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The New Zealand Universal List of Medicines
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The New Zealand Universal List of Medicines

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Shayne Hunter

Shayne Hunter
Project Lead, NZ Universal List of Medicines
(3/11/10, Illott, 2.00)

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The New Zealand Universal List of Medicines Presentation Transcript

  • 1. The New Zealand Universal List of Medicines HINZ Conference 3 rd November 2 010 Wellington Shayne Hunter
  • 2. NZ Universal List of Medicines – Why?
    • No sector wide approach to medical / pharmaceutical descriptions and coding in New Zealand
    • No single, authoritative list of medicines that is universally used throughout the health system
    • Multiple parties aggregating core and commonly used information about medicines
    • Patient safety, efficiency and cost impacts amongst others
    • Foundational for key sector strategies (e.g. eHealth, Actioning Medicines NZ) and significant investments planned / underway (e.g. SMM, National IT Plan, Formulary)
  • 3. The NZULM Contains basic facts about medicines (& devices) at the pack & individual dose level.
  • 4. NZ Medicines Terminology (NZMT)
    • Objective: establish a common language
      • Standard descriptions and an underlying coding system to identify medicines and medical devices
      • Covers generic names and cross referenced brands at pack and individual dose level
      • Covers registerable medicines, products listed in the Pharmaceutical Schedule outside of this category, and medicines imported under Section 29 of the Medicines Act
          • An adaptation of the Australian Medicines Terminology (AMT) and extension of the SNOMED CT international medicine terminology
      • Used primarily by medicines related databases and systems e.g. Pharmaceutical Schedule, Medsafe, Pharmacy Guild, medicines information providers, etc
  • 5. NZ Medicines Terminology Model
  • 6. NZ Universal List of Medicines ( NZULM)
    • Objective: provide a single, standard, authoritative and up to date source for medicines information covering basic facts (e.g. active ingredients, legal classification, subsidy status, etc)
      • Aggregates data from the NZMT & Medsafe, PHARMAC, Pharmacy Guild data sources and publishes
      • Primarily aimed at hospital and community clinicians involved in the Prescribing, Dispensing Administration and Reconciliation of Medicines
      • Integrated into patient management & dispensary management systems and available online and via portable devices
  • 7. My List of Medicines – Example Pharmacy GP Hospital GP Referral Dispensed Medicine Prescription Discharge Summary Prescription
    • My Medicine List
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  • 8. Product Catalogues – supply side
  • 9. NZ Medicines Terminology Model Pharmacode® GTIN
  • 10. Clinical Product Supply / Logistics NZMT NZMT NZMT NZMT From Manufacturer to Bedside Wholesaler / Distributor Manufacturer Prescribe Dispense Administer Collect History Pharmacy
  • 11. Forms part of the health system infrastructure
    • Free to use
    • Available for extension by the sector
      • The NZ Medicines Formulary
  • 12. The NZMF Contains NZULM plus clinical information
  • 13. The NZ Medicines Formulary – Why?
    • The evidence available supports the use of decision support tools and electronic formularies to
      • improve the accuracy, appropriateness & cost of prescribing
      • improve safety, quality of care and patient outcomes
    • New Zealand currently has no national independent formulary, providing drug and therapeutics information on available medication
    • There are a number of key players in the market, but none provide the total solution
    • Prescribers get information from multiple sources which is time-consuming, difficult, confusing and acts an inhibitor to use
  • 14. About the NZ Medicines Formulary
    • Is not a formulary in the restrictive sense of a ‘preferred medicines list’
    • It is general purpose, concise, first reference source for health-care providers
      • medicine indications, cautions, contraindications, side-effects, dosage
      • cost, including subsidy and access information
      • disease management advice in so much as it relates to pharmaceutical options
    • It is continuously updated, fully integrated with the e-health environment, including prescribing and dispensing software, and accessible online and in portable devices
  • 15. SNOMED CT
    • S ystematised No menclature of Med icine C linical T erms
      • It is a clinical terminology that covers:
        • Diseases
        • Procedures
        • Clinical findings, and
        • Therapeutic products
        • Plus additional information to help define the meaning of these areas
      • Is being actively adopted is many jurisdictions
  • 16. SNOMED CT Linkage Therapeutic Group Analgesic SCTID: 53009005 Opiate SCTID: 360204007 Phenanthrene derivative SCTID: 15375005 Morphinan opioid SCTID: 350297008 Non-opioid analgesics SCTID: 322208004 Analgesic AND antipyretic product SCTID: 363562007 Paracetamol SCTID: 903320067 Codeine SCTID: 85990009 generic medicinal name paracetamol+codeine SCTID: 412556009 Brand Name XYD ID: ??????
  • 17. Current status
    • NZULM
      • Currently released for evaluation (2500 products)
      • Release for general use late November / early December (5000+ products)
      • Active engagement with vendors & medicines information providers
      • Available on iPhone and shortly Windows Phone
    • NZMF
      • Release specification of requirements & tender document late November
      • Decision March 2011 + implementation / roll out plan
  • 18.
      • Demonstration
      • www.nzulm.org.nz
  • 19.