ePrescription in Andalucía
      (Receta XXI)
       María José Piña Vera
     Andalusian Health Service
Andalusia



            Andalusian population
            • 8.302.923 inhabitants
            • 17,8% of the Spanish
    ...
e-Prescription (Receta XXI)

                       CENTRALIZED DISPENSED
      DIRAYA
                         MEDICINES ...
ePrescribing: advantages

 USERS:
 • Avoids unnecessary visits to the clinics to repeat
   prescriptions

 PRACTITIONERS:
...
ePrescribing: advantages

 PHARMACISTS:
 • Significant promotion of Pharmaceutical Care
 • Reduction of management expense...
Diraya Workgroup to improve
the ePrescribing
• Primary care Doctors
  (8)
• Pharmacology
  Technician (1)
• SAS IT Technic...
Implementation of Receta XXI

   2003



                      Torreblanca




Population coverage                 IMPLEME...
Implementation of Receta XXI




                      IMPLEMENTED

                      NOT IMPLEMENTED
Implementation of Receta XXI
          726 centres                 1 hospital
   2009
 7.620.101 users (94,6 %)
      3.18...
Results
Receta XXI: eDispensing Percentage
December 2009



      Chronic treatments
            58 %
            71 %
Number of dispensed medicines

100.000.000
                                                                          89.24...
% ePrescriptions
 120.000.000                                                                                      60,00 %...
Progress of appointments by
Receta XXI in Andalusia
    Number
       of
  appointments
   60.000
                 56.552
...
Progress of appointments by Receta XXI
Area Sanitaria Norte de Córdoba
   120.000


 Appointments reduction:
   100.000   ...
Prescriptions precautionary cancelled
by the pharmacist (2009)


 • 20.892.779 Prescriptions

 • 11.349 Precautionary canc...
Prescriptions precautionary cancelled
by the pharmacist (2009)


         95%



                              Confirmed b...
Conclusions

               Continuous
               updating
Unique                        Continuous
Electronic        ...
Thank you for
             your attention

Peribanyez
ePrescribing – Integrating Primary Care, Hospitals, Pharmacies in Spain (Andalucia)
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ePrescribing – Integrating Primary Care, Hospitals, Pharmacies in Spain (Andalucia)

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ePrescribing – Integrating Primary Care, Hospitals, Pharmacies in Spain (Andalucia). Piña Vera MJ. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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Transcript of "ePrescribing – Integrating Primary Care, Hospitals, Pharmacies in Spain (Andalucia)"

  1. 1. ePrescription in Andalucía (Receta XXI) María José Piña Vera Andalusian Health Service
  2. 2. Andalusia Andalusian population • 8.302.923 inhabitants • 17,8% of the Spanish population
  3. 3. e-Prescription (Receta XXI) CENTRALIZED DISPENSED DIRAYA MEDICINES DATABASE BDU HSDC BDP Dispensed FARMA medicines Network Network Prescriptions Dispensed medicines USER INSTRUCTIONS Medical office (PC-SC) FORM DIRAYA
  4. 4. ePrescribing: advantages USERS: • Avoids unnecessary visits to the clinics to repeat prescriptions PRACTITIONERS: • Minimizes activity prescription in health centres: entire treatment prescribed by specialists • Releases personnel from bureaucratic tasks • Increases time devoted to patients • Possibility of better support for rational prescription
  5. 5. ePrescribing: advantages PHARMACISTS: • Significant promotion of Pharmaceutical Care • Reduction of management expenses and billing in prescriptions HEALTH ADMINISTRATION: • Improves follow-up and control of rational use of drugs (RUD) • Correct assignment of responsibility in RUM among levels • Decrease in fraud and better control of billing
  6. 6. Diraya Workgroup to improve the ePrescribing • Primary care Doctors (8) • Pharmacology Technician (1) • SAS IT Technician (1) • Pharmacists from the SAS Pharmaceutical and Provision Department (3) • Pharmacists of the Andalusian Council of Official Colleges of Pharmacists
  7. 7. Implementation of Receta XXI 2003 Torreblanca Population coverage IMPLEMENTED < 25 % NOT IMPLEMENTED 25 - 50 % 50 - 75 % 75 - 90 % > 90 %
  8. 8. Implementation of Receta XXI IMPLEMENTED NOT IMPLEMENTED
  9. 9. Implementation of Receta XXI 726 centres 1 hospital 2009 7.620.101 users (94,6 %) 3.188.240 patients 16.726 patients 5.398 doctors (92 %) 72.584 dispensed medicines 3.553 pharmacies (99 %) 206.228.769 dispensed medicines 5,4% Population coverage IMPLEMENTED < 25 % NOT IMPLEMENTED 25 - 50 % 50 - 75 % 75 - 90 % > 90 % 94,6%
  10. 10. Results
  11. 11. Receta XXI: eDispensing Percentage December 2009 Chronic treatments 58 % 71 %
  12. 12. Number of dispensed medicines 100.000.000 89.240.751 90.000.000 80.000.000 70.000.000 66.315.635 60.000.000 50.000.000 40.000.000 30.520.106 30.000.000 20.000.000 8.982.319 10.000.000 1.245.313 247.545 0 2004 2005 2006 2007 2008 2009
  13. 13. % ePrescriptions 120.000.000 60,00 % 50,31 100.000.000 50,00 % 80.000.000 40,00 % 39,71 60.000.000 www.ehr-impact.eu 30,00 % 40.000.000 20,00 % 19,46 20.000.000 10,00 % 6,10 0,88 0 0,18 0,00 % 2004 2005 2006 2007 2008 2009 Hand-written prescriptions Printed prescriptions ePrescriptions % ePrescriptions
  14. 14. Progress of appointments by Receta XXI in Andalusia Number of appointments 60.000 56.552 47.910 50.000 Appointments reduction 40.000 30.000 20.000 15.28% 10.000 2006 2nd half-year 2007
  15. 15. Progress of appointments by Receta XXI Area Sanitaria Norte de Córdoba 120.000 Appointments reduction: 100.000 95.766 81.121 80.000  El Viso 30 % sep-05 60.000 53.378 41.809 sep-08  Espiel 27 % 40.000 24.444 23.388 17.009 17.059 20.000  Hinojosa 22 % 0 POZOBLANCO HINOJOSA EL VISO ESPIEL  Pozoblanco 16 %
  16. 16. Prescriptions precautionary cancelled by the pharmacist (2009) • 20.892.779 Prescriptions • 11.349 Precautionary cancellations (0,05%) • 10.762 Confirmed by the doctors • 587 Activated by the doctors
  17. 17. Prescriptions precautionary cancelled by the pharmacist (2009) 95% Confirmed by the doctor Activated by the doctor 5%
  18. 18. Conclusions Continuous updating Unique Continuous Electronic training Health Record Quality issues Interoperability Peribanyez
  19. 19. Thank you for your attention Peribanyez
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