Presentation Transcript

1. Pharmacy Informatics

   Lessons: Objectives and Talking Points
2. Partners in E Program The Partners in E program is wholly funded by the federal State Health Information Exchange Cooperative Agreement Program as part of the American Recovery and Reinvestment Act (ARRA), through the California Office of Health Information Integrity at California Health and Human Services Agency (CalOHII), to facilitate the development of and infrastructure to support statewide health information exchange.
3. Lesson 1.1: Introduction to HIT and HIE Objective: Welcome! Talking Points: Everyone has a story to share about themselves or someone they know who would have benefited from access to health information.
4. Lesson 1.2: Strategies to Promote the Adoption of Electronic Health Records and Health Information Exchange Objective: Identify current federal strategies to promote adoption and use of electronic health records (EHRs) and health information exchange (HIE); including incentives for Meaningful Use of certified EHRs.
5. Lesson 1.2: Strategies to Promote the Adoption of Electronic Health Records and Health Information Exchange Talking Points: IT’s not about the technology. It is about better health, better care and lower costs. IT’s not going away. It is the foundation for health reform. IT’s about you getting involved. Or else the nurses will leave us behind.
6. Lesson 1.3: Introduction to Pharmacy Informatics Objectives: Define the concept of pharmacy informatics Characterize the major functions of a pharmacy information system (PIS) Discuss the role of pharmacy informatics in the health care delivery system
7. Lesson 1.3: Introduction to Pharmacy Informatics Talking Points: You need to be a pharmacist in order to be a pharmacy Informaticist. The primary aim of pharmacy informatics is to reduce medication errors. Pharmacy information systems need to be interoperable with the provider electronic health records.
8. Lesson 1.3: Introduction to Pharmacy Informatics Survey Question: What is NOT a function of a pharmacy information system? Performing allergy checks when a patient brings in a new prescription.
 Reviewing medication dosage on the prescription to make sure it falls within reasonable clinical guidelines.
 Helping with inventory management of medications within the pharmacy, through bar coding or other means.
 Converting facsimile prescriptions into electronic prescriptions.
 I don't know

9. Lesson 2: EHR Adoption: Connecting the Docs Objectives: Define the term HIT and describe the major drivers of HIT and HIE growth in the United States over the past 10 years Describe the difference between an EHR, EMR and PHR Characterize challenges facing pharmacy and the forces driving adoption of health information technology and electronic health records within the profession
10. Lesson 2: EHR Adoption: Connecting the Docs Talking Points: What is driving the current flurry of adoption of electronic health records in the USA today? Introduce all the forces (from IOM reports) to ARRA/HITECH  that are moving the USA to adopt EMRs. Introduce terms like meaningful use and eligible provider.
11. Lesson 3: Introduction to EMRs and EHRs and PHRs Objectives: Describe the basic concept of electronic health records and how it supports the overall information management needs of the health system Describe the various components of EHR, EMR and PHR Describe the barriers for adoption of EHR, EMR and PHRs Identify the various stages of EMR adoption as defined by HIMSS Describe the advantages of enterprise versus best of breed software implementation of EMRs
12. Lesson 3: Introduction to EMRs and EHRs and PHRs Talking Points: This is really introduction to electronic medical and health records 101. Understand the difference between EHR, EMR and PHR and their components. Review the HIMSS stages of adoption and the barriers preventing USA practices from being more advanced in adoption. Understand best of breed and enterprise application models.
13. Lesson 3: Introduction to EMRs and EHRs and PHRs Survey Question: What term is defined as "the aggregate electronic record of health-related information on an individual that is created and gathered cumulatively across more than one health care organization and is managed and consulted by licensed clinicians and staff involved in the individual’s health and care"? Personal Health Record (PHR)
 Electronic Medical Record (EMR)
 Electronic Health Record (EHR)
 Personal Medical Record (PMR)
 I don't know

14. Lesson 4.1 : Interoperability Objectives: Define interoperability and why it is important Describe “health information exchange” and what is driving it today Discuss standards that are in use today Describe the emerging standards and what is driving change
15. Lesson 4.1: Interoperability Talking Points: While the concept of interoperability for health information has been around for some time, Meaningful Use and the American Recovery and Reinvestment Act of 2009 is setting the priorities for interoperability today. There are interoperability standards for exchanging information as well as for structured terminology; both are important. Health IT standards are trending to the use of XML documents based on HL7's Clinical Document Architecture, but many standards are in common use today.
16. Lesson 4.2: Pharmacy Interoperability Objective: Describe how interoperability impacts the practice of pharmacy.
17. Lesson 4.2: Pharmacy Interoperability Talking Points: NCPDP is the pharmacy leader in standards. Pharmacy is ahead when it comes to information exchange. Pharmacy needs to participate in other standards setting organizations or else we will be left out of health care reform.
18. Lesson 4: Pharmacy Interoperability Survey Question: What is NOT a benefit of interoperability in the health care setting? Safeguards data from privacy and security breaches when providers upgrade their health information systems.
 Ensures complete health information is available to clinicians as patient moves through various health care settings.
 Clinicians can make fact-based decisions so medical errors and redundant tests can be reduced.
 Allows for cost-effective, timely data collection for bio-surveillance, quality measurements and clinical research.
 I don't know

19. Lesson 5.1: Principles of E-Prescribing Objectives: Define electronic prescribing. Understand common terminology used with e-prescribing. Describe the components of an e-prescribing system. Define the current state of adoption of e-prescribing and the current incentive programs to drive physician adoption. Describe how e-prescribing impacts the workflow of prescribers, pharmacists and patients. Identify the major resources for pharmacists in the implementation and utilization of e-prescribing  Summarize the important interoperability issues related to e-prescribing, including semantic interoperability issues.
20. Lesson 5.1: Principles of E-Prescribing Talking Points: E-Prescribing is a simple concept with complex effects on the workflows of multiple stakeholders and disciplines. E-prescribing is well supported with recognized standards and infrastructure, but the standards and infrastructure are still changing to meet clinical needs.
21. Lesson 5.2: Electronic Prescribing of Controlled Substances Objectives: Discuss the similarities and differences between federal vs. California regulations with regards to EPCS. Describe potential impacts of EPCS on pharmacy and prescriber workflows.
22. Lesson 5.2: Electronic Prescribing of Controlled Substances Talking Points: EPCS is optional and voluntary. EPCS is not legal if the prescriber's electronic prescription application is not certified for the two-factor authentication.  A wet signature is required if a paper prescription is written or faxed. Prescribing controlled substances continues to be legal by phone (CIII, IV and V), by fax (CIII, IV and V) and by hand (CII, III, IV and V). 
23. Lesson 5: Principles of E-Prescribing Survey Question: Which of the following statements about e-prescribing is TRUE? E-prescribing requires a digital image of the prescriber's signature in order to be valid.
 E-prescribing includes prescriptions that are sent electronically by prescribers and converted into facsimiles at the pharmacy.
 E-prescribing is not allowed for controlled substances.
 E-prescribing often requires fundamental changes in workflow to be implemented fully and effectively.
 I don't know
24. Lesson 6: Computerized Provider Order Entry Objectives: Define the terminology as it relates to CPOE Describe data on the impact that CPOE can have on patient safety outcomes Identify benefits and limitations associated with CPOE Establish the contexts in which CPOE is implemented. Describe the cooperation, coordination, and connectivity required to overcome challenges and achieve meaningful CPOE, BCMA and e-prescribing.
25. Lesson 6: Computerized Provider Order Entry Talking Points: Define what CPOE is – the benefits and the limitations or unintended consequences. Understand the difficulties of implementing CPOE, the impact to pharmacy and how pharmacy supports implementation and deployment.
26. Lesson 6: Computerized Provider Order Entry Survey Question: What is NOT a barrier to Computerized Provider Order Entry (CPOE) system adoption? High cost of implementation
 Alert-fatigue
 Patient mistrust
 Resistance to change
 I don't know
27. Lesson 7: Bar Code Medication Administration at the Point of Care Objectives: Identify the importance of BCMA for patient safety. Discuss the concepts of a closed loop medication use system. Discuss the closed-loop medication process and where medication errors most commonly occur. Identify the common workarounds in BCMA. Describe the cooperation, coordination, and connectivity required to overcome challenges and achieve successful BCMA deployment.
28. Lesson 7: Bar Code Medication Administration at the Point of Care Talking Points: The basics all pharmacists need to know about bar-code medication administration. The terminology, the hardware, the workarounds.
29. Lesson 8: Clinical Decision Support in Health Information Technology Objectives: Define the term clinical decision support. List the seven stages of IT adoption/maturity as defined by HIMSS. Identify the different methods of clinical decision support within an electronic medical record. Identify the major pharmaceutical clinical decision support vendors. Explain the editorial policy of pharmaceutical CDS vendors and issues related to applying CDS vendor files within an electronic health record. Discuss the term “alert fatigue” and the impact on EMR adoption.
30. Lesson 8: Clinical Decision Support in Health Information Technology Talking Points: Define the Clinical Decision Support in both a paper and electronic world. Understand the various CDS tools pharmacists work with daily and the major vendors providing the support. Understand the concept of alert fatigue.
31. Lesson 8: Clinical Decision Support in Health Information Technology Survey Question: What is clinical decision support (CDS)? Laboratory data stored electronically that can be used by health care providers when making decisions.
 Knowledge and person-specific information, intelligently filtered and presented at appropriate times, that can enhance health and health care. A test administered to patients and their caregivers that can help determine patients' ability to perform self care.
 An established and defined protocol that a hospital uses when determining appropriate transitions of care for patients.
 I don’t know.
32. Lesson 9: Patient and Medication Safety Objectives: Define the basic terminology associated with medication safety. Describe the medication use process and the types of technologies available to promote medication safety. Identify the advantages and disadvantages associated various types of health information technologies as it relates to medication safety. Define the concept of medication surveillance.
33. Lesson 9: Patient and Medication Safety Talking Points: Health Information Technology can reduce errors and improve care IF used appropriately/completely There is evidence that some forms of technology can increase error rates or create new problems The interplay of technology, the system (hospital) and the human must be considered for successful technology implementation The Institute of Medicine Report requests more transparency for technology vendors and more research highlighting technology limitations.
34. Lesson 10: Data Management, Reporting and Data Mining Objectives: Describe the difference between data, information and knowledge. Define some of the key concepts in health care data management, such as data dictionary, meta data, controlled vocabulary and semantic interoperability. Describe the role of data warehouses, clinical data repositories and data mining in health care. Define the concept of RxNorm and its intended use within health care applications. Describe the difference between structured and unstructured data and impact on ability to collect information.
35. Lesson 10: Data Management, Reporting and Data Mining Talking Points: Pharmacists should understand that the future will require utilization of analytical data. (for Stage 3 Meaningful Use). Pharmacists should be involved. You won’t have time to train them to be data analysts... Just get them mindful of the need for analytics and interested in learning the technical skills to do so. Pharmacists should be advocates for creating and utilizing data warehouses so they can take part in the process of drug knowledge discovery.  Therefore ensuring the role of pharmacist as the drug expert. If just one take-away for students:You can do a lot with data if it is structured correctly. Analytical data comes from transactional data after it has been structured for analytics.
36. Lesson 10: Data Management, Reporting and Data Mining Survey Question: Which of the following data are used in predictive modeling, decision support, and data mining? Transactional
 Unstructured
 Operational
 Analytical
 I don't know
37. Lesson 11: Legal and Regulatory Aspects of Electronic Health Records Objectives: Identify sources of law and standards for electronic health records and e-prescribing in order to monitor future changes. Describe and plan for the basic requirements of retention, durability, accuracy, destruction and integrity, in pharmacy information systems and electronic health records. Define authentication and describe the various approaches to authentication in HIT. Discuss ethical aspects related to EHR, such as use of e-mail, hybrid records, and clinical decision support.
38. Lesson 11: Legal and Regulatory Aspects of Electronic Health Records Talking Points: The legal lecture provides an overview of the many laws, regulations and standards that govern the electronic world of medical records and e-prescribing. The laws and requirements for electronic functionality are complicated and ever changing, but are there to protect patient data and privacy. In every health care setting, it is crucial for everyone to access, modify, and share PHI in ways that are in compliance with the rules and regulations of HIE.
39. Lesson 12: Emerging Technologies in Pharmacy Objectives: Identify common technologies currently utilized in both acute care and ambulatory pharmacy practices. Discuss advantages and disadvantages of intravenous (IV) compounding technologies. Discuss advantages of smart or intelligent pumps as it relates to patient safety. Describe the concept of automated dispensing cabinets and the advantages to pharmacy and nursing.
40. Lesson 12: Emerging Technologies in Pharmacy Talking Points: A catchall module to cover some important technologies that pharmacy students will likely work with in their careers – like automated dispensing cabinets and smart pumps As well as to introduce them to newer technologies on the horizon – like IV compounding robotics This module has the most sizzle and was enjoyed the most by the UCSF students.
41. Lesson 1.1: Introduction to HIT and HIE Welcome! Can you use text here?
42. Slide Header Here Even more items Can you use text here?
43. Slide Header Here Even more items Can you use text here?
44. Partners in E Program The Partners in E program is wholly funded by the federal State Health Information Exchange Cooperative Agreement Program as part of the American Recovery and Reinvestment Act (ARRA), through the California Office of Health Information Integrity at California Health and Human Services Agency (CalOHII), to facilitate the development of and infrastructure to support statewide health information exchange.