What is ePostRx? - ANSHealth

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Oct 28, 2013 (3 years and 11 months ago)

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Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

1








ePostRx


Making ePharmacy a Reality



A Brief for IT Managers and Pharmacy
Architects








Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

2

Table of Contents

ELECTRONIC PRESCRIBI
NG BACKGROUND

................................
.......................

3

W
HAT IS E
P
HARMACY
?

................................
................................
................................
....

3

W
HAT IS
E
LECTRONIC
P
RESCRIBING
?

................................
................................
..............

3

W
HY
E
LECTRONIC
P
RESCRIBING
?
................................
................................
....................

4

EPOSTRX


MAKING EPHARMACY A R
EALITY
................................
....................

5

W
HAT IS E
P
OST
R
X
?

................................
................................
................................
.........

5

W
HY WAS E
P
OST
R
X CREATED
?

................................
................................
.......................

6

W
HO WOULD USE E
P
OST
R
X
?

................................
................................
...........................

6

W
HY WOULD
I

USE E
P
OST
R
X
?

................................
................................
.........................

7

EPOSTRX PRODUCT SUIT
E
................................
................................
........................

8

B
USINESS
-
TO
-
B
USINESS
(B2B)

T
RANSACTION
E
NGINE

................................
...................

8

M
ANAGEMENT
C
ONSOLE

................................
................................
................................
.

9

C
LIENT
T
OOLKIT

................................
................................
................................
..............

9

R
ELATIONAL
D
ATABASE
M
ANAGEMENT
S
YSTEM
................................
..........................

10

W
EB
C
ONNECT

................................
................................
................................
...............

10

EPOSTRX IN
ACTION; SOME REAL WO
RLD SCENARIOS
...............................

11

S
CENARIO
1

-

C
LINIC OR
H
OSPITAL
................................
................................
................

12

S
CENARIO
2



F
ULFILLMENT
W
ORKFLOW
................................
................................
......

13

CONCLUSION
................................
................................
................................
................

14




Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

3

Electronic
Prescribing Background


What is ePharmacy?


Similar to a Business
-
to
-
Business or B2B model where partners trade information
electronically to satisfy their business needs, electronic or ePharmacy will allow
pharmacy business to communicate and manage the
electronic transfer of
prescription data among

trading partners, store locations, workflow queues and
customers.

ePharmacy means point
-
to
-
point (P2P) digital transfer of electronic
prescription or eRx data.

No more fax! No more email! The workflow possibil
ities
are endless creating new business opportunities with inherit dynamics for
customer choice and convenience. ePharmacy will foster new, non
-
traditional
pharmacy applications and processes that maximize efficiency, boost
productivity, reduce costs, all
while addressing the industry concerns over the
shortage of qualified Pharmacists and high fatality rate due to prescription errors.

Additionally, similar to the introduction of consumer products and technologies
like the microwave, bank ATMs, VHS and DVD
, ePharmacy will breed customer
convenience.

No longer will customers go to their pharmacy of choice, but rather
to their pharmacy of convenience!




What is Electronic Prescribing?


At the core of ePharmacy is the concept of electronic prescribing. Electr
onic
Prescribing is the process by which prescription information is transferred
electronically between physicians and dispensing pharmacies. While it may
initially seem that Electronic Prescribing involves only new prescriptions requiring
data transfer fr
om physicians to pharmacies, this is not the case. In fact,
electronic prescribing involves several functions, including:




New prescriptions: A physician writes a new prescription. Data flows
from physician to pharmacies



Refill/Renew prescriptions: A pres
cription has expired (no refills left);
the pharmacy sends a refill request to the physician. Data flows from
pharmacies to physician.



Approvals/Denials: In response to a Refill/Renew prescription request,
a physician sends a response. Data flows from phys
ician to
pharmacies.



Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

4


Why Electronic Prescribing?


Traditional approaches to controlling prescription benefit costs and improving
quality have peaked in terms of effectiveness. Unfortunately, the peak is not high
enough: Drug spending has been rising at a

blistering rate and prescribing errors
according to the 1999 Institute of Medicine Report, remain rampant attributing to
over 7,000 deaths each year with an annual cost of over $77 billion. The
cornerstone of the solution to these problems is computerized

prescribing or
ePrescribing
. By delivering knowledge
-
based patient
-
specific information during
the Physician Order Entry (POE) process to an electronic device such as a
Personal Digital Assistant (PDA), physicians can reduce prescribing errors.
Consequent
ly, pharmacy efficiency also benefits from
ePrescribing

because the
delivered prescriptions are legible and formulary compliant, even if the
prescription is faxed to the pharmacy. Additional savings and efficiencies could
be realized if the prescription in
formation could be passed electronically, Point
-
to
-
Point (P2P) among all business entities in the provider and dispensing chain.


Until now,
ePrescribing

players have placed more emphasis on the POE process
and NOT prescription delivery and its overall imp
act on pharmacy workflow.
Traditional methods of so
-
called electronic delivery include fax and email from
the POE system to the patient’s pharmacy of choice. Unfortunately, these
methods are unpredictable, unreliable and insecure. In fact, HIPPA is still
u
ndecided if faxing patient information to a third party is an acceptable method
that guarantees patient privacy!


In this age of electronic commerce, the solution is quite obvious. A cost
-
effective
Point
-
to
-
Point (P2P) solution based product is required th
at provides seamless
connectivity over the Internet, LAN/WAN or private network. This solution would
have to efficiently manage eRx transactions between healthcare business
partners, and provide security that meets and exceeds HIPPA compliance, as well
as
the DEAs newly defined standard for Electronic Prescriptions for Controlled
Substances (EPCS). Does this product exist? Yes! It’s called ePostRx!





Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

5

ePostRx


Making ePharmacy a Reality


What is ePostRx?


To better define ePostRx, let’s first define what e
PostRx is not:


What ePostRx is NOT




Pharmacy Software



Physician Ordering System



Internet Connectivity Hub such as RxHub or SureScripts.



On
-
line Prescription Exhange.



Prescription Writing tool.


What ePostRx IS


ePostRx is the only ePharmacy business sol
ution currently available that allows
YOUR business to connect, manage and intelligently route electronic NCPDP
SCRIPT transactions between you and your healthcare partners, store locations
and workflow queues.


With ePostRx, companies (such as Physician,

Clinic, Point Of Care (POC) vendor,
Hospital, Chain Pharmacies and Independent Retail) who need to transfer
prescription data electronically can now implement a cost effective, enterprise
solution that can be configured to meet any pharmacy scenario. Beca
use
ePostRx provides the tools required to connect, manage and monitor electronic


Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

6

prescription transactions between business partners, companies can now extend
into any segment of digital pharmacy to effectively meet the growing demand for
prescriptions
. B
est of all, because ePostRx acts as an enterprise plug
-
in, your
current infrastructure investment is preserved!


Why was ePostRx created?


The primary mission in developing ePostRx was to accelerate the adoption of
electronic prescribing by providing B2B

tools and services which:



Enable the pharmacy/healthcare market to connect, manage and
intelligentl
y transfer electronic prescription or NCPDP SCRIPT data
among business partners.






Address the operational impact of this new electronic medium by
providin
g cost effective, open, secure and configurable solution(s).


Who would use ePostRx?


ePostRx was designed with Business
-
to
-
Business (B2B) in mind. Just as in a B2B
model where partners trade information electronically to satisfy their business
needs, ePo
stRx allows businesses to transfer prescription information among
their trading partners or business entities who prescribe or dispense
prescriptions.


A business entity can be a:


1.

Provider

2.

Prescriber Service

3.

Mail
-
Order

4.

Retail Pharmacy

5.

Chain Pharmacy

6.

Cent
ral Fill

7.

Clinic

8.

Hospital

9.

Internet Connectivity Hub

10.

On
-
line Prescription Exchange


The ePostRx business solution can enhance any pharmacy business model that
has the need to electronically transfer prescription information among these
business entities. Use
rs can manage the data exchange via a web based
management console which provides centralized, secure P2P digital connectivity
for all entities involved.





Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

7

Why would I use ePostRx?


The reasons to use ePostRx are many, but here are a few:




Cost Effectiv
e

-

because ePostRx is an Enterprise middle
-
ware solution that
acts as a plug
-
in preserving your current infrastructure investment.




Compliant
-

full support for NCPDP, RxHub and SureScript SCRIPT
Implementations, which includes data element validation and

real
-
time
translation between

various SCRIPT

implementations




Configurable

-

Business Rules Engine allows partners to configure their
environment to meet everyday business needs and create new workflow
possibilities.




Extensible

-

WebConnect component can

easily be integrated into any
business portal to provide technician access to pharmacy
-
to
-
physician SCRIPT
transactions




Secure

-

meets HIPPA and DEAs Electronic Prescription for Controlled
Substance (EPCS) standards for security and encryption of electro
nic
prescription data.




Open

-

utilizes latest open source technologies to avoid vendor lock and
provide increased affordability!




Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

8

ePostRx Product Suite


The ePostRx Product Suite was developed using the latest open technologies
such as J2EE, JCE, XML and
XSL. ePostRx runs on any platform that supports
the JVM (Java Virtual Machine) such as Windows, Solaris, Linux etc. The
ePostRx™ product suite is comprised of the following major components:




Business
-
to
-
Business (B2B) Transaction Engine



Management Consol
e



Client Toolkit



Relational Database Management System






Together, these Java, XML and RDMS components provide the management and
communication tools necessary for companies to participate in any segment of
electronic prescrib
ing.


Business
-
to
-
Business (B2B) Transaction Engine



The ePostRx B2B Transaction engine is a set of J2EE Enterprise Java
Beans (EJB) that provide the following:




Full support for NCPDP, RxHub and SureScript SCRIPT Implementations
that include data element

validation and real
-
time translation
between

various SCRIPT

implementations.



Support for the new NCPDP Provider Broadcast and Query (PBR)
transaction and RxHub Patient Medication History, Formulary Status and
Point
-
to
-
Point Transactions.



Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

9



Support for Dire
ct Connect (P2P) and Mailbox communication modes.



Support for both EDI and XML message formats.



Rules based routing of prescription data for more efficient pharmacy
workflow among business entities.



Security Management through Public Key Infrastructure (
PKI) and X509
version 3 Digital Certificates.



Auto
-
contact Management of received events.


The ePostRx B2B Transaction engine runs on any J2EE compliant server such as
JBoss or Weblogic.



Management Console



The ePostRx Management Console is a web portal

that allows users to
effectively manage and monitor their business transactions. Users can:




Provide centralized management of all accounts, entities and external
users.



Control and limit access to user defined areas.



Act as Certificate Authority Adminis
trator to manage PKI and X509 Digital
Certificate information for all associated business entities.



Track and monitor NCPDP Script message transactions between those
business entities.



Apply rules to NCPDP message transactions to intelligently re
-
route
pr
escription data between business entities.



Create custom reports that can be added to the ePostRx Management
Console using the ePostRx Management Console Report framework.



The ePostRx Management Console communicates with the ePostRx B2B
Transaction engin
e and runs on any web server environment that supports Java
Server Pages (JSP) and the Java Servlet API 2.3.


Client Toolkit


The ePostRx client toolkit provides the tools necessary to securely communicate
with the ePostRx B2B Transaction engine. It provid
es:




Common Java and XML based API that can be used to build and send
NCPDP formatted SCRIPT standard messages to the ePostRx server for
processing.



Security Tools necessary to generate a Public/Private Key Pair and a X.509
Version 3 Digital Certificate t
o communicate with the ePostRx B2B


Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

10

Transaction engine. These keys are used to authenticate and sign all
transactions between you and ePostRx.


The ePostRx client toolkit also provides an ePostRxBridge, which allows a user
who doesn’t support Java, to nat
ively bridge heterogeneous systems such as
Pharmacy Management Systems desktops and allow seamless transfer of
ePostRx client/server messages. The bridge supports two methods to transfer
the ePostRx Bridge XML API document:



a) Native Bridge which uses
JNI to Native C


b) IP Bridge, which uses a local IP listener to communicate between the
Java API and native platform.


Relational Database Management System



The ePostRx RDMS provides the data repository to which transactions are
logged and configuratio
ns are maintained. Currently ANS supports Microsoft SQL
Server 7.0 and Microsoft SQL Server 2000. Plans are currently underway to add
support for Oracle and Sybase.


WebConnect


If you own a small to medium
-
sized pharmacy business then ePostRx
WebConnect
is for you! ePostRx WebConnect is a secure, web


extension of our
flagship product. ePostRx WebConnect can easily be integrated into your
business web portal to provide bi
-
directional NCPDP SCRIPT support for
pharmacy
-
to
-
physician transactions.





Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

11



ePostRx

In Action; Some Real World Scenarios


ePostRx can be applied to any pharmacy model to complement or
enhance your business to meet the demands of ePharmacy. Whether you are a
Provider, Clinic, Retail Chain, Mail
-
Order or a Connectivity Hub (just to name a

few), the ePostRx product suite can help your business create, connect, manage
and control your electronic prescription transactions with your pharmacy
business partners, store locations and workflow queues.


ePostRx does not replace your current Pharmac
y Management System or
Point of Care System investment. It is an enterprise plug
-
in that lets you manage
your electronic prescription transactions, all while preserving your current
infrastructure. The following pages detail some real world scenarios.




Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

12


S
cenario 1
-

Clinic or Hospital


Problem:

In today's Clinic or Hospital, once a prescription is completed by the
Clinic physician, the prescription is either faxed or e
-
mailed to the Clinic
pharmacy to be dispensed. Not only are these delivery methods insec
ure, it is
NOT real
-
time Point
-
to
-
Point (P2P) communication. Provided the pharmacist
receives the fax or email, he or she still has to key the information into their
Pharmacy Management System. This re
-
keying allows a window of opportunity
for additional p
rescribing errors. Furthermore, these 'pseudo' electronic delivery
methods are lacking industry format standards, as well as the ability to perform
real
-
time two
-
way communication. Fax and email still force the pharmacist to call
the Clinic physician for a
ny dispensing concerns.


Solution:

ePostRx can provide a Clinic or Hospital, two
-
way Point
-
to
-
Point (P2P)
connectivity to/from a Providers office directly into the Pharmacy's Management
System. By simply installing the ePostRxBridge for both the Clinic Pro
vider and
the Clinic Pharmacy systems, these systems can securely communicate via the
ePostRx B2B Transaction/Rule Server using the NCPDP Script standard. The
communication channel can be a private LAN/WAN, or the Internet.








Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

13

Scenario 2


Fulfillment

Workflow


Problem:

Company Z needs to transfer all prescriptions for heart disease
medications to Company's Y's mail
-
order for fulfillment and dispense the
remaining products in their Clinic's pharmacy. How can Company Z provide a
prescription fulfillmen
t workflow solution that is cost
-
efficient, electronic and real
-
time?


Solution:

ePostRx contains a Rules Engine that can electronically re
-
route
prescriptions based on user defined rules. The rules are applied to the NCPDP
Script message elements that c
an trigger the re
-
rerouting of prescriptions to
various business entities other than the originally intended recipient. This is a
powerful and exciting feature of ePostRx that can be applied to any pharmacy
business model to increase overall productivity a
nd reduce cost.





Prepared by AdvanceNet Health Solutions, Inc.

November 2002

ANSHealth™,ePostRx™, ePostRx Enterprise™, ePostRx WebConnect™

and ePostRxBridge™

are trademarks of
Advan
ceNet Health Solutions, Inc. Java™ and Java™ related products are trademarks of Sun Microsystems
, Inc

14



Conclusion



In today’s digital healthcare marketplace, it is imperative that companies
“think globally” by extending their services electronically to meet the current
demand for prescriptions. With an estimat
ed 4 billion prescriptions to be filled
annually by 2004 and ever
-
shrinking profit margins, healthcare is looking for
proven solutions to enhance efficiency and increase revenues. Agility and
responsiveness directly affect a company’s ability to compete, a
dd and retain
business and customer relationships.



ePostRx which is based on proven industry technology and industry
support standards, provides the tools and framework for your company to
participate in the ePharmacy marketplace to meet these business
challenges.
The future of ePharmacy is now. The future of ePharmacy is ePostRx.



Contact ANSHealth today for free information about how ePostRx can help
boost productivity, reduce dispensing errors and increase profit margins for all
organizations involve
d in your healthcare business model.