Showing posts with label EHR. Show all posts
Showing posts with label EHR. Show all posts

Saturday, February 8, 2014

Physician Assistants and Medical Scribes

Physician Assistants and Medical Scribes

The word scribe is Latin for scribere, which means "to write." A scribe has been known historically for recording events, making written copies of documents, and more recently, "transcribing" word for word. Medical scribes have emerged most recently in response to the extensive use of EMR into clinical practice from widely used handwritten and dictation methods. 

What Role do Medical Scribes Have in Healthcare?

Medical practices, hospitals, and typically lots of emergency departments hire medical scribes to relieve the providers unequipped with rapid typing skills or who cannot simply find their way around on EMR software. A medical scribe serves to record the actions and words spoken as they occur. Scribes cannot implement their own observations into the medical record. The scribe documents the activities of the provider as they occur and must include the name and signature of the provider who performed the encounter. The provider is required to attest of his/her presence during the encounter, verifying they have reviewed the scribe's documentation and the accuracy. The provider must also sign and date the encounter. 

What are the Benefits of Medical Scribes? 

E-Prescribing and Physician Assistants

E-Prescribing and Physician Assistants

Legal in 48 states, e-prescribing is a herald that medicine is continually evolving. Your state approval is one of many milestones required to achieve electronic prescribing of controlled substances (EPCS). Pharmacies and EHR (electronic heath record) software companies are fully aware of the challenges they must overcome to meet the requirements of the Drug Enforcement Administration's Interim Final Rule (IFR). When each of these aforementioned systems receives a DEA audit, a company named Surescripts certifies and connects the pharmacy with the prescriber application through a national health information network. This allows a provider to review prescription history, to send off non-controlled medications electronically to a patient's pharmacy, and many other quick and easy functions all through their very own EHR!

Fig 1. Surescripts logo. 

From Ethics and Professionalism: A Guide for the Physician Assistant, authors Blessing and Cassidy describe prescribing and dispensing capabilities of a Texas PA: A PA is allowed to prescribe or sign a prescription drug order if given the order to do so under a licensed physician. A PA in Texas has authority to prescribe Schedules III-V and non-controlled medications (sometimes referred to as legend drugs). If a PA wishes to prescribe controlled medications, they must register with the DEA (Drug Enforcement Administration) and DPS (Department of Public Safety). Unfortunately, organizations like TAPA (Texas Academy of Physician Assistants) must continue fighting for our rights to prescribe medications of all classes, including Schedule II.