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Information Technology and Pharmacy - Are We There Yet?
Bruce A. Jarvi, Pharm.D. Pharmacist-in-charge – Orono Pharmacy Co-Founder – Progress of Medicine
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Conflict of Interest Statement
I have no actual or potential conflict of interest in relation to this program. I will not receive any honorarium or reimbursement from any source in relation to this program. MPA Fall 2016 Meeting
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Learning Objectives Identify the advantages and disadvantages associated with various types of health information technology (HIT). Describe cost and security issues in health care applications of telecommunications. Distinguish between the focus of the electronic medical record (EMR) and the electronic health record (EHR). What are the reasons for documenting interventions? Describe the attributes of the personal health record (PHR). MPA Fall 2016 Meeting
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Pharmacy Information Technology History in Brief
Define HIT – Use of information and communication technology in health care settings MPA Fall 2016 Meeting
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Progress and Evolution
Memory Oral Written Texts Paintings Papyrus 3 x 5 cards Patient Charts Electronic Computers Cloud Shared Computing PIMS PIMS 3x5 cards Insert pic people + computer > people MPA Fall 2016 Meeting
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Limitations of Development
Who What When Why How? MPA Fall 2016 Meeting
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Telecommunication(s)
Types – Cable Twisted pair Coaxial Fiber-optic Broadcast Infrared Radio Microwave Cellular Satellite Costs – $ $$ $$$ $$$$$ Over ridding idea is secure and rapid 2 way communication Most secure is Fiber optic. MPA Fall 2016 Meeting
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Telecommunication(s)
Types – Cable Twisted pair Coaxial Fiber-optic Broadcast Infrared Radio Microwave Cellular Satellite Security – Poor Excellent Protocol New Technologies – Quantum Entanglement MPA Fall 2016 Meeting
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Computerized Provider Order Entry (CPOE)
Defined – A process of electronic entry of medical provider instructions for the treatment of patients (primarily hospitalized patients) under a provider’s care What is needed? Limitations – Defined – “A process of electronic entry of medical provider instructions for the treatment of patients (primarily hospitalized patients) under a provider’s care” How do you order a script Demographics Script Info Don’t forget to talk about CDSS Less is more Database Issues MPA Fall 2016 Meeting
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Electronic Medical/Health Record(s) (EMR/EHR)
Defined – EMR – an electronic record of health-related information on an individual that can be created, gathered, managed and consulted by authorized clinicians and staff within one health care organization EHR – an aggregation of all data generated by individual EMR’s and computerized patient records. The EHR is intended to receive data from multiple sources and to share patient data nationally and internationally Defined – EMR - an electronic record of health-related information on an individual that can be created, gathered, managed and consulted by authorized clinicians and staff within one health care organization EHR – an aggregation of all data generated by individual EMR’s and computerized patient records. The EHR is intended to receive data from multiple sources and to share patient data nationally and internationally At preset as much of a concept as a working system. MPA Fall 2016 Meeting
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Electronic Medical/Health Record(s) (EMR/EHR)
Similarities – Collected data Health Information Differences – Source Scope Limitations – Reporting Method Naming Time Understanding MPA Fall 2016 Meeting
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Documenting Intervention(s)
Reasons – Purpose – Cost Savings/Impact Performance Improvement Quality Improvement Workflow Elements – Customization Reporting Benchmarking Internal External Work FLOW!!!!! Answer to question 4!!!!! Do I really need to say anything other than if its not documented then it never happened.. MPA Fall 2016 Meeting
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Personal Health Record(s) (PHR)
Defined – A subset of data managed together by patients and caregivers What does it provide? Is it useful? Defined - A subset of data managed together by patients and caregivers Benefits vs short falls MPA Fall 2016 Meeting
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Technicians Role in Things
Data entry System Testers/Developers QI MPA Fall 2016 Meeting
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So are we there yet? MPA Fall 2016 Meeting
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References “Building Core Competencies in Pharmacy Informatics”; B.I Fox, M.R. Thrower and B.G. Felkey (2010) American Pharmacists’ Association, Washington, DC MPA Fall 2016 Meeting
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Post Lecture Test Questions
Computerized provider order entry (CPOE) requires the prescriber to provide information on: Right patient Right drug Right dose Right route Right time All of the above MPA Fall 2016 Meeting
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Post Lecture Test Questions
Computerized provider order entry (CPOE) requires the prescriber to provide information on: Right patient Right drug Right dose Right route Right time All of the above MPA Fall 2016 Meeting
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Post Lecture Test Questions
The most secure telecommunications medium is: Fiber-optic Coaxial Microwave Cellular Satellite MPA Fall 2016 Meeting
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Post Lecture Test Questions
The most secure telecommunications medium is: Fiber-optic Coaxial Microwave Cellular Satellite MPA Fall 2016 Meeting
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Post Lecture Test Questions
An electronic record of health-related information on an individual that can be created, gathered, managed and consulted by authorized personnel is an example of: Computerized provider order entry (CPOE) Electronic health record (EHR) Electronic medical record (EMR) Pharmacy information management system (PIMS) MPA Fall 2016 Meeting
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Post Lecture Test Questions
An electronic record of health-related information on an individual that can be created, gathered, managed and consulted by authorized personnel is an example of: Computerized provider order entry (CPOE) Electronic health record (EHR) Electronic medical record (EMR) Pharmacy information management system (PIMS) MPA Fall 2016 Meeting
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Post Lecture Test Questions
Which of the following is a reason for documenting interventions? Drug-drug interactions (DDI) E-prescribing Inventory control Workflow MPA Fall 2016 Meeting
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Post Lecture Test Questions
Which of the following is a reason for documenting interventions? Drug-drug interactions (DDI) E-prescribing Inventory control Workflow MPA Fall 2016 Meeting
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Post Lecture Test Questions
Which of the following statements is TRUE concerning personal health records (PHR)? Is under the control of the patient but not editable by any health provider treating the patient. Is separate from and does not replace the legal record of the provider caring for the patient. Patients do not legally own the information in their personal health record (PHR). A pharmacist is required to respond within 48- hours of a patient’s question about a medical issue. MPA Fall 2016 Meeting
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Post Lecture Test Questions
Which of the following statements is TRUE concerning personal health records (PHR)? Is under the control of the patient but not editable by any health provider treating the patient. Is separate from and does not replace the legal record of the provider caring for the patient. Patients do not legally own the information in their personal health record (PHR). A pharmacist is required to respond within 48- hours of a patient’s question about a medical issue. MPA Fall 2016 Meeting
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??? Questions ???
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