As with any new IT solution, there are going to be some challenges and limitations, cost being one of them. While federal funds are available for those providers who can attest to meaningful use compliance, start-up costs associated with ePrescribing are expensive.
Clinical practices will have to have an EHR that is compatible with an ePrescribing software like SureScripts and have a plan to exactly the solution will be implemented, including workflow. Most practices will also have to purchase an automated dispensing cabinet (for their on-hand drug supply) and a barcoding system (to track drug supplies). Only recently have controlled substances, like narcotics, been approved to be sent by ePrescribing technology, so for many paper prescriptions may need to be written for controlled substances(1). Also penalties may be levied by CMS if not adopted(2).
1. Anonymous. (2012, February 15). E-prescribing of Controlled Substances - The Future of Electronic Prescribing. Retrieved April 2, 2012 from http://www.youtube.com/watch?v=A1Oxyv-Q0rQ
2. Pawola, L., & Kho, A. (2011). An introduction to e-prescribing. Retrieved August 8, 2013 from http://www.ilhitrec-ed.org/uploads/2/8/2/4/2824628/il-hitrec_e-prescribing_webinar_presentation_slides_may_12_2011.pdf
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Christopher M. Bell