Clinical Calculators Work to Differentiate EHRs

Looking to differentiate your EHR?  Why not consider providing calculators that have been requested by thousands of physicians, pharmacists, nurses, and dentists for years through Lexicomp's online and mobile solutions.  With Lexi-Data, you have the ability to choose the ones that are relevant to your users and we will provide you with the logic needed to embed these useful tools into your system. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

But that's not all!  Lexi-Data can also help you meet several aspects of clinical decision support required for certification. Here's just a couple of the ways:

  • Drug Interaction Data - we'll provide your system data that enables clinicians to screen for drug interactions, including drug-allergy, drug-drug and drug-food

  • RxNorm Mapping - we promote interoperability through mapping to industry standard RxNorm

  • Drug Reference Data - integrate drug reference information, such as drug images and black box warnings, into your system

For the full list, click here.

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Clinical calculators add value to EHRs

With EHR vendors all rushing to comply with Meaningful Use and ePrescribing requirements, focus on differentiating features can sometimes slip. But these differentiators are what will define the successful EHRs that come to rule the market.

One possible differentiator are clinical calculators. These tools add value to clinicians using your product, especially if patient and medication information from the EHR system can be auto-populated in the calculators. But where can you get such calculators to include in your product?

Lexicomp has been providing dozens of clinical calculators straight to physicians, pharmacists, nurses, and dentists for years through our online and mobile solutions. Now those calculators are also available for inclusion in your system as well. Choose just the ones that are relevant to your users and Lexicomp will provide you with the logic needed to embed these useful tools into your system. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

Contact Lexicomp today using the links on this page to learn more!

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e-Prescribing Controlled Substances

Clinical Decision Support

Electronic prescribing (e-Prescribing) is a key component to improving patient safety and reducing medication errors, because it provides real-time clinical decision support to physicians at the time of order entry.  It is estimated that approximately 7,000 deaths occur each year in the United States from preventable medication errors. That is why physician adoption of e-Prescribing has been incentivized by the federal government. However, one of the biggest challenges surrounding physician’s adoption of e-Prescribing is the ability for them to electronically transmit prescriptions for controlled substances. 

Prior to June 2010, all controlled substance prescriptions were required to be on paper, so instead of maintaining one process for paper-based controlled substances and another that is electronically based for noncontrolled substances; physicians were choosing to stick with a paper-based prescription process.  In an effort to remove this headache and extra work that was required by physcians there was a new ruling made by the US Drug Enforcement Administration (DEA) to encourage physicians adoption. In June 2010, the DEA revised the Code of Federal Regulations to allow the electronic transmission of schedule II-V controlled substances to pharmacies.  Now physicians can migrate to an electronic system and not worry about maintaining a separate paper-based system. 

Lexi-Data is the foundation of Lexicomp's comprehensive clinical decision support database and it contains federal CSA codes as well as a list of state level overrides that e-Prescribing systems need to make this happen. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)


Lexicomp will be exhibiting at HIMSS 2012 in Las Vegas from February 20 - 24. Stop by for a visit at Booth #5134 and learn more about the preferred choice of drug information databases!

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Are you developing EMRs and practice management systems where speed to market is critical?

Clinical Decision Support

Are you developing EMRs and practice management systems where speed to market is critical?   One of the modules of such systems is the inclusion of drug information.    Since this is neither the expertise of your developers nor your content people,  it is important to identify the preferred drug information provider early in the process.   Four criteria are critical in making this decision.   First, quality of information.  Second,  flexibility of design and APIs.   Third, simplicity of data structure.   Fourth, and very important, customer support during the development period and after release.    More and more EMRs are now using Lexicomp drug information as part of their offering.  And there is a reason for that.


Lexi-Data is the foundation of Lexicomp's clinical decision support architecture is quickly becoming the standard for when companies need an up-to-date comprehensive drug database.  This database provides patient specific alerts and referential content to support sound treatment decisions in areas such as drug interaction checking (drug-drug and drug-food), drug allergy checking, therapeutic duplication checking, RxNorm Mappings, supports Surescripts Certification,  Drug Classifications, dose range checking (adult and pediatric), Patient Education, Pediatric and neonatal drug interactions and more. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

 

 

 

 

 

 

 

 

 

 

 

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5 Benefits of Lexicomp's Drug Interaction Database

ePrescribing
 

Lexicomp is increasingly the preferred choice of EHR and EMR vendors for pharmaceutical and clinical information. What benefits do they deliver for developers? (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

 

  1. Meaningful Use support: Including drug-drug and drug-allergy interaction checking
  2. Superior customer service: Every customer receives personal service, no matter the size
  3. Advanced filtering options: A unique system of complex filters allows users to target Black Boxed Warnings to particular users and circumstances
  4. Trusted content and name: Thousands of physicians, pharmacists, nurses, dentists, and other clinicians buy information direct from Lexicomp because they trust it
  5. Full support for eprescribing: Customers have used Leicomp's clinical decision support to create their own e-prescribing modules for EMRs and EHRs

These are just five of the many benefits that Lexicomp customers enjoy. To find out more, request a demonstration today!

 

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Benefits of a Drug Interaction Databse for EHR Vendors and Patient Portals

Lexicomp is the seller of Lexi-Data, a transactional drug interaction database for EHR vendors, EMR vendors, HIS systems, ePrescribers, PMS systems, consumer websites, patient portals, and more. Hundreds of Lexi-Data customers are integrating Lexicomp's referential and clinical decision support information into their own systems and products.

Comprehensive data covers all decision support Meaningful Use requirements:

  • Compatible with required standards like RxNorm
  • Supports drug-drug and drug-allergy interaction checking
  • All data necessary for ePrescribing and CPOE
  • Additional functionality like dose range checking

Fastest and easiest integration gets you to market faster:

  • Easy-to-use APIs and web services -- you choose which you want
  • Superior one-on-one customer service
  • Most intuitive data structure and fastest implementation

New features set you apart from the competition:

  • Black Box Warning filters to alleviate clinician alert fatigue
  • Patient education available in 19 languages

Click the links on this page to find out more about Lexi-Data now! (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

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Eliminate Alert Fatigue with Customized Drug Database

Alert fatigue is related to the barrage of messages provided clinical decision support systems which can overwhelm a provider and cause them to ignore messages. The alerts, while found to be helpful in some cases, can result in a type of "fatigue" whereby the provider, after receiving too many alerts, begins to ignore and/or override the alerts. Receiving too many alerts can result in slowing the provider down rendering the alert useless.

One of the key reasons that clinicians are frustrated with decision support related to drug interaction software is the potential for this alert fatigue. Clinicans do not want to be messaged regarding dosage precautions related to an interaction which has already been recognized and addressed. It is particularly important in the era of electronic prescribing to engineer systems which can present the appropriate information to the appropriate person. Systems need to recognize whether an individual has previously addressed the issue, rather than simply blindly alerting to the presence of two medications within the medicine list. A collaborative effort between drug database providers and application vendors is needed, and discussions to improve the quality of alerts, while decreasing the quantity, are moving forward. These will greatly improve satisfaction with these tools. 

Not all clinical information is structured the same!
The more detail that your medication and clinical information vendor provides about crucial alerts, the easier it is for you to implement customization for your users. If every alert looks the same (which is true of what many vendors provide!), then that means that your users will have to go through them all one by one, setting their preferences on warnings and dosage precautions by hand. Then they have to keep their settings up to date as new alerts are added. That's not user friendly design!

By contrast, Lexicomp's implementation of Black Box Warnings (also called Black Boxed Warnings) gives a great deal of flexibility to developers to allow for multi-dimensional customization. Each warning contains information about which clinician the alert is intended for, how severe the alert is, and whether the alert applies only to patients with specific conditions (e.g., pregnancy). (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

Win customer loyalty by automating alert customization! 
This way, you can automate much of the customization without having to ask for input from every individual user. You can simply have the system hide alerts intended for nurses from pharmacists, and vice-versa. Likewise, you can make your system intelligent enough to hide alerts related to pregnancy from male patients. This is the kind of smart implementation that users are looking for to help them aviod alert fatigue and become more efficient and effective clinicians. Talk to Lexicomp today to learn more!
 

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Drug Information for Meaningful Use

Clinical Decision Support

Among the Eligible Professionals who are going for federal incentive payments for Meaningful Use, podiatrists rank high among early adopters. iWatch news recently published an article (http://www.iwatchnews.org/2011/10/12/6941/podiatrists-have-their-foot-door), describing this observation.

Does your EHR meet the certification requirements established by ONC? Lexicomp can help by providing your system key clinical decision support data required for certification.  As an integrated component of your EHR, our transactional drug data and reference information support the following Stage 1 meaningful use and certification criteria from ONC's Final Rule. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)


Lexi-Data is the foundation of Lexicomp's clinical decision support architecture. This solution provides clinical decision alerts and referential content to support sound treatment decisions in areas such as drug interaction checking (drug-drug and drug-food), drug allergy checking, therapeutic duplication checking, RxNorm Mappings, Drug Classifications, dose range checking (adult and pediatric) and more.

 

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Can web services be a low-cost way to EHR Meaningful Use compliance?

ePrescribing
 

Now that ONC and CMS allow specialists and dentists to file exceptions from Meaningful Use requirements, many classes of clinicians find themselves able to qualify for incentive money. But even though they may not use much of a certified EHR's functionality, they're still required to implement a fully functional package to qualify.

This is something of a dilemma for vendors of EHR systems for specialists and dentists. How can they provide lightweight versions of functionality that may never be used, while still giving robust coverage of important features like e-prescribing? It's a development puzzle with seemingly no easy solution.

Are web services the answer?
Not every EHR or EMR can be successful relying on web services to fulfill Meaningful Use criteria, but specialists and dentists may be able to reap the benefits. Web services are inexpensive and quick to implement, and don't require you to maintain and update a complicated database of medications and other clinical concepts. Simply request the information you need via the web service when you need it, and it can be delivered to your application.

Lexicomp is one vendor that supplies robust web services to their own database of drug and clinical information. They provide enough functionality to fulfill every Stage 1 Meaningful Use requirement related to drug screening and interaction checking. They also have web services for the delivery of patient education materials. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

If you think web services may be beneficial to your development, contact Lexicomp today to learn more.

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Evaluating drug interaction databases in EHR development

Drug Interaction Database

When developing an EHR system, when is the right time to evaluate a drug interaction database? Because there are only a handful of vendors in the market, it makes sense to evaluate their respective offerings several times. Certainly, before you make the final decision to go with any particular vendor, you should talk once more to the other data providers to ensure nothing has changed.

A lot can change in a few months
One vendor that has added a lot of enhancements to their medication and clinical information is Lexicomp. Evaluating their solution today versus a year ago would show many differences in capabilities. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

Some of the new enhancements include:

  • New web services calls that allow for implementation of Meaningful Use Stage 1 requirements without an installed database
  • New Black Box Warnings information that helps alleviate alert fatigue
  • Expanded patient education leaflets in multiple languages

In an industry like this where things can change quickly but in which product development can sometimes span years, it's important to check in with possible vendors more than once! If you haven't talked to Lexicomp recently, click the links on this page to set up a conversation with them now.

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Improving EMR drug information safety with Black Box Warnings

Electronic Medical Records


With all the focus on improving patient care with electronic medical records, it's strange that most medication and clinical data vendors don't allow developers to meaningfully use Black Box Warnings. But one vendor, Lexicomp, is leading the way with detailed, customizable warnings that add value across the continuum of care.

What are Black Box Warnings and how do they help?
Black Box Warnings (also called Black Boxed Warnings) are the FDA's highest class of medication warning -- it indicates a precaution of the highest concern to patients or clinicians. They get their name from the distinctive black box that surrounds the warning on the packaged information that comes with drugs.

Not all Black Box Warnings are alike. Some are relevant at the time a drug is prescribed, others at the time the prescription is filled, and others when the drug is administered or stored. For this reason, different warnings are most likely to apply to different clinicians (or even the patient) along the continuum of care. Similarly, some warnings are only applicable to patients with special conditions (e.g., pregnancy), and some are considered by clinicians to be "obvious" warnings (e.g., only oncologists may prescribe cancer treatment regimens).

Yet, the information included in these warnings is very important -- so long as they are delivered at the right time to the right people. They can help save lives, reduce liability, and reduce the cost of care.

How do you get Black Box Warnings into your EMR system?
Until recently, there was no good way to get this information in an EMR, EHR, or HIS system. Some drug information vendors offer an indicator on their drug monographs that simply states "YES" or "NO" whether the drug has an associated Black Box Warning. It's still up to every clinician in the continuum of care -- the prescribing doctor, the fulfilling pharmacist, the administering nurse -- to look up those warnings in the drug's packaged inserts to see if they apply to them. This is an unnecessary extra step that could potentially lead to crucial missed information!

Lexicomp offers a better way. With Lexicomp, detailed information is provided about each Black Box Warning. In addition to the full text of the warning and additional context written by Lexicomp's staff of in-house experts, the warnings are all classified to make it easy to customize which ones appear for which clinicians. You can reduce alert fatigue by ensuring that only relevant warnings appear for particular clinicians or patients. Not only will your EMR be improving patient safety, but it will be making life easier for all of your users as well! (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

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EMR vendors address alert fatigue in novel ways

Alert fatigue has been the big bogeyman of EMR implementation for many users, developers, and vendors. Although clinicians agree that it's important to see alerts, they disagree on how many and even which ones. Many vendors have found that a crucial step in alleviating alert fatigue is to allow clinicians to customize their own alerts to some extent. But can your drug information vendor even support that?

Not all clinical information is structured the same!
The more detail that your medication and clinical information vendor provides about crucial alerts, the easier it is for you to implement customization for your users. If every alert looks the same (which is true of what many vendors provide!), then that means that your users will have to go through them all one by one, setting their preferences on warnings and dosage precautions by hand. Then they have to keep their settings up to date as new alerts are added. That's not user friendly design!

By contrast, Lexicomp's implementation of Black Box Warnings (also called Black Boxed Warnings) gives a great deal of flexibility to developers to allow for multi-dimensional customization. Each warning contains information about which clinician the alert is intended for, how severe the alert is, and whether the alert applies only to patients with specific conditions (e.g., pregnancy). (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

Win customer loyalty by automating alert customization! 
This way, you can automate much of the customization without having to ask for input from every individual user. You can simply have the system hide alerts intended for nurses from pharmacists, and vice-versa. Likewise, you can make your system intelligent enough to hide alerts related to pregnancy from male patients. This is the kind of smart implementation that users are looking for to help them aviod alert fatigue and become more efficient and effective clinicians. Talk to Lexicomp today to learn more!

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Will EMR vendors make the most of the Meaningful Use reprieve?

Meaningful Use By EHR

Nothing is final yet, but in all likelihood Meaningful Use Stage 2 won't kick in until 2014. In addition, some of the draft recommendations floating around look a lot like Stage 1 with stricter compliance levels. In other words: much of the work for Stage 2 is going to fall on EPs and hospitals, rather than on EMR vendors. There will likely be some new functionality -- especially around provider-patient communication -- but probably not the crush of requirements we saw in Stage 1.

So what will EMR, EHR, and HIS vendors do with their reprieve? If they're smart, they'll take this opportunity to improve their products in ways that aren't (yet!) required by Meaningful Use but which will give them an advantage in the market. Here's some functionality that EMRs may be using this reprieve to pursue:

 

  • Implementing dose range checking: From a clinical point of view, this is one of the big gaps in what we've seen so far in the first two stages of Meaningful Use. Many of the news stories we read about adverse drug events aren't about interactions or allergies at all -- they're about mistakes in dosing. This is especially true with pediatric dosing, which can be extremely complicated. If dosage precautions were more widely implemented, patient safety would be positively affected.
  • Addressing alert fatigue: Many EMR systems are likely to live or die based on this issue alone. Whoever can figure it out will have an undeniable benefit over the competition. As with many Meaningful Use issues, it starts with drug information vendors -- does yours provide the detail needed to make alerts intelligent?
  • Improving patient education: The new recommendations for Stage 2 Meaningful Use are all about provider-patient communication. And transcripts of workgroups show that CMS and ONC are very interested in improving not just the method of communication, but the quality of information that flows through it. It seems likely that this will eventually include things like specific patient education materials for pediatric and adult patients, delivered in the language they primarily speak.

EMR vendors that can solve some or all of these issues now will find themselves ahead of the game when the next round of MU guidelines come out. Not only that, but they'll be delivering real value to clinicians that sets them apart from all the other cookie-cutter competitors who are simply "checking boxes" on the Meaningful Use checklist.

But where to start? Lexicomp is a drug and clinical information vendor who can help with all of the items listed above -- and with many more as well. Call or fill out a form today to start learning about how Lexicomp can help you build value for your users, save money and development resources, and meet government requirements for your EMR system. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

 

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A Reprise: Are you building an EMR? Does it have reliable pediatric dose range calulations?

I am reposting comments I made several months ago.  Why?  Because it is very important to build an EMR with the best pediatric dosing information possible.   The implication are clear. So,  if you are in the midst of building a new EMR or just want to include a link from your EHR over to Lexicomp Online's Pediatric Dose Range Checking,  I would suggest reading this.

Pediatric Dose Range Calculations

 

Are you building an EMR? Does it have reliable pediatric dose range calulations?

Monday, June 27, 2011 by David Wilkof

It might seem like an easy question, but the answer is neither obvious nor unimportant.  Both pediatric and neonatal dose range calculators are receiving more focus and attention.  This is serious business, with serious consequences.    Last week, Matt Bennardo wrote a blog posting where he cited a study by Practice Fusion,  where it has been shown that EHR's are having a real impact on the decrease in infant mortality.  This is great news for those EHR's that have elected to use better dose range checking calculators.  

As I said in a post last week. "All pediatric dosage calculators are not created equally.   As Matt goes on to say, "But luckily there are drug information vendors like Lexicomp that understand there is a vast world of difference between adults and children -- and often between older children and neonates. Lexicomp's drug information is trusted by dozens of EHR vendors to guide clinicians in prescribing, fulfilling, and administering drugs to patients of all types -- including children."

Lexicomp provides both "machine readable" transactional information (geared towards specific populations) for use in clinical decision support, as well as "human readable" reference materials for clinicians and patients. Even Lexicomp's patient education leaflets are written with either adult or pediatric patients in mind. 
(Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

If you are developing an EMR or looking to improve an EHR or HIS system, I would suggest reaching out to Lexicomp for some suggestions.  Lexicomp is known for its pediatric and neonatal drug information.

 

 

 

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Now Available: Faster and more efficient clinical decision making

Have you been looking for the perfect mix of better alerts as to fight off alert fatigue, while at the same time improving the clinical decisions made by physicians, pharmacists, and nurses? Well, Lexicomp has been hard at work ensuring the perfect fix: easy-to-implement solutions that integrate seamlessly within any hospital’s EMR, CPOE, pharmacy system, or Web portal!  Our solution allows for a direct connection to Lexicomp’s trusted drug information. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)
 
Lexicomp has recently included new functionality that can alert users with the appropriate Black Box Warning where needed in the current workflow.  These Black Box Warnings, the strongest issued by the US Food and Drug Administration, list vital information indicating if the drugs could cause serious side effects--good information to have right within your workflow!
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Lexicomp improves drug information database content with Black Box Warnings

One of the most common comments I hear from users of Electronic Medical Records (EMR) systems is associated with “alert fatigue” from unwelcome drug interaction notifications. Many users tell me that they are flooded with unavoidable but unnecessary alerts that interrupt their workflow, decrease productivity, and make the important alerts harder to see. Clinicians find themselves clicking through the alerts as quickly as possible which defeats the purpose of clinical decision support. 

 

In today's fast-paced healthcare industry, electronic health record (EHR) and other healthcare information system vendors need smart, current drug data that will enable their systems to drive patient safety and improve healthcare -- without generating a flood of annoying alerts that will only be ignored. Lexicomp has recently included new functionality that can alert users with the appropriate Black Box Warning where appropriate in the current workflow. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

 

In the most simple terms, an FDA Black Box Warning is the strongest warning that the US Food and Drug Administration (FDA) puts on a drug. It means that you should pay close attention to the drug's usage because there are some potentially extremely harmful or dangerous threats to your health that the already FDA approved drugs could pose.

The other side of the coin, however, is that an FDA Black Box Warning means that despite the FDA's knowledge of these harmful, serious and sometimes deadly side effects that they are still leaving the FDA approved drug on the market for you to be able to take and potentially experience these harmful side effects. In theory, these FDA Black Box Warnings are designed for both the doctor who is prescribing the drug to be aware of the problems and for you as the consumer to be more aware.

 

The warning is placed in a prominent 'black box' on the package insert of an FDA approved drug so that people and their doctors can be more aware of it, but few doctors ever see the pill bottles and the vast majority of consumers realistically aren't going to go through the amazingly large amount of technical and medically detailed information on a package insert. This can lead to doctors note being aware of a serious alert which can have serious consequences. With Lexicomp’s inclusions of Black Box Warnings within their medication database, the warnings can be provided to the physician during the prescription process where they are most needed.

 

 

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Interested in speeding up clinical decision making for physicians, nurses, and pharmacists without disrupting their workflow?

What agony when a clinician’s workflow is interrupted because they need to confirm clinical information such as a correct dose, REMS Information (Information about FDA approved Risk Evaluation and Mitigation Strategies is included in Medication Guide, REMS Components and Prescribing and Access Restriction fields),  or to find and print patient education materials. 


Our easy-to-implement Integration solutions integrate seamlessly within any hospital’s EMR, CPOE, pharmacy system, or Web portal, connecting clinicians directly Lexicomp’s trusted drug information. 
Lexicomp has integration established with many of the well know health care information system providers such as Cerner, Epic, Eclipsys, Meditech, Siemens and GE which provides one-click access to Lexicomp drug reference content such as drug monographs, patient education material which is available in 18 languages, pediatric dosing, and more. 
We have a number of options available for the integration of Lexicomp Online content which include web based URLs (APIs), Web Services, or XML Datasets. (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

Web API Solution
  • Our Web API solution empowers integration of all Lexicomp content. Consistent API programming calls save time and allow clinicians to launch from their internal applications into our clinical databases, utilizing whatever delivery platform they choose.
Web Services
  • Our Web Services platform is written for compatibility with Microsoft® .NET™ and Java™ programs. XML data can be obtained via standardized calls and is then processed and returned in real-time. Your application will retrieve and parse the content into your display, making complete customization a reality.

XML Datasets

  • If live Internet calls are not preferred, XML datasets are available for download from an FTP site and incorporated directly into the database.
1 Comments »

Dentistry Practice Management Systems Need Clinical Decision Support

EMR vendors are not the only ones rapidly deploying clinical decision support systems to healthcare providers. Dental professionals are demanding that their practice management systems overcome massive development hurdles in order to comply with Meaningful Use standards.

There is a buzz in the dental technology community about Meaningful Use and incorporating more clinical decision support into the practice management system workflow. If you are searching for the best dental specific drug database to integrate into your dental EMR, turn to Lexicomp. There are very few suppliers of drug data within the dental market and even fewer still that are easy to work with.  And if you are looking for an easy-to-use, out-of-the-box ePrescribing tool, trust our partner DoseSpot to deliver the solution.  What do all of these companies have in common?  They are easy to work with and provide you with the ability to get to the market fast! (Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

Don't wait to the end of your development process to worry about:  dose range checking,  pediatric dosing, drug calculators, medicine interactions, dosage precautions, clinical guidelines, drug interaction software, duplicate therapy, drug classifications, generic drug names, drug nomenclature and more.  These are critical paths for a dental EMR build.  But it's not just about the information.  It's about who you select as your partner and who has seamless API's which makes your development easier.   

You owe it to your product and your customer to make the right choice.  

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Clinical Decision Support and Alert Fatigue

One of the key reasons that clinicians are frustrated with decision support related to drug interaction software is the potential for alert fatigue. Clinicans do not want to be messaged regarding dosage precautions related to an interaction which has already been recognized and addressed. It is particularly important in the era of electronic prescribing to engineer systems which can present the appropriate information to the appropriate person. Systems need to recognize whether an individual has previously addressed the issue, rather than simply blindly alerting to the presence of two medications within the medicine list. A collaborative effort between drug database providers and application vendors is needed, and discussions to improve the quality of alerts, while decreasing the quantity, are moving forward. These will greatly improve satisfaction with these tools. 

0 Comments »

Are you building an EMR? Does it have reliable pediatric dose range calulations?

It might seem like an easy question, but the answer is neither obvious nor unimportant.  Both pediatric and neonatal dose range calculators are receiving more focus and attention.  This is serious business, with serious consequences.    Last week, Matt Bennardo wrote a blog posting where he cited a study by Practice Fusion,  where it has been shown that EHR's are having a real impact on the decrease in infant mortality.  This is great news for those EHR's that have elected to use better dose range checking calculators.  

As I said in a post last week. "All pediatric dosage calculators are not created equally.   As Matt goes on to say, "But luckily there are drug information vendors like Lexicomp that understand there is a vast world of difference between adults and children -- and often between older children and neonates. Lexicomp's drug information is trusted by dozens of EHR vendors to guide clinicians in prescribing, fulfilling, and administering drugs to patients of all types -- including children."

Lexicomp provides both "machine readable" transactional information (geared towards specific populations) for use in clinical decision support, as well as "human readable" reference materials for clinicians and patients. Even Lexicomp's patient education leaflets are written with either adult or pediatric patients in mind.

If you are developing an EMR or looking to improve an EHR or HIS system, I would suggest reaching out to Lexicomp for some suggestions.  Lexicomp is known for its pediatric and neonatal drug information. 
(Note: The Lexicomp solution Lexi-Data referenced in this post has been replaced by newer Medi-Span solutions as of January 2013.)

 

0 Comments »