Albany, N.Y. -- Twelve years ago, Dr.
Everett Forman had developed a computer program that he thought his
colleagues in the medical industry would line up to purchase.
The program allowed doctors to write prescriptions and manage
patient records electronically, saving valuable time and preventing
potentially costly and dangerous errors.
But Forman did not see his business take off. "It flopped," he
said one recent morning, a few hours before patients would start
trickling in to his suburban Albany practice. "Back then, nobody had
computers in the office."
These days, though, computerized doctors' offices are standard,
and Forman is ready to take advantage of the situation. Earlier this
year, Forman's family-run company, Daw Systems Inc., began marketing
a revamped version of his program.
Already, the Ballston Lake, N.Y., company has sold five of the
$4,500 ScriptSure systems, and roughly 150 prospective customers
around the country have expressed an interest in the product after
seeing an advertisement in an industry catalog.
"It wasn't going to happen until physicians became more receptive
to the use of computers in their offices, which has now happened,"
Forman said. "We think this thing can be big."
But there is plenty of competition. Prescription errors have
become a hot issue for government regulators and the health care
industry, particularly after a 1999 study by the Institute of
Medicine at the National Academy of Science found that prescription
errors kill about 7,000 people each year.
Just last week, the U.S. Food and Drug Administration announced
its intention to require hospitals to use an electronic prescription
program in conjunction with a bar code system to make sure patients
get the right meds at the right dose.
Eventually, electronic prescription writing will become common at
physicians' offices, said Michael Cohen, president of the Institute
for Safe Medication Practices, a nonprofit organization in
Huntingdon Valley, Pa.
"Anything that makes a physician's job easier rather than more
difficult is going to take off," he said. "They want to certainly
reduce any risk of a patient getting hurt."
Cohen, a pharmacist, said fewer than 5 percent of physicians now
use electronic prescription-writing programs, so the potential
customer base is huge. As a result, there are several companies
looking to tap that market.
Forman acknowledges there is a lot of competition, but he said
his system provides the best combination of utility and price.
With a few key strokes, the ScriptSure system allows physicians
to write and print a prescription from a database of more than 1,300
drugs. The system checks for potential problems, such as allergies
to the prescribed drug or interactions with another drug the patient
takes. It also allows the doctor to keep a record of the patient
visit for his medical charts.
All of these things can be done in a few seconds, instead of a
few minutes. Over the course of a day, Forman said, those saved
minutes can add up to valuable time with patients.
It was his quest to better manage his time that drove Forman to
develop his system. In the late 1980s, Forman was seeing about 125
patients per day at his walk-in clinic. "My biggest problem was that
I could not write prescriptions fast enough," he said.
The other major advantage to electronically generated
prescriptions is increased safety, Forman said. The system
eliminates the frequent prescription errors created as a result of
illegible handwriting by the doctor.
Reducing errors is important not only for the obvious patient
safety reasons; it also reduces the chances of medical malpractice
litigation -- something doctors frequently cite as a major cause of
rising health care costs.