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Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital,
Peter...
Background
Eastern Health comprises of multiple sites and
provides to the public a wide variety of clinical
services:
Bo...
State-wide Footprint
• Collaboration between:
– Department of Health, Victoria (Health Shared Services)
– Austin Health
– ...
ehCare@eastern
• Cerner Millennium application for clinical management
– PowerChart
– PharmNet Medication Manager
• Multum...
Overview
• Drug Interactions
• Allergies
• VTE risk
• Antimicrobials
• Medications
– PINCH
– warfarin
• Reports
• Future F...
Drug interaction settings
• State decision – Major:Contraindicated
• Drug interaction data files are supplied by Multum AU...
Allergy settings
• Cerner system setting
• Functionality and terminology from Multum AU
• Levels:
– Drug or drug class all...
Allergy Alert
Allergy settings
• Cerner system setting – functionality and terminology from
Multum AU
• Levels:
– Drug or drug class all...
Venous Thromboembolism risk
• State decision
• VTE risk assessment form
• VTE alert
• Considerations:
– Link to local poli...
VTE Risk Alert
VTE Risk Form audit
Antimicrobial Alerts
• Local decision – due to organisation specific restricted
antimicrobials
• Alert fires upon ordering...
PINCH
• P - potassium
• I - insulin
• N - narcotics
• C - chemotherapy
• H - heparins
• High dose insulin alert
• Caresets...
PINCH
• P - potassium
• I - insulin
• N - narcotics
• C - chemotherapy
• H - heparins
• High dose insulin alert
• Caresets...
Order comments, patch removal
& additional charting elements
Warfarin build
Warfarin Alerts
Reports
• Allergy KPI report
• VTE risk assessment report
• Freetext reports
• Laboratory values report
• Warfarin reports
Future Functionality
• Dose Range Checking
• Warfarin Summary Page
• Tall Man lettering
• Multiple anticoagulant alert
Thank you!
Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: I...
Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: I...
Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: I...
Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: I...
Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: I...
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Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: Including application design and Strategies to address PINCH drugs

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Stephanie Chau delivered this presentation at the 3rd Annual Electronic Medication Management Conference 2014. This conference is the nation’s only event to look solely at electronic prescribing and electronic medication management systems.

For more information, please visit http://www.healthcareconferences.com.au/emed14

Published in: Health & Medicine
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Transcript of "Stephanie Chau, ehCare Clinical Application Pharmacist, Eastern Health - Decision Support Designs for Cerner Millennium: Including application design and Strategies to address PINCH drugs"

  1. 1. Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital, Peter James Centre, Turning Point Alcohol & Drug Centre, Wantirna Health, Yarra Ranges Health and Yarra Valley Community Health Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital, Peter James Centre, Turning Point Alcohol & Drug Centre, Wantirna Health, Yarra Ranges Health and Yarra Valley Community Health Decision Support Designs for Cerner Millennium Stephanie Chau ehCare Clinical Application Pharmacist Eastern Health
  2. 2. Background Eastern Health comprises of multiple sites and provides to the public a wide variety of clinical services: Box Hill Hospital Maroondah Hospital Angliss Hospital Peter James Centre Wantirna Health Healesville Hospital &Yarra Ranges Health
  3. 3. State-wide Footprint • Collaboration between: – Department of Health, Victoria (Health Shared Services) – Austin Health – Eastern Health – Peninsula Health – Royal Eye & Ear Hospital • Points for consideration: – Standardised customisations – Reduced cost – Collaboration and increased ideas gateway – Increase in turnaround time – Difficulties in reaching mutual agreement
  4. 4. ehCare@eastern • Cerner Millennium application for clinical management – PowerChart – PharmNet Medication Manager • Multum AU/NeHTA AMT identifiers • ehCare@eastern: – Patient information – Discharge prescribing – Discharge Summaries – Pathology & Radiology – Fluid Balance Charts – Inpatient prescribing – Pharmacy review Release 1 Release 2
  5. 5. Overview • Drug Interactions • Allergies • VTE risk • Antimicrobials • Medications – PINCH – warfarin • Reports • Future Functionality
  6. 6. Drug interaction settings • State decision – Major:Contraindicated • Drug interaction data files are supplied by Multum AU • Drug interactions classified into different levels of severity: • Considerations: – Level of alert fatigue – Meaningful interactions Interaction Severity Example Major:Contraindicated lithium-naproxen Major:Major clopideogrel-rabeprazole Major:Moderate metoprolol-oxycodone Major:Minor captopril-lercanidipine
  7. 7. Allergy settings • Cerner system setting • Functionality and terminology from Multum AU • Levels: – Drug or drug class allergy – Associated drug classes – Also includes non-drug data, eg. food, environment
  8. 8. Allergy Alert
  9. 9. Allergy settings • Cerner system setting – functionality and terminology from Multum AU • Levels: – Drug or drug class allergy – Associated drug classes – Also includes non-drug data, eg. food, environment • Considerations: – Mandatory fields alignment – Free text restrictions – Unknown allergy status
  10. 10. Venous Thromboembolism risk • State decision • VTE risk assessment form • VTE alert • Considerations: – Link to local policy – Generalised default message – Review of status
  11. 11. VTE Risk Alert
  12. 12. VTE Risk Form audit
  13. 13. Antimicrobial Alerts • Local decision – due to organisation specific restricted antimicrobials • Alert fires upon ordering conversation if drug is listed as a restricted antimicrobial: – Class B – Class C • Proceed to iGuidance approval system for EH • Mandatory fields: – Approval Number • Reports
  14. 14. PINCH • P - potassium • I - insulin • N - narcotics • C - chemotherapy • H - heparins • High dose insulin alert • Caresets • Special instructions & order comments • Additional charting elements • Opioid patch removal tasks • Selective orderable virtualisation
  15. 15. PINCH • P - potassium • I - insulin • N - narcotics • C - chemotherapy • H - heparins • High dose insulin alert • Caresets & Power Plans • Selective orderable virtualisation • Special instructions & order comments • Additional charting elements • Opioid patch removal tasks
  16. 16. Order comments, patch removal & additional charting elements
  17. 17. Warfarin build
  18. 18. Warfarin Alerts
  19. 19. Reports • Allergy KPI report • VTE risk assessment report • Freetext reports • Laboratory values report • Warfarin reports
  20. 20. Future Functionality • Dose Range Checking • Warfarin Summary Page • Tall Man lettering • Multiple anticoagulant alert
  21. 21. Thank you!
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