Enterprise EHR DUR Settings

Version number: V11.1.5 HF1 Date last updated: April 29, 2009

DUR parameters for Allscripts Enterprise EHR are set at the Enterprise level in TWAdmin, Org Setup

Clicking on DUR, will present the Drug Utilization Review Settings Dialog Box

The dialog box is divided into four sections, for each type of checking available. The checkboxes for:

• Drug Dosing
• Duplicate Therapy
• Drug-Drug Interaction
• Drug Health State

Turn on and off that category of DUR Checking. The boxes below each check-box control the filters for that category of Drug Utilization Review and the level of checking that will be utilized.

Drug Dosing

This control allows the System Administrator to select what parameters the system will use when performing checking on the dosage of a prescribed medication. All of these filters follow the Medi-Span guidelines for DUR checking.

• Screen for Maximum Consecutive Duration: Selecting this check-box will set the system to check prescriptions and their refills will exceed the medication's listed recommendation for maximum duration.

• Screen for Maximum Dosage: Selecting this check-box will set the system to check prescriptions to ensure they do not constitute and excessive daily dose for that medication.

• Screen for Maximum Duration: Selecting this check-box will set the system to check prescriptions to make sure duration of a prescription does not exceed the medication's recommended number of days.

• Screen for Maximum Individual Dose: Selecting this check-box will set the system to check prescriptions to make sure the individual dosedoes not constitute an excessive dose.

• Screen for Minimum Dosage: Selecting this check-box will set the system to identify potentially sub-therapeutic dosage regimens based on the medication's lowest recommended daily dosage

• Screen for Minimum Duration: Selecting this check-box will set the system to identify potentially sub-therapeutic dosage regimens based on the medication's minimum recommended course of treatment.