EHR AND PHARMA

CYCheryl Regina

Carolny and Gary

OBJECTIVESbull Explain the goals of the

pharmacy department in an EHRbull Discuss the role of the

pharmacist in diverse healthcare settings

bull Justify verification drug packaging and bar-coding

bull Discuss the differences between CPOE and e-Prescribing

GOALS OF PHARMACY

Patient-Centered Safety

Efficiency

Cost Effectiveness

ROLE OF THE PHARMACIST

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

BUILDING AND MAINTAINING MEDICATION ORDER SETS

Pharmacistsrsquo 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

IMPLEMENTATION

Drug Formulary

checks

Drug-Drug Interactions

Drug

Allerg

y Lists

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

OBJECTIVESbull Explain the goals of the

pharmacy department in an EHRbull Discuss the role of the

pharmacist in diverse healthcare settings

bull Justify verification drug packaging and bar-coding

bull Discuss the differences between CPOE and e-Prescribing

GOALS OF PHARMACY

Patient-Centered Safety

Efficiency

Cost Effectiveness

ROLE OF THE PHARMACIST

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

BUILDING AND MAINTAINING MEDICATION ORDER SETS

Pharmacistsrsquo 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

IMPLEMENTATION

Drug Formulary

checks

Drug-Drug Interactions

Drug

Allerg

y Lists

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

GOALS OF PHARMACY

Patient-Centered Safety

Efficiency

Cost Effectiveness

ROLE OF THE PHARMACIST

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

BUILDING AND MAINTAINING MEDICATION ORDER SETS

Pharmacistsrsquo 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

IMPLEMENTATION

Drug Formulary

checks

Drug-Drug Interactions

Drug

Allerg

y Lists

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

ROLE OF THE PHARMACIST

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

BUILDING AND MAINTAINING MEDICATION ORDER SETS

Pharmacistsrsquo 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

IMPLEMENTATION

Drug Formulary

checks

Drug-Drug Interactions

Drug

Allerg

y Lists

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

BUILDING AND MAINTAINING MEDICATION ORDER SETS

Pharmacistsrsquo 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

IMPLEMENTATION

Drug Formulary

checks

Drug-Drug Interactions

Drug

Allerg

y Lists

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

IMPLEMENTATION

Drug Formulary

checks

Drug-Drug Interactions

Drug

Allerg

y Lists

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

MANAGEMENT OF MEDICATION ALERTS

Clinical Decision Support

Drug Knowledge Base

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

MEDICATION MANAGEMENT AND DRUG RECONCILIATION

bull World Health Organization estimates that up to 50 of patients do not take their prescribed medications(3)

bull Greatest potential for morbidity reduction is the resumption of home medications during acute stays and at discharge(4)

bull Medication reconciliation is a complex process

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

VERIFICATION OF MEDICATION ORDERSMedications are reviewed by physicians pharmacists and nurses

Standardized icons indicate a status or problem

Evidence LinksReference Information

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

THE EXCEPTION

Chart Before Verification is used in emergency situations when a delay is harmful to the patient

Chart Before Verification has NO safety checks

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

DRUG PACKAGING BAR-CODING

Centralized pharmacy operationsStreamlined drug distribution and

dispensingRepackaging of bulk medications into

unit-dosed portionsCreating specialized complex

mixtures Integration of PharmNet with bar-

code printing ( makes BCMA possible)

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

BAR CODE MEDICATION ADMINISTRATION (BCMA)

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

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

CPOE AND E-PRESCRIBING

o CPOE occurs in the inpatient setting while e-Prescribing occurs in the outpatient setting Both involve the transmission of physician orders

o 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

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

E-PRESCRIBING PROCESS

By using a computer or hand held device a prescriber can electronically

Access a patientrsquos prescription benefit

information Access a patientrsquos consent Access a patientrsquos current and past prescriptions Electronically route prescriptions to the patientrsquos pharmacy

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

SAFE PRESCRIPTION STATE RANKING

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

WI E-PRESCRIBING ADOPTION PERCENTAGES

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

E-PRESCRIBING ADVANTAGES AND DISADVANTAGESAdvantages AccuracySafety Efficiency Compliance Lower healthcare costs

Disadvantages Prohibition of e-prescribing controlled substances Difficulty recording tapering doses Entering pharmacy names into the system

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

FUTURE TRENDS

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

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

CONCLUSION 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

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

BIBLIOGRAPHY1 wwwpswiorg PSW Facilitates Dialogue among Wisconsinrsquos Hospital

Pharmacy Directors and Managers httppswiorgcommunicationsjurnal2010hospforum030110pdf Retrieved 11192010

2 httprxinformaticscom The Pharmacistrsquos Guide to Meaningful Use httprxinformaticscomcontentpharmacists-guide-meaningful-use Retrieved 11192010

3 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistsrsquo Role in Patient Care httpwwwmeKessoncomen-usMcKessoncomAbout2BUsNewsroomPress2BRelease Retrieved 11192010

4 httpwwwncbinlmnihgov Evaluation of Patient Interventions and Recommendations by a Transitional Care Pharmacist K Bruce Bayley et al Therapeutics and Clinical Risk Management 20073(4) 695-703

5 wwwpharmacistcom APHA Comments to ONCHIT Policy Committee APhACommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

BIBLIOGRAPHY (CONrsquoT)

6 wwwpharmacistcom Letters to the HIT Policy Committee Information Exchange Workgroup httpAPHA CommentstoONCHITPolicyCommitteeonERxandMeaningfulUse012710FinalwithAttachment[1]pdfAdobe Reader Retrieved 11182010

7 httpwwwmckessoncom McKesson and Pfizer Partner to Support Pharmacistrsquos Role in Patient Care httpwwwmckessoncomen_usMcKessoncomAbout2BusNewsroomPressRetrie2Brleases Retrieved 11182010

8 wwwpharmacistcom Letters to the Centers for Medicare Medicaid Services httpswwwpharmacistcomAMTemplatescfmSection=Home2ampCONTENTID=22813ampTEMPLATE=CMContentDisplaycfm Retrieved 11182010

9 wwwpharmacistcom Letter to Drug Enforcement Administration Attn DEA Federal Register RepresentativeODL wwwpharmacistcomAPhACommnetstoONCHITPolicyCommitteeonERxandMeaningfulUse01271FinalwithAttachments[1]pdfAdobeReader Retrieved 11182010

BIBLIOGRAPHY CONrsquoT10 wwwamcporg Letter to ONCHIT Attn

Certification Programs Proposed RulewwwamcporgdatalegislativeanaysisPharmacy20Organizations20Joint20letter20to200NC20on

Retrieved 11182010