The National Progress Report on e-prescribing and Safe-Rx Rankings

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1 The National Progress Report on e-prescribing and Safe-Rx Rankings YEAR 2012

2 neutrality transparency physician and patient choice open standards collaboration privacy

3 THE national progress report ON E-prescribing and safe-rx rankings YEAR 2012 EXECUTIVE SUMMARY THE National Progress Report and Safe-Rx Rankings Year 2012 At-A-Glance: This report confirms that e-prescribing s success is changing health care by demonstrating that Health IT has become a critical component for the efficient delivery of medicine and cost-effective patient treatments. E-prescribing continues to lead the way for full utilization of clinical information sharing throughout health care. electronic prescribing use 2012 Year-to-Year Growth for the Three Components of E-Prescribing M48% Medication History Ambulatory & Acute M33% M38% Benefit Information Prescription Benefit for Ambulatory; Eligibility Services for Pharmacy and Medicaid Electronic Routing Process New Prescriptions and Renewals E-Prescription Routing increased 38% in % of prescriptions dispensed were routed electronically Prescription Benefit Responses increased 33% in % of patient visits generated an electronically delivered medication history delaware new #1 Safe-rx state in 2012 Top 10 safe-rx rankings Safe-rx State Rankings electronic prescribing adoption BY specialty: INTERNISTS % (+15%) CARDIOVASCULAR % DISEASE INTERNISTS % (+15%) FAMILY INTERNISTS % % (+15%) PRACTICE CARDIOVASCULAR % CARDIOVASCULAR DISEASE ADOPTION BY % % PRACTICE DISEASE FAMILY (SIZE 6 TO 10) % FAMILY PRACTICE BY practice size: % ADOPTION BY % % PRACTICE PRACTICE ADOPTION (SIZE BY 2 TO 5) % (SIZE TO 10) % ADOPTION PRACTICE (SIZE BY 6 TO 10) PRESCRIBERS USING % % 13% AN PRACTICE (SIZE EMR VERSUS 6 TO 10) ADOPTION BY % STANDALONE ADOPTION (SIZE BY TO 5) % PRACTICE (SIZE 2 TO 5) 2012 EMR Standalone 64% PRACTICE (SIZE 2 TO 5) PRESCRIBERS USING 13% PRESCRIBERS % 13% AN EMR VERSUS USING % 13% STANDALONE EMR VERSUS EMR Standalone STANDALONE EMR Standalone COMMUNITY PHARMACIES ,600 19,200 CONNECTED 93% of FOR community Pharmacies can accept Chain e-prescriptions Independent PRESCRIPTION ROUTING Pharmacies Pharmacies COMMUNITY PHARMACIES ,600 19,200 COMMUNITY CONNECTED FOR PHARMACIES Chain Independent 2012 Pharmacies 39,600 Chain Independent Pharmacies 19,200 CONNECTED PRESCRIPTION FOR ROUTING Pharmacies Chain Independent Pharmacies PRESCRIPTION ROUTING Pharmacies Pharmacies Payer/PBM provided access to 255 million member records (patient lives) from participating health plans in % of Office-Based Physicians E-Prescribing in 2012 Surescripts estimates that more than 380,000 office-based physicians were actively e-prescribing (electronically routing prescriptions) by the end of Delaware 2. minnesota 3. OHIO 4. New Hampshire 5. Massachusetts 6. north carolina 7. vermont 8. Missouri 9. maine 10. SOUTH DAKOTA Adoption of E-Prescribing by Physicians was >70% in 24 States No state had a physician e-prescribing adoption rate below 40% in 2012 Safe-Rx Rankings and state-by-state data at Office-Based Physicians Who E-Prescribe. (The darker the area, the greater the concentration of active e-prescribers) about surescripts: Surescripts operates the most comprehensive national healthcare information network supporting pharmacies, payers, pharmacy benefit managers, physicians, hospitals, health information exchanges and health technology firms that rely on Surescripts to more easily and securely share health information. Surescripts is guided by the principles of neutrality, transparency, physician and patient choice, open standards, collaboration and privacy. By providing information for routine, recurring and emergency care, Surescripts is committed to saving lives, improving efficiency and reducing the cost of health care for all. Acknowledgements: Surescripts would like to thank Circle Square, Inc., the National Association of Chain Drug Stores Economics Department and SK&A for their expertise and significant contributions to the National Progress Report and Safe-Rx Rankings Year

4 Electronic prescribing use PRESCRIPTION ROUTING M48% Medication History Ambulatory & Acute M33% M38% Benefit Information Prescription Benefit for Ambulatory; Eligibility Services for Pharmacy and Medicaid Electronic Routing Process New Prescriptions and Renewals year-to-year growth for E-Prescription Routing, Medication History, 400Prescription Benefit Responses E-Prescribing 2012 Highlights: Growth Drives E-Prescribing Use 0 Prescription Routing Transactions Up 38% in 2012: With 69% of office-based physicians 2 actively e-prescribing, a record 788 million prescriptions were routed electronically in compared to 570 million in Medication History Use Increased 48% in 2012: Nearly half of patient visits, 47%, generated an electronically delivered medication history in That s up from 31% of patient visits in Prescription Benefit Information Responses Increased 33% in % of prescriptions dispensed were routed electronically 4, up from 36% at the end of Adoption Increases to Record Levels Small Practices were the leaders in E-Prescribing Adoption for the second year in a 60 row. 65% of practices with 6 to 10 physicians were e-prescribing, followed by 64% of physicians in practices with 2 to 5 physicians. Large practices with 26 or 40 more than physicians e-prescribed just 37% and 34% respectively. Internists were the leaders 20 by Specialty Practice with 93% e-prescribing in % of Community Pharmacies actively accept e-prescriptions: 85% of Independent Pharmacies 0 and 98% of Chain Pharmacies. Payer/PBM provided access to 255 million member records (patient lives) from participating health plans in New Prescriptions 13M 55M 16M % 35M 156M MEDICATION HISTORY 1 81M M 269M 230M 96M 474M Electronic Prescription Renewals 395M 38% 788M (TOTAL) 82M 706M 48% 586M VS. STANDALONE 37% 30% 21% 18% 13% 70% 79% 82% 87% Standalone 2

5 THE national progress report ON E-prescribing and safe-rx rankings YEAR 2012 Electronic prescribing adoption 25% INCREASE IN PRESCRIBERS ROUTING PRESCRIPTIONS IN % OF COMMUNITY PHARMACIES CONNECTED FOR E-PRESCRIPTION ROUTING K 390K 25% 489K 10,000 36,000 19,200 16,000 17,600 14,000 39,000 39,600 39,300 39, K K Chain Independent SOLO PRACTITIONER SMALL practices lead e-prescribing adoption growth in % % (+26%) by practice size 2 TO 5 93% OF COMMUNITY PHARMACIES CONNECTED FOR E-PRESCRIPTION 6 TO 10 ROUTING 10,000 36, TO % % % % % ,200 55% 16,000 17,600 14, % 26 TO % 39,000 39,600 39,300 39, % % (+21%) (+18%) (+20%) (+6%) (+26%) Chain Independent Adoption reaches 93% for internists in 2012 by specialty INTERNIST (+15%) 2. CARDIOVASCULAR DISEASE 3. FAMILY PRACTICE & ENDOCRINOLOGISTS % 81% 76% 85% 84% 93% Specialty Group % E-Prescribing in Gastroenterologist Urologist Nephrologist Ophthalmologist Psychologist Pediatrician Otolaryngologist Dermatologist Oncologist/Hematologist 70 1 For information on Surescripts handling of personal health information, please review our Privacy Policy at 2 Based on total count of 549,105 office-based physicians in the U.S. per SK&A data; Surescripts counts of active physicians represent those that used ambulatory prescription routing services within the last 30 days of A small portion of these physicians have been registered in hospitals and organizations that do both ambulatory and acute care. 3 Requests for prescription renewals are not represented in this section, as prescription renewal requests do not lead directly to the dispensing of prescriptions. 4 Calculations based on 74 million e-prescriptions dispensed as a percentage of 149 million total prescriptions dispensed. Total prescriptions is based on new and renewal prescriptions dispensed in December 2012 and exclude prescriptions for controlled substances. 3

6 Safe-Rx State Rankings Increases in State e-prescribing Adoption & Use Sets Stage for Clinical Information Exchange 69% of office-based physicians e-prescribing in 2012 Map notation: 2012 Office-Based Physicians Who E-Prescribe. (The darker the area, the greater the concentration of active physicians) % * % * % * % * 8th Annual SAFE-Rx Rankings** 2012 State 2012 State 1st delaware 6th north carolina 2nd Minnesota 7th vermont 3rd OHIO 8th missouri 4th new hampshire 9th maine 5th massachusetts 10th south dakota *Office-based physicians e-prescribing by the end of each year listed. **Surescripts prepared the Safe-Rx Awards Report using e-prescribing data sets that did not include any protected health information (PHI). 4

7 THE national progress report ON E-prescribing and safe-rx rankings YEAR Safe-Rx State Rankings 2012 Safe-Rx State Rankings for E-Prescribing Adoption and Use Safe-Rx Rankings measure each state s progress in advancing healthcare safety, efficiency and quality through the adoption and use of e-prescribing. The rankings recognize the full utilization of e-prescribing based on volume of use for all three e-prescribing services: Prescription Benefit, Medication History and Prescription Routing. 1. Delaware 2. Minnesota 3. Ohio 4. New Hampshire 5. Massachusetts 6. North Carolina 7. Vermont 8. Missouri 9. Maine 10. South Dakota 11. Wisconsin 12. Iowa 13. Connecticut 14. Pennsylvania 15. North Dakota 16. Michigan 17. Nebraska 18. West Virginia 19. Virginia 20. Oregon 21. New Mexico 22. Kansas 23. Florida 24. Indiana 25. Maryland 26. Rhode Island 27. Utah 28. Washington 29. Arizona 30. Illinois 31. Kentucky 32. South Carolina 33. New York 34. Hawaii 35. Alabama 36. Tennessee 37. New Jersey 38. Idaho 39. Georgia 40. Texas 41. Arkansas 42. Montana 43. Oklahoma 44. Mississippi 45. Louisiana 46. Wyoming 47. Colorado 48. Nevada 49. California 50. Alaska District of Columbia Ranked 51st View individual state reports detailing the growth of e-prescribing adoption and use at Safe-rx 2012 highlights First Time in the Safe-Rx Top 10: Ohio #3 up from #12 in 2011 Missouri #8 up from #17 in 2011 Physicians Embraced Electronic Prescription Routing in 2012 Adoption of E-Prescribing >90% in Five States STATE North Dakota Minnesota Massachusetts Iowa New Hampshire Physician Adoption: % E-Prescribing 98% 95% 94% 94% 92% New #1 Ranked State in the 2012 Safe-Rx Rankings: Delaware 82% 2.9 Million Physicians Actively E-Prescribing Total Prescriptions Routed Adoption of E-Prescribing by Physicians was >70% in 24 States No state had a physician e-prescribing adoption rate below 40% in % Patients with Available Prescription Benefit/History Information 5

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