In this topic:
The practice must ensure that the majority of their prescriptions are sent electronically to a Prescription Exchange Service (PES)
Source: Medicare Practice Incentives Program eHealth Incentives Guidelines-February 2013
ePrescribing in MedicalDirector Clinical is currently facilitated by eRx Script Exchange, an Australia-wide Internet-based gateway allowing prescriptions to be sent electronically and securely between practitioners and pharmacies. It has been developed to improve patient safety by ensuring that the information on a patient's prescription arrives exactly as intended. ePrescribing functionality is installed automatically with MedicalDirector Clinical, and must be configured manually.
The following screen appears when you first log into MedicalDirector Clinical, and if you have clicked the Ask me later button. If you click the Yes button, and you have not already registered for MDExchange, you will be prompted to set it up now. NOTE: Ensure you have an active Internet connection.
When prompted, click to participate.
If your practice has already registered for MDExchange, please skip this step and proceed now to Step 3.
If you clicked Yes to the ePrescribing Participation prompt, the MDExchange Activation Registration prompt appears, as shown below.
1. From the MedicalDirector Clinical front screen, select Tools > MDExchange > Registration Wizard. The MDExchange Wizard Welcome screen appears.
2. Click the Next button to continue. The MDExchange Licence Agreement appears. Read the Licence agreement. If you agree to the Licence tick the I have read and accepted the agreement check box, and then click the I Agree button to continue. You will not be able to register until you have performed these actions.
MDExchange Server Connection Setup
4. Click . A test for connectivity is now performed, as indicated in the upper-right of the window. Only when a connection has been established successfully will you be able to proceed with the MDExchange Registration Wizard.
Contact Details window appears.
The practice details will automatically be populated with those recorded
in the Practice tab of MedicalDirector Clinical Options. Confirm that
they are correct, and make changes as necessary. Note that changes made
here are saved back to the Practice tab of MedicalDirector Clinical Options.
when you are ready to continue. The Security
Options - Location window appears. Here you need to determine which
type of Certificates you will use for the digital signing and encrypting
of correspondence you send and receive via MDExchange. Select the certificate
type using the appropriate option.
The default and recommended certificates are MDExchange Certificates (as shown above). Alternatively you can select HESA Certificates. Note that you cannot select HeSA tokens (i-Keys) for Practice encryption or signing because that would require the token to be constantly available (plugged in) to the server computer. You can edit the security options after MDExchange has been installed, via the MedicalDirector Clinical Front Screen > Tools > MDExchange > Security.
you have selected which certificates to use, click to confirm your selection and continue. The Setup User Profiles window appears.
Only practitioners in your MedicalDirector Clinical User Database are able to register for MDExchange. Here you have an opportunity to indicate which practitioners will not have access. For those that do have access, you can also specify how they will be listed in the MDExchange Public Database, and what signing certificate they will use for correspondence (via ).
The Participation drop-down menu indicates Public participation by default. To prevent this user from participating in MDExchange, select the Do Not Participate option. Should you wish this user to participate in MDExchange, you must select whether the user should be publicly or privately listed.
o Being privately-listed in MDExchange means that the user is generated a Private ID. This user is added to the MDExchange public database and visible only to other registered users of MDExchange of their choosing, by giving them this private ID which is used as part of the search criteria for discovering that person. Note that the MDExchange system and functionality is only available to registered users.
publicly-listed in MDExchange means that the user will be added to the
MDExchange public database and are visible to other registered users of
MDExchange. Note that the MDExchange system and functionality is only
available to registered users.
8. Click the button to specify if you select a HESA token as the signing certificate for a user, rather than the default, which is to use the practice's signing certificate.
9. Make changes as necessary for each user, and click on the Setup User Profiles window when you are ready to continue. The Ready to Register window appears. Click if you need to go back through MDExchange Registration Wizard to review your settings.
10. When you are ready to register MDExchange, click . The MDExchange Registration Wizard attempts to connect to the MDExchange server to validate and record your settings. You must have an active Internet connection for this process to succeed. You will be notified upon successful registration.
1. From the MedicalDirector Clinical front screen, select User > Setup Users. The User Database window appears.
and double-click the record of the practitioner who you wish to enable
ePrescribing for. The Edit Doctor Details
3. Select the Enable ePrescribing option to activate ePrescribing for this practitioner. If, after approximately 24 hours since enabling ePrescribing, the practitioner's ePrescribing status does not indicate that they are 'Registered', please contact MedicalDirector Customer Care for assistance on 1300 788 702.
4. There are two tick boxes shown under Enable ePrescribing;
o Receive dispense notifications – Ask Patient: this is if you want to be prompted to ask the patient's permission each time you write a script
o Receive Dispense Notification – Don't ask Patient: you will receive notifications, but will not be prompted to ask patient's permission for each script issued to the patient.
1. Within the Clinical Window (or via the Patient List – F10), open the Patient Details window
the Pt Details tab.
3. Within the ePrescribing section, there are levels of participation for each patient.
o Always receive notifications for this patient
o Ask consent on every prescription for this patient
o Never receive dispense notification for this patient
o Disable ePrescribing
A patient's dispensing history is available under the Old Scripts tab in the Patient's record.
Scroll to the right of this tab until you reveal the Dispense, Date, Dispense Trade Name, Supply No, and Pharmacy columns. If the script has been dispensed in an eRx-enabled pharmacy, these columns will be populated. You can reposition these columns as desired by clicking and holding a column heading, and then dragging the column to the new position.
PIP Implementation Overviews > Electronic Transfer of prescriptions
prescribing and dispensing of medicines
To ensure that your practice complies with Requirement 4 the following information must be ticked:
Practice has configured ePrescribing in MedicalDirector Clinical.
ePrescribing in MedicalDirector Clinical is currently facilitated by eRx Script Exchange. To see PIP eHealth Product Register for electronic transfer of prescription visit this site https://epipregister.NEHTA.gov.au/registers/electronic-transfer-of-prescriptions
The majority of prescriptions are sent electronically to a prescription exchange service (e.g. eRx)