ePrescription in Andalucía

(Receta XXI)

María José Piña Vera

Andalusian Health Service

Andalusia

Andalusian population

• 8.302.923 inhabitants

• 17,8% of the Spanish

population

DIRAYA

BDU

HSDC

BDP

FARMA

CENTRALIZED DISPENSED

MEDICINES DATABASE

Prescriptions

Network

Dispensed

medicines

Dispensed

medicines

Medical office (PC-SC)

DIRAYA

Network

USER

INSTRUCTIONS

FORM

e-Prescription (Receta XXI)

ePrescribing: advantages

USERS:• Avoids unnecessary visits to the clinics to repeat

prescriptions

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 rational prescription

ePrescribing: advantages

PHARMACISTS:• Significant promotion of Pharmaceutical Care

• Reduction of management expenses and billing in prescriptions

HEALTH ADMINISTRATION:• Improves follow-up and control of rational use of

drugs (RUD)

• Correct assignment of responsibility in RUM among levels

• Decrease in fraud and better control of billing

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

< 25 %25 - 50 %50 - 75 %75 - 90 %> 90 %

Population coverage

2003

Torreblanca

IMPLEMENTED

NOT IMPLEMENTED

Implementation of Receta XXI

Implementation of Receta XXI

NOT IMPLEMENTED

IMPLEMENTED

< 25 %25 - 50 %50 - 75 %75 - 90 %> 90 %

Population coverage

94,6%

5,4%

Implantado

No implantado

Implementation of Receta XXI

2009

IMPLEMENTED

NOT IMPLEMENTED

726 centres

7.620.101 users (94,6 %)

3.188.240 patients

5.398 doctors (92 %)

3.553 pharmacies (99 %)

206.228.769 dispensed

medicines

1 hospital

16.726 patients

72.584 dispensed medicines

Results

58 %

Receta XXI: eDispensing Percentage

December 2009

Chronic treatments

71 %

Number of dispensed medicines

247.545 1.245.313

8.982.319

30.520.106

66.315.635

89.240.751

0

10.000.000

20.000.000

30.000.000

40.000.000

50.000.000

60.000.000

70.000.000

80.000.000

90.000.000

100.000.000

2004 2005 2006 2007 2008 2009

% ePrescriptions

0,180,88

6,10

19,46

39,71

50,31

0

20.000.000

40.000.000

60.000.000

80.000.000

100.000.000

120.000.000

2004 2005 2006 2007 2008 2009

0,00 %

10,00 %

20,00 %

30,00 %

40,00 %

50,00 %

60,00 %

Hand-written prescriptions Printed prescriptions

ePrescriptions % ePrescriptions

www.ehr-impact.eu

56.552

47.910

10.000

20.000

30.000

40.000

50.000

60.000

2006 20072nd half-year

Number

of

appointments

Progress of appointments by

Receta XXI in Andalusia

Appointments reduction

15.28%

Progress of appointments by Receta XXI

Area Sanitaria Norte de Córdoba

95.766

53.378

24.444 23.388

81.121

41.809

17.009 17.059

0

20.000

40.000

60.000

80.000

100.000

120.000

POZOBLANCO HINOJOSA EL VISO ESPIEL

sep-05

sep-08

Appointments reduction:

El Viso 30 %

Espiel 27 %

Hinojosa 22 %

Pozoblanco 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

Prescriptions precautionary cancelled

by the pharmacist (2009)

95%

5%

Confirmed by thedoctor

Activated by thedoctor

Conclusions

Peribanyez

Unique

Electronic

Health

Record

Interoperability

Quality

issues

Continuous

updatingContinuous

training

Thank you for

your attention

Peribanyez