1. Electronic Prescribing in BC: The Past, The Present, and The Future February 19, 2015 Quality Forum 2015 Sorin Pop, BC Ministry of Health 1

2. Overview PharmaNet – A Brief History Electronic Prescribing in PharmaNet What do we mean by electronic prescribing Vision Roadmap Achievements Short term plans What the Future May Look Like 2

3. History of PharmaNet 3

4. What Is PharmaNet Started in 1995 as a network that links all BC community pharmacies to a central set of data systems Original scope Support community pharmacies in dispensing Rx Provide a means to adjudicate claims electronically Provincial expansion 1999: Emergency Department 2005: Medical practice 2007: Hospital 4

5. Who Is Accessing PharmaNet Community pharmacists Community physicians Practitioners in Health Authorities Professional Colleges Researchers Patients (via College of Pharmacists BC) Others, under authority of physicians / pharmacists 5

6. How Big Is PharmaNet (2014) Recorded more than 69 million dispenses Identified 457,000 most serious interactions 1,250 community pharmacies 100 Emergency Departments 290 Hospitals 2,100 community physician offices $1 billion in payments 6

7. Electronic Prescribing in BC 7

8. Increased Safety Improved Health Outcomes Increased Productivity EfficiencyReduced Cost Comprehensive Information Electronic Prescribing, What Is It 8

9. Vision for BC Every prescription dispensed in a community pharmacy is an electronic prescription. 9

10. Roadmap Engagements with business and clinical stakeholders Upgrade PharmaNet to support electronic prescribing Upgrade PharmaNet’s capacity Pilot functionality Provincial rollout to community practitioners Provincial rollout to Health Authorities 10

11. Progress To Date Enhancements and upgrades to PharmaNet Medical office (EMR) and Pharmacy pilots Project Governance Initiated Stakeholder engagements Revised PharmaNet Conformance Standards Planned new round of EMR pilots 11

12. Short Term Plans Publish revisions to Conformance Standards EMR pilots with Early Adopter vendor / users Consult / Update stakeholders on progress Finalize plan for the roll out Commence vendor certification process Work with Health Authorities on Medication Reconciliation and info exchange at discharge of patients Accountable access to PharmaNet for all users 12

13. The Future of Electronic Prescribing in BC 13

14. Where Next? Complete community and health authority work Advance to higher stage of functionality Continuous improvement process Interoperability Your suggestions and thoughts 14

15. Thank you Contact: e. sorin.pop@gov.bc.ca t. 250-952-2288 Alternatively: Paul Squires e. paul.squires@gov.bc.ca t. 250-356-2592 15