1. IHS EHR Indian Health Service Electronic Health Record Pharmacy CDR Jim Gemelas, R.Ph. Clinical Applications Coordinator

2. Objectives for this session  Demonstrate how to finish a prescription order in RPMS  Using EHR in the Pharmacy  Process Changes  Preparing for EHR –Role of Pharmacist

3. Finishing the Pharmacy Order in RPMS  The provider initiates the order  Once signed, a service copy prints to pharmacy for workflow  Complete orders from OERR  The pharmacist reviews/finishes order

4. Pharmacy Service Copy Orders

10. Stop-review provider note  Provider note- toggle feature RPMS/EHR  Review chart- IHS Pharmacy standards of practice

12. Order checks; Allergies Drug-drug Duplicate class

16. Document Patient Ed- Wellness Tab

17. Using EHR in the Pharmacy Pharmacy Only Visits  S.O.A.P format  Refill template  Anticoagulation template  Tobacco Cessation template  Hypertension template

21. Pharmacy refills/Pharmacists as coders

22. Paperless Refill function  Pharmacist enters DX code based on medication and existing patient info  Pharmacist creates a note in EHR

28. Pharmacist will use refill template in EHR

34. Pharmacy Process Changes  Pharmacists Finish all new prescriptions Finish all new prescriptions All refills with a note Include screen captures All refills with a note Include screen captures Pharmacy-run clinics Pharmacy-run clinics  Pharmacy Technicians No more data entry No more data entry Assemble and batch all prescriptions (ScriptPro) Assemble and batch all prescriptions (ScriptPro) Customer Service- phone calls, initial patient contact Customer Service- phone calls, initial patient contact  Outside Prescription Orders (non-formulary drugs)  Printing controlled substances  Use of ScriptPro- improved workflow,batching prescriptions, electronic signatures

35. Preparing for EHR  Role of the pharmacist Enter drug allergies and drug class codes Enter drug allergies and drug class codes Create Order Menus Create Order Menus Create Quick Orders Create Quick Orders

36. Order Menu

38. QUICK ORDER

39. Where are the charts? “I don’t look back darling, it only distracts from the now!” …Edna Mode

40. Look at all the trees we are saving with the Electronic Health Record! This is government land behind be belonging to the Official Medical Record Board. These trees behind me were marked for medical records!..............

41. Order prints out in pharmacy and shows in RPMS