Recommendations for stand-alone e-prescribing

[clausewitz2]

So I am considering taking a job with a very exciting specialty group therapy practice that to date has not worked with a psychiatrist. A population I am very chuffed to be working with, run by some very sympatico people who are pretty passionate about evidence-based practice in this particular area, and a huge potential for growth. Of course, since they have just been a therapy group until now they use TherapyNotes, which is a great EHR by all accounts but also is not really set up to do e-prescribing. So for my own sanity I am trying to figure out what solutions exist in the stand-alone e-prescribing space and hopefully consult the wisdom of the SDN Psych hive mind for potential recommendations.

With this particular population I do not anticipate prescribing Schedule II substances under any but the rarest of circumstances (generally counter-therapeutic and in conflict with the ethos of the therapy) so I am happy to just phone those in if absolutely necessary. The owners are open to the idea of cost-sharing or possibly paying for it themselves depending on the price point so I am also trying not to break the bank. Based on their numbers I expect to have a caseload of somewhere between 200-300 by the end of a year, so anything with really obnoxious data entry interface is less than ideal.

Obviously if anything can interface with TherapyNotes that'd be great but not necessary.

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[PikminOC]

Schedule 1? What would you prescribe ever that's Schedule 1?

 

[Stagg737]

I used CloudCare on an outpt rotation and it was very simple, cheap, and not obnoxious in terms of data input at all. No idea if it would be compatible with TherapyNotes, but was my favorite EMR by far in terms of basic use. E-prescribing also seemed very simple. I never did it (obviously), but watched the attending do it numerous times and it typically took him less than a minute for new meds.

 

[clausewitz2]

Schedule 1? What would you prescribe ever that's Schedule 1?

I meant II. Editing the post above, sorry for the typo!

 

[Ironspy]

You can call in prescriptions for meds that are not controlled substances though this is tedious once your caseload grows. iPrescribe (Drfirst) is good But since it’s free I wonder if they are selling data.

If you want integrated EMR with prescribing luminello is decent and affordable.

 

[Sushirolls]

Luminello. Love it! Has the notes, calendar, scheduling, messaging, billing, and even credit card payments, etc, etc. Love it.

Integrated into the Luminello they use e-Prescribing Integration and Software | DoseSpot
The integration is basically seamless, no extra logins or passwords.
It also has extra security of turning on a pin number to be able to send off all Rxs or if controlled Pin number + a rotating number.
I have my assistant que up Rxs but because of the pin number fail safe, there is no way she could ever prescribe or send one off, so the quality control is still up to me - love that feature too.

You might be able to use dosespot.com with the current EMR, check out that website if you don't want to re-invent the wheel of a new EMR.

The other question to ask, is are you their employee, partner, or are you your own entitity? If own entity just get Luminello.

 

[clausewitz2]

You can call in prescriptions for meds that are not controlled substances though this is tedious once your caseload grows. iPrescribe (Drfirst) is good But since it’s free I wonder if they are selling data.

If you want integrated EMR with prescribing luminello is decent and affordable.

Yeah I cannot face the prospect of calling in 50 odd prescriptions a week to a millionty different pharmacies. iPrescribe actually looks super promising given the set up. I assume any free EMR or eprescribing platform is selling data quite honestly, I can't imagine what the business model would be otherwise.

Luminello. Love it! Has the notes, calendar, scheduling, messaging, billing, and even credit card payments, etc, etc. Love it.

Integrated into the Luminello they use e-Prescribing Integration and Software | DoseSpot
The integration is basically seamless, no extra logins or passwords.
It also has extra security of turning on a pin number to be able to send off all Rxs or if controlled Pin number + a rotating number.
I have my assistant que up Rxs but because of the pin number fail safe, there is no way she could ever prescribe or send one off, so the quality control is still up to me - love that feature too.

You might be able to use dosespot.com with the current EMR, check out that website if you don't want to re-invent the wheel of a new EMR.

The other question to ask, is are you their employee, partner, or are you your own entitity? If own entity just get Luminello.

Yeah, luminello does look promising, and if I was setting up my own shop I would probably lean in that direction. I think the problem I will have is that I would rather prefer the therapists be able to see my notes and vice versa (consistency in messaging among team is very important in this population) and I think it would be a big ask for them to have to get set up in yet another EHR just to see what I'm doing. Whereas with the iPrescribe above I could just write down what I am prescribing in whatever note I put into their EHR.

They are talking about hiring someone to do billing and scheduling for the practice but if that ends up not happening Luminello might be just the ticket, however. By all accounts TherapyNotes technically has billing functionality but is the rare example of an EHR that was not designed for the convenience of billers and as such is a bear to use.

I am probably coming on as an employee with an eye to eventual partnership rather than as a contractor.

 

[Sushirolls]

Luminello has the ability to add assistants. You then have the ability to limit what they have access to. You could allow each therapist to be added as an assistant with their own login/password. Uncheck most of the permissions so they can only read the notes. You could leave open the permission of messaging so if they logged in, they could message you directly and its HIPAA secure, rather than using emails.

I intend to use this assistant function even for medical students in future, but they would have the permission to actually document a note, too.

 

[clausewitz2]

Luminello has the ability to add assistants. You then have the ability to limit what they have access to. You could allow each therapist to be added as an assistant with their own login/password. Uncheck most of the permissions so they can only read the notes. You could leave open the permission of messaging so if they logged in, they could message you directly and its HIPAA secure, rather than using emails.

I intend to use this assistant function even for medical students in future, but they would have the permission to actually document a note, too.

Huh, this is a real possibility then. I know at one point Luminello was selling data, do you know if they've stopped?

EDIT: But then I guess I would have to be logging into their EHR to read their notes. I'll have to ponder this. Thanks!

 

[Sushirolls]

I was not aware they were, and don't recall reading things when first doing a survey for EMR that they were. I know a few others definitely were, especially the free services, but those recently started fees.

Luminello does have some fees associated with it.