b9 zachy olorunojowon - pharmanet modernization project
TRANSCRIPT
PharmaNet Modernization Project:
Quality Forum 2013
Zachy Olorunojowon & Sorin Pop
February 28, 2013
Agenda
Background
The BC Electronic Health Record
New Services: Pharmacy & Medical Practice
Consultations
Early Adopter Deployment
Project Release 2
Summary: Key Milestones
Questions
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PharmaNet Today
Province wide system connecting pharmacies,
medical practices, hospitals, emergency
departments
Prescription medications dispensed in
community pharmacies are submitted to
PharmaNet
PharmaNet enables: Access to consolidated patient dispense profile
Real time Drug Utilization Evaluation checking
Online claims adjudication
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Project Vision
Improve the delivery of patient care in British
Columbia by expanding the use of electronic
medication information management to facilitate
seamless care
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Project Scope
Expand PharmaNet to
facilitate ePrescribing & solving Drug
Therapy Problems
Integrate PharmaNet
with the provincial
Health Information
Access Layer
Develop Conformance Specifications
for Point of Service vendors
Select and deploy to the Early Adopter
community
Upgrade the Ministry
PharmaNet servers
(Release 2)
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Release 1
To promote safe medication management by
enabling integrated physician access to the
provincial drug information system
To build the basis for pharmacist provided
clinical services when solving Drug Therapy
Problems
To increase capacity of existing infrastructure
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Project Benefits
Electronic Health Record
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ELECTRONIC HEALTH RECORD
AUTHORIZED eHEALTH USERS
PATIENT
INFORMATION
PROVIDER
INFORMATION
DRUG
INFORMATION
LAB TEST
RESULTS
INFORMATION
DIAGNOSTIC
IMAGING
INFORMATION
PUBLIC HEALTH
INFORMATION
PROVINCIAL
VIEWER
Health Information Access Layer (HIAL) Authorization & Authentication Integration Standards-based Disclosure Directives & Audit Trail
PANORAMA
IMPLEMENTATION
INTEROPERABLE
EHR
CLIENT
REGISTRY
PROVIDER
REGISTRY
PROVINCIAL
LABORATORY
INFORMATION SOLUTION
PHARMANET
MODERNIZATION
PROVINCIAL
DIAGNOSTIC
IMAGING VIEWER
EHEALTH
VIEWER
(CARECONNECT)
PHYSICIAN
EMRSOTHER
VIEWERS
PHYSICIAN
INFORMATION
TECHNOLOGY OFFICE
PROVINCIAL
TELEHEALTH
PHARMACY
SYSTEMS
Query for prescriptions and dispenses
Update the medication dispensing profile
Dispense an electronic prescription
Dispense a paper prescription
Change prescription status
Capture adapted prescriptions
Claim for solving Drug Therapy Problems
Perform reversals as needed
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New Services: Pharmacy New Services: Pharmacy
View prescribed and dispensed medications
Download data from PharmaNet
Add sample medications to PharmaNet
Send prescriptions electronically to PharmaNet
Search for prescriptions by prescriber
Check PharmaNet for adapted prescriptions
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New Services: Medical Practice
Consultations
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Stakeholder consultation was key in developing:
Business requirements
Conformance specifications for software vendors
Key participants:
Practicing physicians and pharmacists
Colleges (CPBC, CPBSC)
Professional Associations (BCPhA, BCMA)
Ministry program areas
Demonstrate integration with Ministry systems
Gain experience with the new functionality
Receive clinical and technical input
Assess clinical and workflow impact
Engage champions to facilitate and support
broader adoption of new functionality
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Early Adopter: Objectives
Early Adopter: Deployments
Vendors: Med Access & Applied Robotics
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Location: Summerland
•Rosedale Medical Clinic:
•1 Physician + Staff
Location: Gibson
•Gibson Medical Clinic:
•2 Physicians + Staff
•Howe Sound Pharmacy:
• 2 Pharmacists + Staff
Location & Participants TBD
Provincial Rollout
Phase 2: Live, end-to-end
Spring 2013
Final Phase :
General Deployment
2013 - 2014
Phase 1: Parallel Entry
November 2012
Phase 3: Additional sites
Summer 2013
Early Adopter: Communications
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Development
(Low Key)
Early Adopter
(Conservative)
General Deployment
(High Profile)
Phase 1 Phase 2
‘Stationary (in
clinic) Handout’:
Laminated card
with key messages.
Rack Cards or
Handouts with key
messages.
Poster in
participating
locations
Wide audience
Ministry level public
communication
Phase 3
Early Adopter: Evaluation
Kick off meeting
with stakeholders
held in 2012
Evaluation
activities will
commence with
the phase 2
deployment
Successfully completed in November 2012 A two week period in Summerland
Exchanged over 700 transactions
Verified the technical support model
Conducted regular updates / check points throughout the test
Lessons Learned / Assessment Debriefing sessions were conducted with Med Access
Conformance Rules and Education materials were revised
The technical support model and associated processes were
reviewed and updated
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Early Adopter: Phase 1
PharmaNet Infrastructure Upgrade
New servers for increased capacity
New process to simplify creation of ad hoc reports
New system administration platform
Planned go-live in Spring 2013
Project Release 2
Summary: Key Milestones
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Milestone Date
Released first draft of conformance
standards to Early Adopter vendors
March 2011
Implemented the Ministry enhanced
applications in Production
January 2012
Rolled out the PharmaNet integration with
Health Information Access Layer
February 2012
Deployed the PharmaNet integration with
Enterprise Master Patient Index
February 2012
Enacted the legislation amendment to
enable electronic prescribing
February 2012
Summary: Key Milestones
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Milestone Date
Conducted Early Adopter deployment
(Phase 1)
November 2012
Early Adopter Phase 2 Spring 2013
Early Adopter Evaluation activities Spring 2013
PharmaNet Infrastructure upgrade
(Release 2)
Spring 2013
Early Adopter Phase 3 Summer 2013
Provincial rollout 2013 - 2014
Questions?
Contacts
Zachy Olorunojowon:
E-mail: [email protected]
Phone: 250-387-1549
Sorin Pop:
E-mail: [email protected]
Phone: 250-952-2288
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