Lane ePrescribe

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Lane ePrescribe

  1. 1. TORC: Rural Health Forum <ul><li>e-Health </li></ul><ul><li>e-Prescribing Demonstration Project </li></ul><ul><li>James Lane, GBFHT IT Lead </li></ul>Nov 5, 2009
  2. 2. e-Prescribing Demonstration Project <ul><li>Background </li></ul><ul><li>Project Design and Deliverables </li></ul><ul><li>Results </li></ul><ul><li>Next Steps </li></ul><ul><li>Demonstration </li></ul>
  3. 3. e-Prescribing Demonstration Project Background Ontario’s Health Strategy Better health care for Ontarians. Ontario’s eHealth Strategy Ensure by 2015, Ontario’s health system is the safest, highest quality, and most sustainable in Canada… Ontario’s Drug eHealth Strategy Improve the health and well-being of Ontarians through optimal medication management. ePrescribing DemonstrationProject Electronic Prescribing is a component of Ontario’s Health Strategy
  4. 4. e-Prescribing Demonstration Project Background Electronic Prescribing This definition is a work in progress and the validity of the definition will be tested as part of the Demonstration Project Electronic prescribing encompasses the electronic generation, authorization and transmission of dispensing directions Generation Authorization Transmission
  5. 5. e-Prescribing Demonstration Project Background Electronic Prescribing <ul><li>The electronic creation of a prescription by entering all information required to safely dispense a drug into a provincial or regional information system, Electronic Medical Record (EMR) or Clinical Management System (CMS), stand-alone prescription writer or other solutions </li></ul><ul><li>The use of an electronic signature, or another symbol or process, by authorized prescribers to provide pharmacists with unique, non disputable directions to dispense a drug or mixture of drugs </li></ul><ul><li>The use of one system to send prescription information directly to: </li></ul><ul><li>Another system owned and operated by an authorized dispenser </li></ul><ul><li>A repository that can only be accessed by authorized dispensers </li></ul>“ Generation” implies that data is “machine-readable” which is aligned with the definition of “true e-prescribing” that appears in existing CPSO and OCP standards “ Authorization” removes lingering confusion about signing in an electronic environment This definition is a work in progress and the validity of the definition will be tested as part of the Demonstration Project Electronic prescribing encompasses the electronic generation, authorization and transmission of dispensing directions Generation Authorization Transmission
  6. 6. Goals of e-Prescribing Demonstration Project <ul><li>Quickly provide and demonstrate the patient safety and quality of care benefits of electronic prescribing to Ontarians </li></ul><ul><li>Create physician and pharmacist champions of electronic prescribing </li></ul><ul><li>Demonstrate the full cycle of electronic prescribing through to dispensing in a local setting </li></ul><ul><li>Create tools and frameworks for process / workflow change, adoption strategies and benefits evaluation that can be used for the overall provincial roll-out </li></ul><ul><li>Identify and understand the issues, challenges and opportunities of implementing electronic prescribing and apply this understanding to the overall provincial roll-out </li></ul><ul><li>Develop excitement and momentum for the province-wide implementation of electronic prescribing </li></ul>
  7. 7. Goals of e-Prescribing Demonstration Project <ul><li>What it is not </li></ul><ul><li>The final solution for e - prescribing </li></ul>
  8. 8. e-Prescribing Demonstration Project Agenda <ul><li>Background </li></ul><ul><li>Project Design and Deliverables </li></ul>
  9. 9. Project Design and Deliverables
  10. 10. Project Design and Deliverables The focus of the evaluation was on the impacts of ePrescribing on the prescribing and dispensing processes
  11. 11. Project Design and Deliverables <ul><li>Project Design: </li></ul><ul><li>2 Sites </li></ul><ul><li>GBFHT-Collingwood and area </li></ul><ul><ul><li>roster size-50,000 </li></ul></ul><ul><li>GHC-Sault Ste.Marie </li></ul><ul><ul><li>roster size-60,000 </li></ul></ul>
  12. 12. Project Design and Deliverables 2 Sites-Collingwood, Sault Ste. Marie chosen because of: advanced electronic medical records implementations non-scalable technology geographically constrained = Rural
  13. 13. Project Design and Deliverables Project Design: GBFHT 7-10 pharmacies 12-15 physicians /NP’s will participate (mix of experienced and new EMR users) 19 Pharmacies-all participating bounded by Meaford–>Elmvale–>Creemore 31 Prescribers
  14. 14. e-Prescribing Demonstration Project Agenda <ul><li>Background </li></ul><ul><li>Project Design and Deliverables </li></ul><ul><li>Results </li></ul>
  15. 15. e-Prescribing Demonstration Project Results <ul><li>April 13-June 09, 2009 </li></ul><ul><li>EMR E-prescriptions: 20,750 </li></ul><ul><li>E-prescriptions downloaded: 20,059 </li></ul><ul><li>EMR prescriptions printed: 7,083 </li></ul>
  16. 16. e-Prescribing Demonstration Project Results <ul><li># E-prescribers: 32 </li></ul><ul><li># E-prescribers that prescribed > 20/week: 25 </li></ul><ul><li># medical profile accesses: 1615 </li></ul>
  17. 17. e-Prescribing Demonstration Project Results <ul><li>ePrescribing increases prescribing efficiency compared to EMR-generation of paper prescriptions </li></ul><ul><li>Improved Clinical Outcomes - Paper prescriptions can lead to clinically significant adverse events that are often flagged by alerts in electronic systems </li></ul><ul><li>Half of participating pharmacists believe the ePrescribing Project improved dispensing efficiency </li></ul><ul><li>Electronic authorizations improve dispensing efficiency the most, according to pharmacists </li></ul><ul><li>Integration to a DIS is imperative to realize the full benefits of ePrescribing to pharmacists </li></ul>
  18. 18. e-Prescribing Demonstration Project Results <ul><li>Prescribers and pharmacists interact more directly and about more important issues after Go-Live </li></ul><ul><li>75% of patients expect ePrescriptions to be ready for pickup upon arrival </li></ul><ul><li>92% of patients comfortable with paperless prescriptions </li></ul><ul><li>Nearly 100% of prescribers believe overall ePrescribing system quality acceptable; 71% pharmacists believe </li></ul><ul><li>no security breaches </li></ul>
  19. 19. e-Prescribing Demonstration Project Agenda <ul><li>Background </li></ul><ul><li>Project Design and Deliverables </li></ul><ul><li>Results </li></ul><ul><li>Next Steps </li></ul>
  20. 20. e-Prescribing Demonstration Project Next Steps <ul><li>Regulatory Colleges - CPSO, OCP, CNO </li></ul><ul><ul><ul><li>6 month extension </li></ul></ul></ul><ul><ul><ul><li>new letter of support </li></ul></ul></ul><ul><ul><ul><li>auditor to visit GBFHT sites </li></ul></ul></ul><ul><ul><ul><li>eHealth Ontario involvement </li></ul></ul></ul>
  21. 21. e-Prescribing Demonstration Project Next Steps <ul><ul><ul><li>Drug Information System (D.I.S.) </li></ul></ul></ul><ul><ul><ul><ul><ul><li>RFP and procurement 2010 </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>rollout pharmacies, then EMR prescribers-2011 </li></ul></ul></ul></ul></ul>Future State
  22. 22. e-Prescribing Demonstration Project Live Demonstration <ul><li>HOPE IT WORKS! </li></ul>

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