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.

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Preparing a Pharmacy for Health Information Technology

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

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