ehr and pharmacy
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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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
BIBLIOGRAPHY CONrsquoT10 wwwamcporg Letter to ONCHIT Attn
Certification Programs Proposed RulewwwamcporgdatalegislativeanaysisPharmacy20Organizations20Joint20letter20to200NC20on
Retrieved 11182010
- EHR and Pharmacy
- Objectives
- Goals of Pharmacy
- Role of the Pharmacist
- Building and Maintaining Medication Order Sets
- Implementation
- Management of medication alerts
- Medication Management and Drug Reconciliation
- Verification of medication orders
- The Exception
- Drug Packaging Bar-Coding
- Bar Code Medication Administration (BCMA)
- CPOE and e-prescribing
- E-prescribing process
- Safe Prescription state ranking
- WI e-prescribing adoption percentages
- E-prescribing advantages and disadvantages
- Future Trends
- Conclusion
- Bibliography
- Bibliography (conrsquot)
- Bibliography conrsquot
-
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