E-Prescribing Collaboration in Massachusetts: Early Experiences from Regional Prescribing Projects

Halamka, J.; Aranow, M.; Ascenzo, C.; Bates, D. W.; Berry, K.; Debor, G.; Fefferman, J.; Glaser, J.; Heinold, J.; Stanley, J.; Stone, D. L.; Sullivan, T. E.; Tripathi, M.; Wilkinson, B.

doi:10.1197/jamia.m2028

Cited by 69Electronic Health Records SystemsTechnology and Human Factors in Education and HealthMedical Coding and Health Information

E-Prescribing Collaboration in Massachusetts: Early Experiences from Regional Prescribing Projects

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Halamka, J., Aranow, M., Ascenzo, C., Bates, D. W., Berry, K., Debor, G., Fefferman, J., Glaser, J. +6 more·2006·Journal of the American Medical Informatics Association

DOI 10.1197/jamia.m2028PMC PMC1513650

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Abstract

Massachusetts payers and providers have encouraged clinician usage of e-Prescribing technology to improve patient safety, enhance office practice efficiencies, and reduce medical costs. This report describes three early pilot e-Prescribing projects as case studies. These projects identified the e-Prescribing needs of clinicians, illustrated key issues that made implementation difficult, and clarified the impact of various types of functionality. The authors identified ten key barriers: (1) previous negative technology experiences, (2) initial and long-term cost, (3) lost productivity, (4) competing priorities, (5) change management issues, (6) interoperability limitations, (7) information technology (IT) requirements, (8) standards limitations, (9) waiting for an "all-in-one solution," and (10) confusion about competing product offerings including hospital/Integrated Delivery System (IDN)-sponsored projects. In Massachusetts, regional projects have helped to address these barriers, and e-Prescribing activities are accelerating rapidly within the state.

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Real-time troubleshooting facilitates the effective use of the eHealth system.
“Real time troubleshooting (especially through internal resources) facilitates the effective use of the eHealth system and becomes essential to the system success in terms of actual usage [49,124].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [49]
Real-time troubleshooting is essential to the eHealth system's success in terms of actual usage.
“Real time troubleshooting (especially through internal resources) facilitates the effective use of the eHealth system and becomes essential to the system success in terms of actual usage [49,124].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [49]
Health care providers may lack adequate computer skills to use eHealth systems.
“For example, health care providers may lack the adequate computer skills to use eHealth systems or had previous negative technology experiences [49,121].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [49]
Health care providers may have had previous negative technology experiences.
“For example, health care providers may lack the adequate computer skills to use eHealth systems or had previous negative technology experiences [49,121].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [49]

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Health Care IT Collaboration in Massachusetts: The Experience of Creating Regional Connectivity
Halamka, J. D., Aranow, M., Ascenzo, C., Bates, D. W., DeBor, G., GLASER, J. P., Goroll, A. H., Stowe, J., Tripathi, M., & Vineyard, G. (2005) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1866 · Cited by 65 · see citing works
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[2]Physician socioeconomic statistics, 2001–2002 Edition. Chicago: AMA, 2001.
[9]DrFirst, Inc. Joins eRx Collaborative, January 27, 2005. Available from: http://www.tuftshealthplan.com/about/about.php?sec=news&content=n-DrFirst_joins_collaborative. eRx Collaborative End of Year Press Release, “More than three million electronic prescriptions transmitted through the eRx collaborative,” January 2006.
[11]MA-SHARE's MedsInfo-ED final report, August 2005. Available from: http://www.mahealthdata.org/ma-share/projects/medsinfo/20050825_MedsInfo-ED_FinalRpt.pdf, pp. 33–6.
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Authors: Halamka, J., Aranow, M., Ascenzo, C., Bates, D. W., Berry, K., Debor, G., Fefferman, J., Glaser, J., Heinold, J., Stanley, J., Stone, D. L., Sullivan, T. E., Tripathi, M., & Wilkinson, B.
Affiliations: Harvard University (US)
Brigham and Women's Hospital (US)
Corresponding author: Halamka, J.
ORCID: Halamka, J.
Bates, D. W.
Berry, K.
Venue: Journal of the American Medical Informatics Association
Publisher: Oxford University Press (OUP)
Published: 2006-05-01
Volume: 13
Issue: 3
Pages: 239-244
ISSN: 1067-5027 (ISSN-L)
1527-974X
DOI: 10.1197/jamia.m2028
PMC: PMC1513650
OpenAlex: W2132196140
Cited by: 68
References: 3
Citations by year: 2026: 1 · 2025: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 8 · 2012: 6
FWCI: 16.08
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of the American Medical Informatics Association (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
Keywords: electronic prescribing, implementation barriers, interoperability, health information technology standards, change management, integrated health system, patient safety, healthcare cost reduction
MeSH terms: Health Plan Implementation, Humans, Massachusetts, Pilot Projects, Drug Prescriptions, Regional Medical Programs, Societies, Medical, Software, State Health Plans, United States, Medical Records Systems, Computerized, Medical Order Entry Systems

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E-Prescribing Collaboration in Massachusetts: Early Experiences from Regional Prescribing Projects

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