March 2010

1. Pharmacy Data Management (PDM) March 2010

2. Course Objectives • Describe and Manage PDM • Menu Options • Interaction between options • Proper set up • Identify common pharmacy issues in EHR

3. Overview • Pharmacy Data Management Set Up • The baseline for how well medication management will work for all disciplines. • Impacts all disciplines • Clerks • Technicians • Providers • Nurses • Pharmacy

4. Menu Options • Dosages ... • Drug Enter/Edit • Drug Interaction Management ... • Electrolyte File (IV) • Lookup into Dispense Drug File • Medication Instruction File Add/Edit • Medication Route File Enter/Edit • Orderable Item Management ... • Orderable Item Report • Drug Text Enter/Edit • Drug Text File Report • Pharmacy System Parameters Edit • Standard Schedule Edit • Synonym Enter/Edit

5. Dosages • Enter/Edit Dosages • Possible Dosages • Single entity tablets & capsules, and some other single entity agents • Auto Created • Can add/edit • Enter Package use Inpatient and/or Outpatient (if allowed) • Local Possible Dosages • All other drugs ie creams, susp, MDIs • Add/edit individual (local) dosages • Enter Package use Inpatient and/or Outpatient

6. Drug Enter/Edit • Some Important Fields to Populate • DEA Special Handling • VA Drug Class Code • Dispense and Order Units • Pricing • NDC

7. Drug Enter/Edit • Other data options inclusive with drug entry • Dosages • Orderable item • Synonym • ID packages for drug use.

8. Look Up into Dispense Drug File • Snapshot of medication information • Cost • Synonyms • NDC • Dosages • VA Drug Class Code • Can be of use for non-pharmacy staff to look up meds (billing)

9. Medication Instruction File • Enter/Edit common instructions • PM = Evening • AM = Morning • AP = Apply • Entered under edit orderable items

10. Medication Route File • Enter/Edit common routes • Ophthalmic = In Affected Eyes • Topical = To Affected Area • The most common route (just one) can be added under “Edit Orderable Items” • Routes can be tied to Dosage Forms* so that only certain ones show in the EHR for a given Dosage Form (so providers can’t choose “IV” for an oral tablet, for example) *this can be helpful, but editing can also have unintended consequences

11. Orderable Item Management • Edit/Enter several pertinent fields • Assign Drug Text Entry for provider viewing if desired • Med Route • Schedule Type • Schedule • Patient Instructions • Synonym (for EHR med ordering selection)

12. Drug Text Enter/Edit • Enter Text that can be viewed. • Enter for viewing under Orderable Item Edit • Can enter multiple texts under Orderable Item • Providers can view on EHR med order entry • Pharmacist can view on rpms med order entry • Viewed under heading “Restriction/Guidelines” • Can cut and paste dosing tables

13. AWP Scan Option • Separate Menu Option • Allows the scanning of medications into the Drug File • Automatically updates • Synonym • NDC • Dispense Units per Order

14. Standard Schedule Edit • Inpatient and Outpatient dosing schedule • Entered for viewing under Orderable Item Edit

15. New Drug Entry Exercise • Enter a new drug • Dosages • Medication Instruction • Medication Route • Orderable Item • Drug Text • Standard Schedule