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

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

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  • 1. ePrescription in Andaluca (Receta XXI)Mara Jos Pia VeraAndalusian Health Service

2. AndalusiaAndalusian population 8.302.923 inhabitants 17,8% of the Spanish population 3. e-Prescription (Receta XXI) CENTRALIZED DISPENSED DIRAYAMEDICINES DATABASE BDUHSDCBDP DispensedFARMA medicines Network NetworkPrescriptionsDispensed medicinesUSER INSTRUCTIONS Medical office (PC-SC)FORM DIRAYA 4. ePrescribing: advantages USERS: Avoids unnecessary visits to the clinics to repeatprescriptions 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 rationalprescription 5. ePrescribing: advantages PHARMACISTS: Significant promotion of Pharmaceutical Care Reduction of management expenses and billingin prescriptions HEALTH ADMINISTRATION: Improves follow-up and control of rational use ofdrugs (RUD) Correct assignment of responsibility in RUMamong levels Decrease in fraud and better control of billing 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. Implementation of Receta XXI 2003Torreblanca Population coverage IMPLEMENTED< 25 % NOT IMPLEMENTED25 - 50 %50 - 75 %75 - 90 %> 90 % 8. Implementation of Receta XXI IMPLEMENTEDNOT IMPLEMENTED 9. Implementation of Receta XXI 726 centres 1 hospital20097.620.101 users (94,6 %) 3.188.240 patients16.726 patients5.398 doctors (92 %) 72.584 dispensed medicines3.553 pharmacies (99 %) 206.228.769 dispensed medicines 5,4% Population coverage IMPLEMENTED< 25 % NOT IMPLEMENTED25 - 50 %50 - 75 %75 - 90 %> 90 %94,6% 10. Results 11. Receta XXI: eDispensing Percentage December 2009Chronic treatments 58 % 71 % 12. Number of dispensed medicines100.000.000 89.240.75190.000.00080.000.00070.000.00066.315.63560.000.00050.000.00040.000.000 30.520.10630.000.00020.000.000 8.982.31910.000.000 1.245.313 247.54502004 200520062007 2008 2009 13. % ePrescriptions120.000.00060,00 % 50,31100.000.00050,00 %80.000.00040,00 %39,7160.000.000 www.ehr-impact.eu 30,00 %40.000.000 20,00 % 19,46 20.000.00010,00 % 6,100,880 0,180,00 %2004200520062007 2008 2009 Hand-written prescriptions Printed prescriptionsePrescriptions % ePrescriptions 14. Progress of appointments by Receta XXI in Andalusia Numberof appointments60.00056.552 47.91050.000 Appointments reduction40.00030.00020.00015.28%10.0002006 2nd half-year 2007 15. Progress of appointments by Receta XXI Area Sanitaria Norte de Crdoba120.000Appointments reduction:100.00095.766 81.12180.000 El Viso 30 % sep-05 60.00053.378 41.809 sep-08 Espiel 27 % 40.000 24.44423.38817.00917.059 20.000 Hinojosa 22 % 0POZOBLANCO HINOJOSAEL VISOESPIEL Pozoblanco 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. Prescriptions precautionary cancelled by the pharmacist (2009)95%Confirmed by the doctor Activated by the doctor5% 18. Conclusions Continuousupdating UniqueContinuous Electronictraining Health RecordQualityissues InteroperabilityPeribanyez 19. Thank you foryour attentionPeribanyez

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