Preparing a Pharmacy for Health Information Technology
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Preparing a Pharmacy for Health Information Technology

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Analysis of the Lone Star Circle of Care Pharmacy and providing recommendations on how health information technology can improve their workflow.

Analysis of the Lone Star Circle of Care Pharmacy and providing recommendations on how health information technology can improve their workflow.

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  • 1. Preparing a Pharmacy for HIT
    Brenda Wilson
    Altaf Prasla
    Michael Yao
    Mandi Taveechai
    BAMM HIT Consultants
  • 2. Lone Star Circle of Care: Lake Aire
    • Community Health Center
    • 3. Most patients are uninsured or under Medicaid or Medicare
    • 4. 2 Pharmacists
    • 5. "Medium Size" Pharmacy
    • 6. Peak on Mondays: 240 prescriptions filled
    • 7. Other days: 170 prescriptions filled
    • 8. Currently have QS/1-NRx 
    • 9. 5 Computers
  • Current Problems
    • Two different systems
    • 10. Physicians:NextGen 
    • 11. Pharmacists: QS/1-NRx
    • 12. Almost all (over 99%) of prescriptions are hard copies or faxed from across the hall
    • 13. Phone occupies the majority of the staff's time
    • 14. No up-to-date guidelines for patient counseling
  • Project Overview
    Provide research, quality analysis, and recommendations to address "meaningful use" in the pharmacy and assist in improving work flow efficiency.
    Stakeholders
    The pharmacy and clinics at Lone Star Circle of Care Adult Wellness Center: Lake Aire Location
    Key Goals
    • Eliminating hard copies and faxes for "internal" prescriptions
    • 15. Reduce phone call time to less than X% of pharmacy's staff labor.
    • 16. Improving interoperability and workflow.
    • 17. Providing the pharmacist the most recent medication guidelines for counseling.
    Key Benefits
    The pharmacy will be more efficient, reduce costs and provide more service at better quality with the same staffing levels (scalability).
    Charter Statement
  • 18. Key Deliverables
    • Scope Statement
    • 19. Budget
    • 20. Current Workflow Diagram
    • 21. Spaghetti Diagram
    • 22. Summary of current vendors 
    • 23. Recommendations
    • 24. Final Assessment
    Measures of Success
    The pharmacy will be provided with a comprehensive, object report and recommendations relating to "meaningful use" and workflow efficiency.
    Key Assumptions
    • The pharmacy will support and finance the project internally.
    • 25. QS1 is functional in the pharmacy and NextGen is installed in the clinic.
    • 26. 5 computers with scanners and fax machines.
    Scope
    • Helping the pharmacy's current system (QS1) interface with the clinic's current EHR (NextGen).
    • 27. Assist the pharmacy in choosing the appropriate IVR (Integrated Voice Response) system. 
    • 28. Provide recommendations for improving efficiency and workflow.
    Charter Statement Cont.
  • 29.
  • 30. Deliverables
  • 31. Scope Statement
    • Provide counseling and recommendations for interoperability.
    • 32. Assisting the pharmacy in choosing the appropriate IVR vendor.
    • 33. Provide recommendations for improving efficiency and workflow. 
  • Spaghetti Diagram
  • 34. Workflow
  • 35. Workflow: Front Counter
  • 36. Workflow: Back Counter
  • 37. Workflow: QA and Checkout
  • 38. Getting Connected: Switch Vendors?
    Pharmacy Software Vendor Comparison
  • 39. Getting Connected: Electronic Prescriber Networks
    • Frequently advertised with pharmacy software
    • 40. The Largest: SureScripts
    • 41. Also supported by QS/1: ProxyMed, Emdeon, RxNT
    • 42. Charge per script
    • 43. SureScript's 25 cents/script (but free to doctors!)
    • 44. "Script Brokers"
    • 45. Geared towards independent pharmacies and chains
    • 46. Solves the problem of arbitrary EHRs connecting to arbitrary pharmacies
  • Preliminary Recommendations
    • Since the pharmacist is currently happy with QS/1, we recommend connecting NextGen and QS/1 using their HL7 e-script add-on modules. 
    • 47. NextGen and QS/1 e-script modules: $42,000
    • 48. Also, QS/1 offers IVR Systems, so it would be easy to add that module to their current software. This is around $6000-$7000 per site.
  • Recommendation: Automation
  • Final Price Tag
    $49,000
  • 51. Questions?
    Special Thanks to:
    Corbin Ferrell, Director of Pharmacy Operations
    and Joe, Pharmacist at Lake Aire LSCC