Electronic Prescribing & Medication Management Flashcards

What does CPOE stand for in the context of EHR systems?

Answer: Computerized Provider Order Entry

CPOE stands for Computerized Provider Order Entry, a system that allows clinicians to enter medical orders electronically, reducing transcription errors.

Which regulatory body issued the rules governing Electronic Prescribing for Controlled Substances (EPCS)?

Answer: DEA

The Drug Enforcement Administration (DEA) issued the EPCS regulations under 21 CFR Part 1300, establishing identity proofing and two-factor authentication requirements for electronically prescribing controlled substances.

What is the primary patient safety benefit of drug-drug interaction (DDI) alerts in EHR medication management?

Answer: Preventing adverse drug events

DDI alerts are primarily designed to prevent adverse drug events by warning clinicians of potentially harmful medication combinations before orders are finalized.

During which clinical scenario is medication reconciliation most critical in an EHR?

Answer: Care transitions such as hospital admission or discharge

Medication reconciliation is most critical during care transitions because discrepancies between medication lists across settings are most likely to cause harm at those points.

Which messaging standard is most commonly used for transmitting electronic prescriptions between EHR systems and retail pharmacies?

Answer: NCPDP SCRIPT

NCPDP SCRIPT is the pharmacy industry standard for electronic prescribing, governing the format of NewRx, RxChange, CancelRx, and other transactions between prescribers and pharmacies.

What does formulary checking in an EHR e-prescribing workflow accomplish?

Answer: Confirms the prescribed drug is covered under the patient's insurance plan

Formulary checking queries the patient's insurance plan in real time to verify whether a prescribed medication is covered and may suggest covered therapeutic alternatives.

EPCS regulations require two-factor authentication. Which combination satisfies this requirement?

Answer: A hard token plus a biometric (something you have + something you are)

DEA EPCS rules require two of the three authentication factors—something you know, something you have, or something you are—such as a hard token combined with a biometric scan.