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Ehr And Pharmacy

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Ehr And Pharmacy

  1. 1. Cheryl, Regina,Carolny and Gary
  2. 2. • Explain the goals of the pharmacy department in an EHR• Discuss the role of the pharmacist in diverse healthcare settings• Justify verification, drug packaging, and bar-coding• Discuss the differences between CPOE and e-Prescribing
  3. 3. Patient-Centered SafetyEfficiencyCost Effectiveness
  4. 4.  Building and Maintaining of Medication Order Sets Implementation of Drug-Drug, Drug- Allergy, and Drug-Formulary Checks Management and Analysis of Medication Alerts Medication Management Therapy Medication Reconciliation
  5. 5.  Pharmacists’ are familiar order entry systems Interfacing can include order driven dispensing cabinets and robotics Bar-coding and smart pumps can be integrated into pharmacy information systems
  6. 6. Drug Allergy Lists Drug-Drug DrugInteractions Formulary checks
  7. 7. Clinical Decision SupportDrug Knowledge Base
  8. 8. • World Health Organization estimates that up to 50% of patients do not take their prescribed medications(3)• Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)• Medication reconciliation is a complex process
  9. 9. Medications are reviewed by physicians, pharmacists, and nursesStandardized icons indicate a status or problemEvidence LinksReference Information
  10. 10. Chart Before Verification is used in emergency situations when a delay is harmful to the patientChart Before Verification has NO safety checks
  11. 11.  Centralized pharmacy operations Streamlined drug distribution and dispensing Repackaging of bulk medications into unit-dosed portions Creating specialized complex mixtures Integration of PharmNet with bar-code printing ( makes BCMA possible)
  12. 12.  Real-Time Check that identifies the correct patient, medication, dose, time, and delivery method Real-Time documentation of medication Prevents against: - Wrong patient, wrong medication, duplicate dosing, incorrect route of delivery Calculates sliding scale dosing
  13. 13. o CPOE occurs in the inpatient setting, while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orderso CPOE and e-Prescribing featureso HIMMS defines e-prescribing as the electron generation of prescriptions through an automated data entry processing system utilizing software, and a transmission
  14. 14. By using a computer or hand held devicea prescriber can electronically: Access a patient’s prescription benefit information Access a patient’s consent Access a patient’s current and past prescriptions Electronically route prescriptions to the patient’s pharmacy
  15. 15. Advantages Accuracy/Safety Efficiency Compliance Lower healthcare costsDisadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system
  16. 16.  Remote ICU pharmacy services utilized More portable devices Increasing use of bar-coding technology for specialty, complex, and high-risk medication administration Certified Pharmacy Information Systems and possibly other healthcare equipment
  17. 17.  The goals of pharmacy include patient- centered safety, efficiency within the pharmacy department, and cost effectiveness. Pharmacists have diverse roles. These include inpatient pharmacists, retail pharmacists, and pharmacy consultants. Verification, drug packaging and bar-coding have made the pharmacy efficient and safer for patients. Hospitals use CPOE, while clinics use e- prescribing for medication management.
  18. 18. 1. www.pswi.org, PSW Facilitates Dialogue among Wisconsin’s Hospital Pharmacy Directors and Managers, http://pswi.org/communications/jurnal/2010/hospforum030110.p df, Retrieved 11/19/2010.2. http://rxinformatics.com, The Pharmacist’s Guide to Meaningful Use, http://rxinformatics.com/content/pharmacists-guide- meaningful-use, Retrieved 11/19/2010.3. http://www.mckesson.com, McKesson and Pfizer Partner to Support Pharmacists’ Role in Patient Care, http://www.meKesson.com/en- us/McKesson.com/About%2BUs/Newsroom/Press%2BRelease%, Retrieved 11/19/2010.4. http://www.ncbi.nlm.nih.gov, Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist, K Bruce Bayley et al, Therapeutics and Clinical Risk Management 2007:3(4) 695-703.5. www.pharmacist.com, APHA Comments to ONCHIT Policy Committee, APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse0 12710FinalwithAttachments[1].pdf.AdobeReader, Retrieved 11/18/2010.
  19. 19. 6. www.pharmacist.com, Letters to the HIT Policy Committee Information Exchange Workgroup, http://APHA CommentstoONCHITPolicyCommitteeonERxandMeaningfulUse01271 0FinalwithAttachment[1].pdf.Adobe Reader, Retrieved 11/18/2010.7. http://www.mckesson.com, McKesson and Pfizer Partner to Support Pharmacist’s Role in Patient Care, http://www.mckesson.com/en_us/McKesson.com/About%2Bus/Ne wsroom/Press%Retrie2Brleases%, Retrieved 11/18/2010.8. www.pharmacist.com, Letters to the Centers for Medicare Medicaid Services, https://www.pharmacist.com/AM/Templates.cfm?Section=Home2& CONTENTID=22813&TEMPLATE=/CM/ContentDisplay.cfm, Retrieved 11/18/2010.9. www.pharmacist.com, Letter to Drug Enforcement Administration Attn: DEA Federal Register Representative/ODL, www.pharmacist.com,APhACommnetstoONCHITPolicyCommitteeon ERxandMeaningfulUse01271FinalwithAttachments[1].pdf.AdobeRea der, Retrieved 11/18/2010.
  20. 20. 10. www.amcp.org, Letter to ONCHIT Attn: Certification Programs Proposed Rule,www.amcp.org/data/legislative/anaysis/Pharm acy%20Organizations%20Joint%20letter%20t o200NC%20on..., Retrieved 11/18/2010.

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