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IHS EHR. Indian Health Service Electronic Health Record. Pharmacy CDR Jim Gemelas, R.Ph. Clinical Applications Coordinator. Objectives for this session. Demonstrate how to finish a prescription order in RPMS Using EHR in the Pharmacy Process Changes
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IHS EHR Indian Health Service Electronic Health Record Pharmacy CDR Jim Gemelas, R.Ph.Clinical Applications Coordinator
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
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
Stop-review provider note • Provider note- toggle feature RPMS/EHR • Review chart- IHS Pharmacy standards of practice
Order checks; Allergies Drug-drug Duplicate class
Using EHR in the PharmacyPharmacy Only Visits • S.O.A.P format • Refill template • Anticoagulation template • Tobacco Cessation template • Hypertension template
Paperless Refill function • Pharmacist enters DX code based on medication and existing patient info • Pharmacist creates a note in EHR
Pharmacy Process Changes • Pharmacists • Finish all new prescriptions • All refills with a note Include screen captures • Pharmacy-run clinics • Pharmacy Technicians • No more data entry • Assemble and batch all prescriptions (ScriptPro) • 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
Preparing for EHR • Role of the pharmacist • Enter drug allergies and drug class codes • Create Order Menus • Create Quick Orders
Where are the charts? “I don’t look back darling, it only distracts from the now!” …Edna Mode
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!..............