Configuring E-Prescription Settings in iClinic

1. Introduction 

• Purpose: This guide provides detailed, step-by-step instructions on how to configure E-Prescription settings in MDLand iClinic. 

• Key Features: Accessing E-Prescription settings, adjusting drug interaction severity levels, configuring interaction displays, and setting default pharmacies. 

2. Accessing E-Prescription Settings 

1. Log In:  

• Sign in to your MDLand iClinic account. 

2. Navigate to Settings:  

• Click on the Settings Icon from the dashboard. 

3. Access E-Prescription Options:  

• Click on E-Prescription and then select Options. 

3. Overview of E-Prescription Options 

• Participation in the CMS E-Prescription Incentive Program:  

• This program ended on January 1, 2014, and can be skipped. 

• Formulary Check, Drug Interaction Check, Drug Allergy Interaction Check:  

• These settings are defaulted to Yes and cannot be changed. 

4. Configuring Drug Interaction Settings 

A. Setting Default Severity Level for Drug Interactions 

1. Default Severity Level:  

• Click the Dropdown Menu under Default Severity Level. 

• Choose a number between 1 and 5:  

• 1: Low Severity 

• 5: High Severity 

2. Effect of Setting:  

• This severity level will be reflected in the prescription section of the office visit under the Drug-Drug Interaction Tab. 

B. Maximizing Interaction Displays 

1. Display Options:  

• Choose whether the following sections are Expanded or Minimized by default:  

• Maximize Drug-Drug Interaction Display 

• Maximize Drug-Allergy Interaction Display 

• Maximize Drug-Disease Interaction Display 

2. Implementation:  

• Navigate to a patient's Office Visit. 

• Click on the Prescription Section:  

• If set to Yes, interaction displays will be expanded. 

• If set to No, they will remain minimized. 

C. Blocking Prescriptions Based on Severity Level 

1. Set Blocking Rules:  

• In Settings, locate Drug-Drug Interaction Rule. 

• Choose a severity level from the Dropdown Menu. 

2. Effect of Setting:  

• Prescriptions with interaction severity equal to or greater than the selected level will be blocked. 

• In the Prescription Section, adding two interacting drugs will trigger:  

• A Red Alert at the top of the section. 

• Display of the interaction in the Drug-Drug Interaction Tab. 

3. Sending Blocked Prescriptions:  

• If interactions are flagged, the system will show a Pop-Up Alert asking for confirmation before sending. 

5. Configuring Drug-Disease Interaction Checks 

1. Enable Drug-Disease Interaction Check:  

• Switch the setting to Yes to enable automatic checking. 

2. Important Note:  

• Once enabled, this setting cannot be reverted back to No. 

6. Setting a Default Pharmacy 

1. Assign Default Pharmacy:  

• In the Settings Menu, locate the Default Pharmacy option. 

• Click the Dropdown Menu and choose the preferred pharmacy from the list. 

2. Effect of Setting:  

• The selected pharmacy will be the default for all prescriptions unless manually changed during prescribing. 

7. Best Practices 

• Review Settings Regularly: Periodically verify drug interaction and prescription settings to ensure patient safety. 

• Set High Severity Blocking Levels: For clinics with high-risk patients, consider setting strict drug interaction blocking rules. 

• Default Pharmacy Verification: Confirm that the default pharmacy details are accurate and updated. 

8. Troubleshooting Tips 

• Drug Interaction Alerts Not Displaying:  

• Ensure interaction settings are enabled and severity levels are configured correctly. 

• Unable to Change Settings:  

• Some default settings, like formulary checks, cannot be modified. 

• Contact MDLand support if needed. 

• Prescription Blocking Issues:  

• Check the severity level settings under Drug-Drug Interaction Rules to adjust thresholds. 

9. Support Guidelines 

• In-App Help: Use the MDLand iClinic help feature for immediate assistance. 

• Technical Support: Contact MDLand support for technical issues related to E-Prescription settings. 

• Administrative Support: Consult your clinic administrator for permission-related access issues. 

Thank you for following this guide. Proper configuration of E-Prescription settings ensures secure, efficient, and compliant prescription management in MDLand iClinic.