WEBINAR PHARMACYVIEWGordon Thomson, Head of Clinical Pharmacy DevelopmentNHS TaysideAndrew Grant, Healthcare Applications Business ManagerNugensis

Introduction – Andrew Grant, Nugensis PharmacyView Implementation, Gordon

Thomson, NHS Tayside PharmacyView Demo - Andrew Grant, Nugensis PharmacyView Reporting Dashboard - Andrew

Grant, Nugensis Questions for the Panel

TODAY’S AGENDA

Gordon Thomson, Head of Clinical Pharmacy DevelopmentNHS Tayside

IMPLEMENTING PHARMACYVIEW

A tool for clinical teams, team leaders and the organisation

PHARMACYVIEW Nugensis product – part of a suite

of tools linked to the eWhiteboard programme

Data populated from Topas (Trakcare)

5 additional fields to be populated by Pharmacy staff to record activity

Data moves with the patient within NHS Tayside hospitals

Pharmacy Technician

Identify new admissions

8am Spt/Snr PhTech Access TOPAS, create report for ward set, print, highlight new admissions since last

working day (8am previous day)

Check eDD for discharges

Spt/Snr Ph Tech access eDD to identify list if discharge workload in the morning signed off by doctor

Approx 15 Minutes (Per Patient)

Give TOPAS sheets to Ph TechsSpt/Snr Ph Tech gives endorsed TOPAS sheets to Ph

Tech covering ward and highlights discharges on eDD.

Pharmacy Technician transits to ward

Check data on TOPAS sheet with Ward Data

Compare data on whiteboard/WardView and annotate TOPAS sheets with bay/bed information.

5

Min

utes

Approx 20 Minutes(Per Patient)

Are there eDD’s on the

system? Yes No

POD Check New Patients

Working from TOPAS sheets, TPAR & PODs assess the suitability of PODs and

communicate problems / discrepancies to the ward

pharmacist

5

Min

utes

Ward Clinical Pharmacist

2

0-30

M

inut

es

Identify and plan workload for ward 3• Filter patients with first green tick on eDD column.

• Filter patients with no triage category documented.

• Filter patients due for review today.

Filter PharmacyView

Are there eDD’s (first green tick)

(Not part of testing as IT issues with link)

Transit to ward

YesNo

Sign off eDD(Not part of testing as IT

issues with link)

Filter PharmacyView

Are there patients with no triage

category

Yes

NoClinically Review PatientsMed Rec, TPAR screen,

Bloods

Update PharmacyView column.

Filter PharmacyView by Review Date

Review all patients due for review today.

Access to Clinical Portal and eDD and other IT systems accessed via intranet

Confirm if new Patient(s) screened from AMU

• Manual examination of medical notes, update Pharmacy View if required

25

Min

utes

10

M

inut

es

10 Minutes(Per Patient)

20

M

inut

es

(Per

Pt

ient

)

10 Minutes (Per

Patient)

PHARMACYVIEW PROJECT – Where is Agnes?D

isch

arge

P

atie

nt J

ourn

ey

Adm

issi

onProcess Mapping Exercise – Current Technical and Clinical Practice

PHARMACYVIEW PROJECT – Where is Agnes?Process Mapping Exercise – Pharmacy View Testing

Pharmacy Technician Ward Clinical Pharmacist

Identify and plan workload for ward 3

• Filter patients with red cross in Pod Check column.

• Filter patients with first green tick eDD column.(Not part of testing as IT issues with link)

Open PharmacyView on desktop in department or

transit to ward

Are there eDD’s (first green tick) (Not part of testing as IT issues with

link)Yes No

Complete Supply Column on eDDWorking from TPAR, PODs

update the supply column on the eDD and refer problems/ discrepancies on eDD leaving notes via free text comments

POD Check New Patients

Using TPAR & PODs assess the suitability of PODs and communicate problems / discrepancies to the ward

pharmacist.

Update POD CHECK on PharmcyView at bedside

Access to Clinical Portal and eDD and other IT systems

accessed via intranet

Identify and plan workload for ward 3• Filter patients with first green tick on eDD column.

• Filter patients with no triage category documented.

• Filter patients due for review today.

Filter PharmacyVie

wAre there

eDD’s (first green

tick) (Not part of testing as IT issues with link)

Open PharmacyView on desktop in department or transit to ward

YesNo

Sign off eDD(Not part of testing as IT

issues with link)

Filter PharmacyView

Are there patients with no triage

category

Yes

NoClinically Review PatientsMed Rec, TPAR screen,

Bloods

Update PharmacyView column.

Filter PharmacyView by Review Date

Review all patients due for review today.

Access to Clinical Portal and eDD and other IT systems accessed via intranet

Confirm if new Patient(s) screened from AMU

• Manual examination of medical notes, update Pharmacy View if required

3

Min

utes

+ 5

Min

s to

tra

nsit

to w

ard

Ap

prox

20

Min

utes

(Per

Pa

tient

)

2

Min

utes

+ 5

Min

s to

trans

it to

war

d

10

Min

utes

10 Minutes(Per Patient)

20

M

inut

es

(Per

Pt

ient

)

Ap

prox

15

Min

utes

(P

er P

atie

nt)

10

Min

utes

(Per

Pa

tient

) PHARMACY TECHNICIAN RESULTNew Patient Screening process only*Until end of first patient seenCurrent practice

60 minsTesting practice

28 mins Difference 32 mins

PHARMACIST RESULTNew Patient Screening process only*Until end of first patient seenCurrent practice

55 minsTesting practice

37 mins Difference 18 mins

Dis

char

ge

Pat

ient

Jou

rney

Adm

issi

on

PHARMACYVIEW BENEFITS Captures and displays pharmacy activity Visible to all members of MDT No need to transfer this information between

pharmacy teams Patients requiring a review after initial triage can

be easily identified Allows more efficient deployment of staff resource

– directed to areas of need rather than on geographical basis

Opportunity to extract data to display in Qlikview – everyone will see the same data!

Can be accessed via eWhiteboard screens, PC’s or mobile devices

Reduces time spent on administrative tasks which can be re-directed to clinical activities

Staff love it!

PHARMACYVIEW WHAT HAPPENS NEXT?

eHealth Team to complete closure report Currently in use across medical floor Ninewells (12 wards) Implementation plan will describe process to gain access via IT

Portal and awareness sessions for pharmacy staff Working with Business Unit to agree specification for measures

to be displayed in Qlikview Pharmacy View will come as part of the rollout package for the

eWhiteboard Collaboration with users in other Boards to agree national

specification for system and measures

PHARMACYVIEW  DEMO AND REPORTING DASHBOARD

Andrew Grant, Healthcare Applications Business ManagerNugensis

HOW NUGENSIS IMPROVES PATIENT FLOW 

Provides an immediate and real-time view of every patient’s pharmacy service requirements.

Available throughout the Trust to identify and effectively manage the prescription and supply of drugs

Supports pharmacists and technicians to record and see, at a glance, completed/incomplete pharmacy-based requests and alerts

Enabling a more safety-focused approach to the provision of patient care and eliminating unnecessary patient visits and assessments.

THE PHARMACYVIEW SOLUTION

QUESTIONS FOR THE PANELPlease type in your question in the Go to Webinar panel