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eclipse. A new era in medicines management. What is The Purpose of Medicines Management? Educating Prescribers on Optimal Prescribing. Improving Cost-effectiveness of Prescribing Improving the Quality of Prescribing. Improving Safety of Prescribing Reducing Hospital Admissions Saving Lives.

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  1. eclipse A new era in medicines management

  2. What is The Purpose of Medicines Management? • Educating Prescribers on Optimal Prescribing. • Improving Cost-effectiveness of Prescribing • Improving the Quality of Prescribing. • Improving Safety of Prescribing • Reducing Hospital Admissions • Saving Lives

  3. What is the Traditional Model? • Intelligent dedicated prescribing advisors. • Good Advice on a limited number of prescribing projects. • The same goals to all surgeries irrespective of how well or badly they are doing. • Detailed analysis on how well these few projects have done with little analysis on prescribing outside these areas. • Projects set up annually with limited ability to change to market fluctuations. • Very little analysis on the impact on admissions, referrals, QOF and patient outcome. • Difficulty in assessing true benefit for the NHS.

  4. What Model Do we need in the new era? • Educate prescribers based on their own prescribing anomalies • Formulary Cost Interactions Outcomes • Give bespoke prescribing projects to each surgery. • based on their own potential benefits. • Measure the actual overall cost-effectiveness of prescribing. • Drug Spend • Patient outcomes • Monitor the quality and appropriateness of every single prescription. • Measure the impact of improvements in safety. • Patients admissions. • Prevalence of interactions. • Detailed analysis on collating prescribing patterns with outcome data on. • Patient Admissions, referrals. • Clinical Performance. • Patient outcomes. • Analyse the prescription profile of every patient. • Measure exactly how much we save the NHS through our actions. • To generate a revenue stream for the NHS if possible.

  5. What is the purpose of eclipse? • To allow complete monitoring of prescribing. • To allow individualised projects to be automated for each surgery. • To track savings being made from alterations. • To combine ePACT, QOF, Admissions data • To allow every patient’s prescription to be analysed in detail.

  6. Why Does It Work? • Traditional model is where the majority of time in medicines management spent on steps 1-4. • Eclipse will do this for you allowing your team to concentrate on implementation.

  7. STEP 1 - Identification of Audit Topic • Switches • Projects • Safety issues • Price Changes • Rebates TEAMWORK!

  8. ECLIPSE allows each team to set up their own switches / projects. • Other PCTs will automatically see the benefit they would get from implementing the same projects. • Impact of Projects and switches is calculated at individual surgery level to enable bespoke prescribing schemes for each practice.

  9. Step 2 – Set Standard • Need to Know • Where we are now • Where we are relative to SHA and National • Potential Savings from reaching proposed %

  10. Step 3 & 4 – Collect & Analyse Data • Single ePACT upload each month automatically populates all projects, switches and formulary analysis at national, SHA, PCT, PBC and surgery level.

  11. Step 5 - Implement • League tables of absolute surgery performance. • League tables of flux in surgery performance. • Formulary • Switches • Projects • Admissions

  12. Step 6 – Evaluate Impact • How much have you saved. • What is the impact on performance. • What is your team worth?

  13. Evidence is vital. • Statins in Norfolk • On paper we lost £27k this financial year • Actually saved £413k cf national.

  14. Eclipse Live! • Draws uploads from GP systems overnight • Stores anonymised data on eclipse • Allows medicines management to get live prescribing data. • Allows feedback on dangerous interactions • Patient Safety.

  15. Eclipse Demo • Lets Have a look if time permits! • http://localhost/DrugTariff/eclipsedefault.aspx

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