Administration and Policy in Mental Health and Mental Health Services Research

, Volume 40, Issue 3, pp 168–178

Implementing an E-Prescribing System in Outpatient Mental Health Programs

Authors

    • Department of Psychiatry, Center for Mental Health Policy and Services Research, Medical CenterUniversity of Pennsylvania
    • School of Social Policy and PracticeUniversity of Pennsylvania
    • Leonard Davis Institute of Health EconomicsUniversity of Pennsylvania
  • Elizabeth Noll
    • Department of Psychiatry, Center for Mental Health Policy and Services Research, Medical CenterUniversity of Pennsylvania
  • Eri Kuno
    • University of Indiana
  • Cynthia Zubritsky
    • Department of Psychiatry, Center for Mental Health Policy and Services Research, Medical CenterUniversity of Pennsylvania
    • Leonard Davis Institute of Health EconomicsUniversity of Pennsylvania
  • Matthew O. Hurford
    • Department of Psychiatry, Center for Mental Health Policy and Services Research, Medical CenterUniversity of Pennsylvania
    • Philadelphia Department of Behavioral Health and Intellectual Disability Services
  • Cordula Holzer
    • Wilmington VA Medical Center
  • Trevor Hadley
    • Department of Psychiatry, Center for Mental Health Policy and Services Research, Medical CenterUniversity of Pennsylvania
Research - Practice Relationships

DOI: 10.1007/s10488-011-0392-6

Cite this article as:
Rothbard, A.B., Noll, E., Kuno, E. et al. Adm Policy Ment Health (2013) 40: 168. doi:10.1007/s10488-011-0392-6

Abstract

This study describes the implementation and evaluation of an electronic prescription ordering system and feedback report in three community-based mental health outpatient agencies and the usefulness of the system in improving psychiatrists’ prescribing behavior. Using the e-prescribing system as a data collection tool, feedback on evidence based prescribing practices for patients diagnosed with schizophrenia spectrum disorder or major affective disorder was provided to agency directors and prescribers via a monthly report. The results of the project were that e-prescribing tools can be installed at a reasonable cost with a short start up period. Although the feedback intervention did not show a significant reduction in questionable prescribing patterns, we should continue to investigate how to best use HIT to improve safety, reduce costs, and enhance the quality of healthcare. A better understanding of what prescribers find useful and the reasons why they are prescribing non-evidenced based medications is needed if interventions of this type are to be effective. Given the availability of administrative claims data and electronic prescribing technology, considerable potential exists to provide useful information for monitoring and clinical decision making in public mental health systems.

Keywords

E-prescribing Public mental health Evidence based prescribing Clinical decision support Feedback systems

Copyright information

© Springer Science+Business Media, LLC 2012