart colleagues can help me out here.

For a bunch of prescriptions (schedule III think ) you had to have the provider SIGN the script before it was faxed  to a pharmacy.  For the last two years, despite having an EMR for many of those scripts (ambien, lyrica, vicodin) we had the extra pain of having to PRINT those RXs so I could sign them, then have a staff person fax them to the right pharmacy. This is painful and often things get lost of the faxes don't always go through.

I was under the impression that we just had a better EMR that could incorporate my signature or way for me to sign on the computer it could be auto-faxed through the system to the pharmacy (or through an e-scribe).  But in my own experiments I know hear that it was the DEA that insists that everything get printed and signed for the schedule III.

There are some nifty programs for ipad which can do scripts and let you sign them on the screen--and then fax them over the internet 3g or wifi-- (Can you sign stuff online in practice fusion?)-- would that be ok or is it STILL a violation since I did not physically print and sign it?