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Monthly Archives: September 2015

Change Management (CM) in HealthCare IT

Posted on September 23, 2015 | Categories: Change Management, HealthCare, HealthCare IT | Posted by: admin

Change Management (CM) in HealthCare IT



What is Change Management (CM)?


Change Management is the process for managing any change to the production environment regardless of the impact to the client. This includes any enhancement, modification, update, installation, or de-installation of applications, services or servers.


What is the Purpose of Change Management (CM)?


Change Management is a standardized process across the Information Services Departments.  Ultimately using Change Management establishes an organized and controlled environment to record, evaluate, authorize, prioritize, plan, test, implement, document, and review changes to the IT Infrastructure. To avoid costly unplanned downtime or unavailability of applications and or services, all changes to the production environment require Change Management Approval, regardless if there is an impact to the client


What are the examples of Change Management in HealthCare IT?


  • Application Related Changes: Upgrading an application, Adding a new Application; Applying Patches to an application
  • Network Related Changes: Adding new equipment for a new site or existing site or service; adding/changing VPN Connections: Router and Firewall Changes
  • Operation Related Changes: Engineering Performing Generator Tests
  • Security Architecture: Performing HIPAA scans to ensure the security of the Health System
  • Server Related Changes: Adding /removing servers; Adding applications to servers


What are Change Management Categories?


  • Addition: This category is used for all additions made to network equipment, servers, and/or applications. This includes any network switches, routers, security rules, telecommunication equipment.
  • Modification: This category is used for all modifications made to network equipment, servers, and/or applications. This includes any network switches, routers, security rules, telecommunication equipment.
  • Upgrade: This category is used for all upgrades made to network equipment, servers, and/or applications. This includes any network switches, routers, security rules, telecommunication equipment


What is Impact Analysis in Change Management?


The impact analysis process identifies and evaluates the Risk of the work that is being performed in the environment. All Changes require an Impact Analysis, with the exception of

  • Fast Track Change
  • Emergency Change
  • Pre-Approved
  • Facilities’ Go lives’
  • Server Remove or Additions
  • Maintenance Mode


Reach out to us for HealthCare IT Change Management / Organizational Change Management efforts.


Electronic Prescribing of Controlled Substances (EPCS)

Posted on September 17, 2015 | Categories: EMR / EHR, ePrescription, eRx, HealthCare IT, Pharmacy Systems, Program Manager, Project Manager, Single Sign-On | Posted by: admin

Electronic Prescribing of Controlled Substances (EPCS)


  • An electronic prescription is a prescription issued with an electronic signature and transmitted by electronic means
  • BNE does not endorse a specific electronic prescribing software application for practitioners to use
  • Identity proofing – the process by which a credential service provider or certification authority validates sufficient information to uniquely identify a person.
  • In accordance with regulations of the NYS Commissioner of Health and the Commissioner of Education and consistent with federal requirements – A prescription generated on an electronic system that is printed out on Official New York State Prescription (ONYSRx) paper and manually signed or an ONYSRx transmitted via facsimile is not an electronic prescription
  • Pharmacies accepting electronic prescriptions for controlled substances must submit their controlled substance dispensed data to BNE using the American Society for Automation in Pharmacy (ASAP) version 4.2
  • Pharmacies may complete EPCS registration form DOH-5120
  • Prescribers can register their certified software application online through the Health Commerce System
  • Prior to prescribing or dispensing electronic prescriptions for controlled substances, the rescriber/pharmacy must register the certified computer software application with the Department of Health, Bureau of Narcotic Enforcement (BNE) at least every two years
  • Provider’s registration process with State is separate and apart from the computer software application certification process
  • Two-factor authentication credentials – the security credentials that allow the Provider to sign an electronic prescription. The DEA is allowing the use of two of the following – something you know (a knowledge factor – password), something you have (a hard or soft token stored separately from the computer being accessed), and something you are (biometric information)


We have deep hands-on experience with eRx and EPCS processes. We could help your Health System or Pharmacy Team with ePrescribing capabilities. We could bring to bear Allscripts Software Applications viz. AEHR, SCM, EDIS or Drfirst Software Application – Rcopia as part of our ePrescription Professional Services or end-to-end Project Management.


Reach out to our HealthCare IT Subject Matter Expert and Program Director – Manish Jaiswal @ 6466443049 or for help around EMR, EHR, Tokens, BNE Registration, COAs, 2 Factor Authentication, Project Management, Identity Management, Single-Sign-On (SSO)  etc.

More on eRx and EPCS

Posted on September 14, 2015 | Categories: DrFirst, EMR / EHR, ePrescription, eRx | Posted by: admin

More on eRx and EPCS


• Since August 27, 2013, prescribers in the state of New York are required by law to consult the Internet System for Tracking Overprescribing-Prescription Monitoring Program (I-STOP/PMP) Registry when writing prescriptions for schedule II, III, and IV controlled substances. Legislators there have also made it mandatory to use EPCS by March 27, 2016.

• Paper-based prescription systems are susceptible to fraud. Approximately one in 10 prescribers will have their DEA number forged and will need to go through the process of getting a new one at some point in their career

• In addition to security concerns, paper-based systems pose challenges for gathering metrics for Meaningful Use (MU) e-prescribing requirements

• Since the DEA first issued its guidelines, uptake of EPCS has varied by state. In 2015, there were 2.1 million EPCS, with New York accounting for 54%

• If done correctly, EPCS offers substantial benefit to health systems, physicians, and patients besides help Health systems with an opportunity to improve patient satisfaction, lower fraud risk, enforce state and federal regulations, and better meet meaningful use e-prescribing requirements

• For physicians, EPCS offers the potential to eliminate dual workflows, reduce errors and fraud, limit exposure of their DEA number, and improve patient satisfaction.

• For patients, EPCS has the potential to improve overall satisfaction, increase medication adherence, reduce trips to the physician’s office, and reduce wait times at the pharmacy


We could help Health System with 2016 ePrescribing mandate as we have deep experience with Allscripts and DrFirst EMR and ePrescribe Application.


Talk to us at 6466443049




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