Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy August 3, 2011 Bob Gale R.Ph., MBA Medication Image Library Pharmacist Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy CMOP Medication Image Library (MIL) 1
The Idea for MIL Impact Goals Program Development Standardization Roll-Out Summary Questions 2 MEDICATION IMAGE LIBRARY(MIL): AGENDA
VA T21 Initiatives “ Enhance the Veteran’s Experience and Access to Health Care”. “Increase Veteran client satisfaction with health, education, training…” Interactive VA Point of Service (VPS) KIOSKS 3 THE IDEA FOR MIL: SUPPORTING OUR VETERANS
Improve Veteran Learning Environment Medication Reconciliation Directive Image Standardization Decrease Workload Across VA Future: Medication Image on RX Label 4
1. Catalogue Existing Images 2. Include All VA Products 3. Centralized 4. Standardized 5. Up to Date 6. Accurate and Verified 5
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1. Catalogue Existing Images 2. Include All VA Products 3. Centralized 4. Standardized 5. Up to Date 6. Accurate and Verified 9
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Listed Colors: Sky Blue Light Blue Medium Blue Gray-Blue Colors Listed in Existing CMOP Image Database: Sky Blue Light Blue Medium Blue Gray-Blue 11
1. Catalogue Existing Images 2. Include All VA Products 3. Centralized 4. Standardized 5. Up to Date 6. Accurate and Verified 12
Define Technician and Pharmacist Roles Ability to Track NDC Progress through Program Ability to Retrieve All Images for an NDC Move Image to Editing Program and Back. Confirm Data and Image Centrally Store Verified NDC Data and Images
1. Retrieve Image and Data by NDC 2. Review, Edit, and Confirm Images 3. Review, Edit, and Confirm Data 4. Verify Image and Data 5. Store Verified Image and Data 14
FDA Data Standard Manual (DSM) Standards: Color Scoring Shape Size Imprint Recording Image Format NLM, NIH and FDA Patient Safety Initiative Recommendations: Image Size Photographing and Image Editing 15
Based on FDA Standards and NLM/NIH/FDA Recommendations Colors Shapes Scoring Size Recording of Markings Medication Imaging and Editing 16
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Based on Numbering System Number of Equal Pieces that a Solid Dosage Form can be Divided. Solid Capsule or Tablet – Score Value = 1 1 Score Line – Score Value = 2 2 Parallel Score Lines – Score Value = 3 3 Parallel Score Lines or Two Intersecting Lines - Score Value = 4 19
Based on FDA Standards and NLM/NIH/FDA Recommendations Colors Shapes Scoring Size Recording of Markings Medication Imaging 20
MIL STANDARDS: LAYOUT 21
MIL PHASE I: EXISTING IMAGES Editing Existing Image Database 1. Review 109,000 NDC Images and Data 2. Priority – NDC’s used by CMOP 3. CMOP’s - Continue Taking Own Photos 4. Roll-Out of Image and Data Standards 22
MIL PROGRAM: LOG IN 23
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MIL PROGRAM: SELECT NDC 26
MIL PROGRAM: NDC STATUS 27
MIL PROGRAM: TECH REVIEW
MIL PROGRAM: IMAGE REVIEW 29
MIL PROGRAM: IMAGE REVIEW 30
MIL PROGRAM: SELECT FOR EDIT 31
MIL PROGRAM: IMAGE EDITING 32
EDITING: BEFORE AND AFTER 33 AFTER BEFORE
MIL PROGRAM: NEW IMAGE 34
MIL PROGRAM: DATA REVIEW 35
MIL PROGRAM: DATA EDITING 36 SHAPE: TEAR COLOR: PINK FRONT IMPRINT: DV BACK IMPRINT: NVR SCORE: 1 DRUG ID: TEAR/PINK/SCORE1/TABLET/DV;NVR
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MIL PROGRAM: RPH REVIEW 38
MIL PROGRAM: RPH VERIFY
MIL PHASE II: PHOTOGRAPHING Photographing Phase 1. Begin Photographing Medication 2. Customer Image Requests 3. Maintain and Expand Library 40
DATA AND IMAGE USE FUTURE: Kiosks Labels NOW: CMOP Prescription Filling and Verification Process VAMC – CMOP National Web Application 41
CMOP: CANISTER REPLENISHMENT 42
CMOP: RETURN TO STOCK 43
CMOP: PRESCRIPTION LABELING 44
CMOP: RPH VERIFICATION 45
DATA AND IMAGE USE FUTURE: Kiosks Prescription Labels NOW: CMOP Prescription Filling and Verification Process VAMC – CMOP National Web Application 46
VAMC: CMOP NATIONAL WEB APPLICATION 47
Medication Image Library Veteran Education and Reconciliation CMOP Image Standardization Central, Standard Image Data Base 48
Bob Gale