DrFirst's Rcopia 3.0 takes a physician-centric approach to solving the medication ordering problem. This approach recognises that physicians order medications in the office, home, hospital, and points in between, and that they need a system that can operate in all of these multiple locations. To more fully meet the physician's needs, the enhanced system also includes Charge Capture functionality.
DrFirst has recently worked with Doylestown Hospital on both its in-patient and outpatient medication ordering initiatives. Doylestown Hospital's desire is to provide physicians access to patient, medication, allergy and problem lists on mobile, handheld devices, truly addressing the continuum of care.
"Doylestown Hospital has been impressed with the scope of Rcopia 3.0 as it relates to our CPOE initiatives. Rcopia provides a comprehensive solution that is not limited to the physician's setting. We pride ourselves in being at the forefront of healthcare technology and our relationship with DrFirst allows us to maintain this position", stated Brad Block, Chief Information Officer of Doylestown Hospital in Pennsylvania.
Rcopia 3.0 provides the most advanced functionality for writing and transmitting prescriptions anywhere, any time, on any device, including inpatient medication ordering. Patient demographic information, including medication and allergy lists, can now be shared in all settings. Rcopia 3.0 is a substantial improvement on the first generation of e-prescribing technology, which allowed physicians to write prescriptions on one type of device and print the prescription locally for the patient to bring to the pharmacy; and the second generation technology, which provided limited means to transmit prescriptions to pharmacies. The result is the most significant step yet in the movement to use technology to reduce preventable medication errors.
Medication errors stem from problems such as illegible handwriting, unrecognised adverse medication interactions or allergies, and the failure to have accurate patient information. The Institute of Medicine released a report in 1999 entitled "To Err is Human: Building a Safer Health System" which discussed the impact of medication errors on patient safety. The IOM report included estimates that approximately 7000 deaths occurred in 1993 due to medication errors and cited studies which found that almost two percent of all hospital admissions experience preventable adverse drug events. Such errors also have a tremendous economic impact on the health care system. Studies have shown that these preventable adverse drug events result in average increased hospital costs of $4700 per hospital admission.
While the health care community universally recognises the need to solve the problem of preventable medication errors, attempts to use technology in this endeavour have been largely unsuccessful. Past attempts have been unable to overcome the three greatest obstacles to adoption: usability for the physician; integration with legacy systems and provider work flow; and cost, particularly for hospitals and health systems. Rcopia 3.0 is the first system to solve these three critical problems.
The act of writing a prescription on a piece of paper is easy. To convince a physician to replace this process, the alternative must be as simple and also contain value beyond this simple act. Since physicians practise medicine differently and are increasingly mobile, the system must be extremely flexible. Rcopia 3.0 is that system. DrFirst recognises that physicians practise medicine everywhere and that critical patient information is needed outside of the hospital or office environment.
Rcopia 3.0 is accessible on both Palm OS and Pocket PC devices and can be used in both on-line and off-line modes. It also contains roles-based access, allowing staff to enter the prescription information with the physician merely needing to approve the prescription on-line. It can be used for prescribing medications in the physician office or ordering medications at the hospital. Most significantly, the tool can be used in both settings.
Rcopia 3.0's functionality includes the following:
- Legibility: a legible prescription eliminates any question about the medication.
- Maintenance of patient medication and allergy history for availability at any time.
- Medication and allergy interaction checking. Utilising FirstDatabank's NDDF Plus drug knowledge base, Rcopia checks drug-drug interaction checking and drug-allergy alerts to reduce the incidence of medication errors and adverse drug events. The result is shorter hospital stays, lower medical costs, and improved patient care.
- Roles-based access provides the ability to give staff assigned privileges, allowing physicians to quickly and easily sign and approve prescriptions written by staff members or residents.
- Remembering previous ways medications were prescribed. These so-called "sticky" features further enable the physician to quickly create and refill prescriptions.
- Device and connectivity independence. The system is accessible on desktop computers, using Internet Web browsers, and on handheld devices, including both Palm OS and Pocket PC devices. The system also can be used in both on-line (wireless LAN or wireless WAN) or off-line modes. With Rcopia Sync, DrFirst's proprietary syncing technology, users are not tied to one computer for syncing, but rather can use multiple computers and docking stations. Users can also send prescriptions using the computer's IR port or wireless technologies.
- Inpatient medication ordering. This functionality includes the ability to order intravenous and injectable medications and compound medications. It also links with the hospital formulary to allow formulary medications to be suggested and can direct auto-substitutions where appropriate.
- Integration: the system is integrated with major hospital information systems as well as various physician systems for data such as patient demographics and hospital information.
- Insurance formularies. The ability to access payer formularies allows staff greater efficiency in processing the bills, including the creation of superbills.
- Accessibility to problem lists. The integration with Charge Capture provides physician access to problem lists and ICD-9 and CPT codes, allowing quick and efficient patient billing in addition to ubiquitous access to important patient information.
- HIPAA and security. Rcopia 3.0's security system is built on DrFirst's secure backbone, providing non-repudiation, authentication, and data integrity, whether physicians access patient information in a mobile, wireless environment or on a traditional desktop. Data is encrypted on the PDA using state-of-the-art 3-DES encryption, providing a secure medium for the storage and transferal of patient information.
- Rcopia 3.0 is a comprehensive solution for the physician, allowing both prescriptions and charges to be captured at the point of care.