Home Forums Discussions General Discussion electronic refill addenda

Every time a med refill is accepted or denied in the e-prescribe renewal section, it creates an addendum... for each one.
For patients on many meds, this quickly clutters the Past Encounters with addenda. It wouldn't be so bad if it would group them all by transmission or date so there is just one addendum for all refills sent that time, but as it stands I find it very annoying.
There are many other ways, besides looking at Past Encounters, to see when meds were refills.
So, my question: is there a way to turn of the creation of these addenda with the e-rx refills?

thanks

I am not sure, but I guess in the mean time you could choose to right click, deny the refill and send it from AC.

To edit my post a little, I am not sure specifically what you mean by other ways. If you are speaking to the ePrescribe status, etc., that really doesn't document it in the chart. At least this way, there is a record the medication was saved.

But, if you do it Marty's way, it is prescribed via AC, and it is recorded directly to the prescription writer and you can check the history, etc.

I don't think you can turn off the refills making an addendum. I'm with Bert, I generally deny those and write a new prescription from AC.

Unfortunately the denial also creates an addendum... even if the denied reason was "already responded to"... which I'd use if refilled in another fashion... here's a copy of the addendum:

Type of Note: Addendum

Subject: Refill Request - Denied

Additional Information: Refill Request Processed:
Drug: LISINOP/HCTZ 20-25 TAB LUPI
Sig: TAKE 1 TABLET BY MOUTH DAILY.
Refills: 1
Prescriber: [me]
Response: Deny
Comments: Request is already responded to -

Is there a way to just remove/delete/otherwise get rid of the renewal request? Then it would be easiest, not having to match rxs, to refill the med in the prescription writer.

This is interesting. I sure don't want those addenda.

When I started with AC, I was told you have to activate the refill request feature. So, I am assuming you can ask for it to be deactivated. The refill requests are actually directed by SureScripts to the appropriate prescribing software.

I have never activated the refill request feature through AC/NewCrop. My refill requests still come through Allscripts which I was using before. It is easier than AC. I can just deny there in 2 clicks, and write what is needed in AC.

I originally spoke to someone at SureScripts, and I was told that you can prescribe through multiple software programs, but refill requests can only be directed to one software. I keep Allscripts active for those times when NewCrop goes down. Also, since Allscripts is web based, it can be accessed from anywhere with an internet connection which is useful at times.

hmmm... well it seems that if you:
# deny the refill by the action pull-down menu, and select any reason, and transmit, it saves an addendum with the denial notification.
# match the med and accept the refill by the action pull-down menu and transmit, it saves an addendum
OR:
# right click on the med in the renewal list and select "deny and write new rx"... you can send it from the AC Rx writer, not having to bother with matching, and it doesn't save an addendum. (I wasn't aware that was the case until running a few tests).

So, I guess the solution to my problem is the third option... easier to refill (not having to go through the annoying matching process) and keeps the Past Encounters much less cluttered.

Thanks for your input Bert, Marty, and Donna!

Thank you as well. I learned something today.

I never noticed that Chris regarding not adding an addendum with the "deny and write new rx". Good to know!

Oh for Pete's sake!!! I did not know this either. I will start denying and rewriting as I already have issues with the way things are managed in the Past Encounters section. Thanks for that tip!

Darn, may have spoken too soon...
seems that doing the right click-deny and rx in AC did SEEM clear out the request from Pending Renewals without saving addendum... but it was only temporary. When I looked a short time later, that same request was there in the pending section... and from what I can gather the only way to clear it out is to "deny/accept" and transmit... which saves that annoying addendum.
What is everyone else doing to clear out their pending renewals? or just resigned to accepting the cluttered Past Encounters tab? I wish it were a feature I could disable.

Is it a meaningless use thing?

I think you can get SureScripts to disable refill requests function.

But, you have to get refill requests somehow. Options would be fax, or sign up for free Allscripts and enable refill requests there.

I am sure you could get SureScripts to disable it. Problem is I/We like it. So, we need to get AC to disable it.