Currently to be notified of e refill you have to open the e prescribing window on AC main screen and click pharmacy on top. Then you have to open each patient's chart and click on manage using newcrop screen to refill. It is time consuming and a pain - This is because Surescrips requires the EMR to have you open that patient's full med list and look - so you won't refill something without looking at other issues. The software engineer in charge of version 5 is working on a workflow improvement - we talked about each refill request generating an e-mail to the provider in AC message box and you could open scrip writer from there, do refill, close chart. I am not sure what he is going to finalize, but it should be a real improvement.
They have been steadily improving the e prescribing and I am sure given a little more time they will get it much better. It is already much better than the old newcrop system and synchronizes well with the AC chart - coding allergies and meds are great start.