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Pharmacy CDR Jim Gemelas, R.Ph. Clinical Applications Coordinator

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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Pharmacy CDR Jim Gemelas, R.Ph. Clinical Applications Coordinator

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  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

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

  6. Order checks; Allergies Drug-drug Duplicate class

  7. Document Patient Ed- Wellness Tab

  8. Using EHR in the PharmacyPharmacy Only Visits • S.O.A.P format • Refill template • Anticoagulation template • Tobacco Cessation template • Hypertension template

  9. Pharmacy refills/Pharmacists as coders

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

  11. Pharmacist will use refill template in EHR

  12. 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

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

  14. Order Menu

  15. Order Menu

  16. QUICK ORDER

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

  18. 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!..............

  19. Order prints out in pharmacyand shows in RPMS

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