Healthcare and Technology. Implementing Electronic Health Record (EHR) in a Primary Care Setting, specifically a Community Pharmacy Setting

1. Insert Picture of the
World Pharmacists Day
Banner

2. HEALTH INFORMATION IN THE COMMUNITY
PHARMACY SETTING
Ideally, single patient record for each patient
MAIN:
• Patient demographics
• Medication / dispensing lists: orders, prescriptions
ADJUNCT
• Summary record of care
• Patient history: chronic conditions, immunization lists, Allergy, intolerance,
adverse reactions
• Patient and family references (language, religion, spiritual practices and
culture)

3. COMMUNITY PHARMACY IN THE PHILIPPINES

5. 1. Overeducated but underutilized pharmacists
“The perception of the community is that the pharmacist is just a seller of the drug
and you can’t blame them because that is what they see and this is how some
pharmacists act,” said Leonila Ocampo, president of the Philippine Pharmacists
Association (PPA).
• The practice of pharmacy should
be patient-centered.
• There is a need for pharmacists
to be recognized as eligible
providers and as meaningful
users and contributors to EHR.

6. 2. Undermanned community pharmacies
• Ghost pharmacists
• High turnover among their pharmacists and the difficulty of hiring
replacements
• Strengthened implementation of one pharmacist per drugstore
• Strengthened health policy incorporating service provision by pharmacists,
which needs the support of government (FDA, BOP-PRC)
“Community pharmacy in England and Wales has undergone considerable
change in recent years resulting from the new National Health Service (NHS)
contract and policy framework for service provision.” (Department of Health,
2005)

7. 3. Too many information about patient’s health that may or may not be need in
the pharmacy setting
• Medication therapy management (MTM) involves medication reconciliation
and care transition, medication adherence, medication monitoring, medication
safety, and medication errors (such as prescription errors)
• Implement a simple EHR, at first.
• Should at least collect patient demographics, patient medication therapy
• Gradual increase in collection of relevant information.

8. 4. Presence of no patient records being maintained in the first place
• Drugstores sell medicines but don’t keep records about a patient, even patient
demographics.
5. Most community pharmacies are private-owned centered mostly on business
and retail. Lack of higher management initiative to install EHR
• Practice type (patient-centered or dispensing) greatly influenced the use of
EHR
• Understand the advantages of keeping a patient record in the company.
• Increases the company’s image for caring for the patient.
• Consumer-loyalty

9. 6. Community pharmacies have limited interaction with other health care
providers or health care systems
• Operate on their own, no influence from hospitals or clinics unless they are
partnered with them.
• Strengthen the national health framework incorporating community pharmacy
interaction
• For urban areas, can start with pharmacies near hospitals or clinics
• For rural areas, can start with public establishments or hospitals with Botika
ng Barangays (BnBs)

10. THANK YOU.