1. Angliss Box Hill Healesville & Maroondah Peter James Wantirna Yarra Ranges Yarra Valley Turning Spectrum Hospital Hospital District Hospital Hospital Centre Health Health Community Health Point OPPORTUNITIES AND CHALLENGES TO INTEGRATING MEDICATION RECONCILLIATION INTO AN ELECTRONIC MEDICAL RECORD Maryanne Molenaar – Eastern Health, Victoria

2. CERNER IN VICTORIA HealthSMART = Cerner + DoH + 4 Agencies

3. CERNER IN VICTORIA ehCare – Eastern Health CLOVER – Peninsula Health ROMEO – Austin Health Cerner- RVEEH

4. ehCare Discharge and outpatient prescriptions for all 5 sites: BHH, MH, AH, PJC, WH Inpatient MAR for 2 sites: PJC and WH

5. Medication Reconciliation in Cerner In Cerner, Medication Reconciliation is the process of: converting Home Medications onto the MAR converting medications from the MAR onto a discharge prescription

32. Medication Reconciliation Challenges Drugs with a duration The option to CONTINUE a medication does not produce a prescription No quantity for medications on conversion to a discharge prescription Incongruity between dose unit and dispense quantity

33. Medication Reconciliation Challenges Current medication catalogue build does not have state Hide / Show rules applied

35. Drug Catalogue Primary M-Synonym = Primary + strength + form Y-Synonym = M-Synonym + pack size Brand / Trade N-Synonym = Trade + strength + form Z-Synonym = N-Synonym + pack size

39. Medication Reconciliation Challenges Current medication catalogue build does not have state Hide / Show rules applied Medications in CareSets and Power Plans

46. Opportunities from Challenges Eastern Health is keen to make Medication Reconciliation happen Start with Discharge Medication Reconciliation Electronic Medication Reconciliation would benefit the Pharmacy with their communication about patients transferred between sites.

47. Opportunities from Challenges Pressure on DoH to implement HIDE / SHOW rules Prompt of ‘duration’ for medications with a duration Training for prescribers to ignore the ‘CONTINUE’ options Review medications in CareSets and Power Plans Find a solution to the blank quantity challenge

48. Thanks to… Melina Kung and Laura Fanning Megan Zigomanis