Computerized Physician Orders – Email Encryption

Now Orders sent via email can be encrypted with an electronic signature. These encrypted email messages can only be viewed by an email program that has the corresponding public key to decrypt the message. This feature allows the email orders to be sent orders to the vendor pharmacies over public internet services.

Encryption is needed to be HIPAA compliant for personal health information transferred over public networks to ensure the patient’s privacy.

Some Vendor pharmacies do not have HL7 gateways to electronically received and send Orders. Some prefer to receive the Orders via Email. Sending Email places the patient information on the Internet where it can be viewed by unauthorized individuals in violation of the HIPAA regulations. It is strongly advised to implement secured email technology to guard the privacy of your patients.

Encryption; The security employs PGP encryption which uses public-key cryptography and includes software to bind the public keys to a user name and/or an e-mail address.

The sender creates a Digital Signature (using PGP) for the messages using either the RSA or DSA signature algorithms. PGP computes a “hash or message digest” from the plain text, and then creates a Digital Signature by combining the hash and the sender’s private keys.

Digital signatures; Email uses PGP to support message authentication and integrity checking. The former determines whether the message was actually sent by the person/entity claimed to be the sender. The latter is used to detect whether a message has been altered since it was completed (the message integrity property).

Mobile Computerized Physician Order Entry (CPOE)

Mobile EHR/CPOE enables physicians and nurses to improve patient care by ensuring the safety of every prescription written. The Computerized Physician Order Entry is an easy-to-use, software solution that is safe and secure. The physician orders for the patient are accessible from your computer, handheld device and/or cell phone. Nursing can send immediate notifications to the attending physician regarding any changes in condition or modifications needed to physician orders for a patient. Multiple options are provided to sending alerts are available.

Prescriptions can be restricted to the facility’s formulary and the new prescriptions are validated for interactions and appropriateness. Once completed and signed, the orders entered are transmitted to the vendor pharmacy or in-house pharmacy to be filled.

Other order types such as treatment, consults, laboratory can be entered and updated using the Personal Digital Assistant (PDA, e.g IPhone, Palm Treos) devices. If your laboratory vendor has an HL7 compliant system, you can access the patient’s laboratory results.

Order Entry – WorkFlow Engine Added

The Workflow Engine facilitate the flow and management of information, tasks, and events throughout the organization.

The workflow engine interprets events, tasks, messages and acts on them according to User definable operational procedures. The Actions allow management of Approvals, Escalations and Canceling Orders.

The workflow engine’s main functions are:

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Verify Status: Checks the status of an Event or Transactions.
Determine User Authority: Check whether the current user is permitted to execute the task.
Execute Condition script: Workflow engine evaluates the conditions and determines the script to be run, if a condition is true, workflow engine executes the defined tasks.