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I seem to have several issues with prescriptions.

1. When we start to refill a medication and then have to back out for whatever reason, it will forever show that we refilled it on that date, even if we did not. Is there a way to change this?

2. When I look back on scripts, I cannot tell who wrote or refilled the medication. Is there a way we can document who has done the deed? I'll often give something to my MA to write up or refill, yet I cannot see who did this.

3. Lately, I'm seeing medicaitons at random show up as being refilled when they are not. The only thing I'll do is look at the medicaitons, yet they then show they are filled.

With issues like these...medicaiton mgmt becomes a mess!

Any suggestions, help, fixes, workarounds?

Thanks,

Barbara

I agree with above Rainy's comments. I think there is no way of deleting the saved info.

Workaround is:

on the right side of main screen: when you get the message, if you click on the refills, refill the medicines, but make a manual entry in the message itself and save, you can atleast look at the past encounters, see any entries re: refills. This takes extra time, but all workarounds I believe do that anyway.

I have e-mailed to Jon:

that we need more detailed audit log of medication database: like how many/refills were prescribed. Should have the ability to delete wrong entries like the ones you mentioned.

Regards.

Thanks Joseph,

But if I'm understanding this correctly, unless my MA sends every refill request to me and I go in and do the refill - well that defeats the purpose of having staff to do these things. Currently, I review them with her and say "yes, no, or otherwise" and she takes care of it. I don't think any of us have time to do them all.

(As an aside, I do write refills on many medications, but our pharmacies don't seem to read that! Frustrating to say the least.)

Barbara

Barbara,

Don't even get me started on the Rx writer. So few things, so much time -- to change it.

1. Depending on how important it is to you or maybe the drug like Oxycontin vs Diflucan, here is a workaround at least for the last refill. If you made a mistake today and it says 8/16/07, but the last refill was ten days ago, then click on your clock on the bottom right system tray, change the date to the 6th, close and reopen AC, then fill the medicatation. It will now say last filled on 8/06/07. The dates of the refills will all be correct except 8/16/07 will be the first in line which will look a bit ridiculous. So, if you wish, you can delete the med, and then do the workaround, and then "prescribe the medication, and it will only say the 6th. Of course, you could do it five times and get the dates, but that would be crazy. When you think about it, it is a bit HIPAA uncompliant or whatever. The actual correct dates will still be in the visit history under medications, so I just delete the med and go back.

2. Depending on whether or not you like to use your DEA number or license number on your scripts, you can change your properties in the admin section so that "Sally" is your DEA number and "Susan" is your license number. This way, if Sally fills a med, she can click on the DEA number and her name will go on the script etc. If you want to confuse your pharmacists less, you can just juse initials or a code like a or b. Just an idea.

3. Strange. It happens though.

4. Your pharmacists don't see the refills? I don't recall any of ours ever missing it, of course there is no way to really track it. What I do realize is that I rarely tell the patient about the refills and the pharmacist doesn't, so the patient ends up calling me anyway <G>