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Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy August 3, 2011

Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy August 3, 2011. CMOP Medication Image Library (MIL). Bob Gale R.Ph., MBA Medication Image Library Pharmacist Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy. The Idea for MIL Impact Goals

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Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy August 3, 2011

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  1. Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy August 3, 2011 CMOP Medication Image Library (MIL) Bob Gale R.Ph., MBA Medication Image Library Pharmacist Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy

  2. The Idea for MIL Impact Goals Program Development Standardization Roll-Out Summary Questions MEDICATION IMAGE LIBRARY(MIL): AGENDA

  3. THE IDEA FOR MIL: SUPPORTING OUR VETERANS • 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

  4. MIL: IMPACT ON OUR VETERANS AND THE VA • Improve Veteran Learning Environment • Medication Reconciliation Directive • Image Standardization • Decrease Workload Across VA • Future: Medication Image on RX Label

  5. MIL: GOALS • Catalogue Existing Images • Include All VA Products • Centralized • Standardized • Up to Date • Accurate and Verified

  6. EXISTING PILL IDENTIFICATION SITES: ONLY ORAL SOLID DOSAGE FORMS

  7. VA DISPENSED MEDICATIONS- Existing CMOP Images

  8. VA DISPENSED MEDICATIONS- Existing CMOP Images

  9. MIL: GOALS • Catalogue Existing Images • Include All VA Products • Centralized • Standardized • Up to Date • Accurate and Verified 9

  10. CURRENT IMAGE LAYOUTS- Existing CMOP Images 10

  11. 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 CMOP COLOR DESCRIPTOR FORNDC: 00781-1506-10 11

  12. MIL: GOALS • Catalogue Existing Images • Include All VA Products • Centralized • Standardized • Up to Date • Accurate and Verified 12

  13. MIL: PROGRAM WORKFLOW • 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

  14. MIL: PROGRAM DEVELOPMENT • Retrieve Image and Data by NDC • Review, Edit, and Confirm Images • Review, Edit, and Confirm Data • Verify Image and Data • Store Verified Image and Data 14

  15. MIL: DEVELOPING STANDARDS • 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

  16. MIL: DATA AND IMAGE STANDARDS • Based on FDA Standards and NLM/NIH/FDA Recommendations • Colors • Shapes • Scoring • Size • Recording of Markings • Medication Imaging and Editing

  17. MIL STANDARDS: COLORS

  18. MIL STANDARDS: SHAPES

  19. MIL STANDARDS: SCORING • 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

  20. MIL: DATA AND IMAGE STANDARDS • Based on FDA Standards and NLM/NIH/FDA Recommendations • Colors • Shapes • Scoring • Size • Recording of Markings • Medication Imaging 20

  21. MIL STANDARDS: LAYOUT 21

  22. MIL PHASE I: EXISTING IMAGES Editing Existing Image Database Review 109,000 NDC Images and Data Priority – NDC’s used by CMOP CMOP’s - Continue Taking Own Photos Roll-Out of Image and Data Standards 22

  23. MIL PROGRAM: LOG IN 23

  24. 24

  25. 25

  26. MIL PROGRAM: SELECT NDC 26

  27. MIL PROGRAM: NDC STATUS 27

  28. MIL PROGRAM: TECH REVIEW 1 2 4 3 5 6 7 8 28

  29. MIL PROGRAM: IMAGE REVIEW 29

  30. MIL PROGRAM: IMAGE REVIEW 30

  31. MIL PROGRAM: SELECT FOR EDIT 31

  32. MIL PROGRAM: IMAGE EDITING 32

  33. EDITING: BEFORE AND AFTER BEFORE AFTER 33

  34. MIL PROGRAM: NEW IMAGE 34

  35. MIL PROGRAM: DATA REVIEW 35

  36. MIL PROGRAM: DATA EDITING SHAPE: TEAR COLOR: PINK FRONT IMPRINT: DV BACK IMPRINT: NVR SCORE: 1 DRUG ID: TEAR/PINK/SCORE1/TABLET/DV;NVR 36

  37. 37

  38. MIL PROGRAM: RPH REVIEW 38

  39. MIL PROGRAM: RPH VERIFY 1 3 2 39

  40. MIL PHASE II: PHOTOGRAPHING Photographing Phase Begin Photographing Medication Customer Image Requests Maintain and Expand Library 40

  41. DATA AND IMAGE USE FUTURE: Kiosks Labels NOW: CMOP Prescription Filling and Verification Process VAMC – CMOP National Web Application 41

  42. CMOP: CANISTER REPLENISHMENT 42

  43. CMOP: RETURN TO STOCK 43

  44. CMOP: PRESCRIPTION LABELING 44

  45. CMOP: RPH VERIFICATION 45

  46. DATA AND IMAGE USE FUTURE: Kiosks Prescription Labels NOW: CMOP Prescription Filling and Verification Process VAMC – CMOP National Web Application 46

  47. VAMC: CMOP NATIONAL WEB APPLICATION 47

  48. Medication Image Library Veteran Education and Reconciliation CMOP Image Standardization Central, Standard Image Data Base 48

  49. Bob Gale • Robert.Gale@va.gov • 1-708-786-7820 49

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