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A Self-Assessment Tool
for Hospitals that Use
Electronic Medication
Management Systems
Herbert Down BSc(Pharm) CHIA
Project Manager, e-Health and Medication Safety
What is the Commission?
The Commission’s
Work
NSQHS Standards (second edition)
Clinical Governance Standard
Partnering with Consumers Standard
Preventing and Controlling Healthcare-associated Infection Standard
Medication Safety Standard
Comprehensive Care Standard
Communicating for Safety Standard
Blood Management Standard
Recognising and Responding to Acute Deterioration Standard
Medication Management Cycle
EMM Guide and Business
Requirements
Presentation of information
Lessons Learnt about EMM systems
• EMM remains one of the most complex change projects
a health service will undertake
• Poor project management and unclear communication
will deliver a poor implementation
• EMM is not a ‘set and forget’ system – go live is just the
beginning of the journey to delivering those benefits
promised in the original business case
• Begin planning for quality improvement and system
optimisation from before go-live to avoid the data
tsunami
Scoping an EMM SAT
• Literature review to identify international examples
• Consider the Australian EMM environment
• Identify the characteristics of the SAT required to be useful to hospitals taking into account:
• Australian medicine safety priorities
• Australian EMM system implementations as well as the Australian EMM landscape
• Electronic Medication Management Systems – A guide to safe implementation (third edition )
• Some comparable Australian surveys and assessment tools
• The NHS England Digital Maturity SAT
• The Leapfrog Group CPOE Evaluation tool.
Leapfrog Group
NHS Digital Maturity SAT
Developing the SAT
• Health Services Medicines
Expert Advisory Group
provides technical advice and
oversight
• Structure of the SAT based
on the approach used in the
Standards
• Domains and indicators
• Validation and testing
• Workbook and improvement
plan template
SAT Domains
Executive support
Governance
Infrastructure
Integration of core systems
Security of access
Role delineation
Useability and workflow optimisation
Medication reconciliation
Transfer of care medicines
Use of Australian standards
Clinical decision support
EMM policies and procedures
Access and review of EMM data including adverse
events, near-miss prescribing events
Use of continuous quality improvement to optimise
EMM workflow, medication safety, education and
training
Ongoing EMM support
Benefits of the SAT
• Immediate and useful feedback
• Monitor, evaluate and improve the EMM system fits with
accreditation activities:
Standard One - Governance
Standard Four - Medication Safety
• Structured and standardised approach to system improvement
• Potential to share and improve future iterations
Acknowledgements
• The Commission would like to the thank the following
individuals
– Steve Saunders, Principal Consultant, Closed Loop &
Associates
– Neville Board, Chief Digital Health Officer, Department of
Health and Human Services, Victoria.
