telepharmacy at texas tech jon phillips, associate director of telemedicine
Post on 19-Dec-2015
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TRANSCRIPT
Senate Bill 65—Legislation Enabling Telepharmacy
A “telepharmacy system” means a system that monitors the dispensing of prescription drugs and provides for related drug use review and patient counseling services by an electronic method, including the use of these technologies Audio and video Still image capture Store and forward
S.B. 65 continued
Telepharmacy services provided by a Class A or Class C pharmacy to a health facility at a distant location
Distant telepharmacy site may not be located in a community in which a Class A or Class C pharmacy exists
Required to be under the continuous supervision of a pharmacist (electronic supervision by audio and video communication)
S.B.65 continued
Directs the Texas State Board of Pharmacy to develop rules to govern the operation of telepharmacy services
TSBP Telepharmacy Rules
Remote pharmacy services—storage & dispensing of prescription drugs, drug regimen review, and patient counseling at a remote site
Sites eligible for remote pharmacy services Rural health care clinic Health care center Health care facility located in a medically underserved
area
TSBP Rules cont’d
Each pharmacist at the central pharmacy may supervise—electronically—no more than three remote sites that are simultaneously open (exceptions may be granted)
Texas Tech Telepharmacy Pilot Project
Collaborative project Texas Tech Sid Ontai – private physician Health Care Visions, Inc.
Texas Tech Telepharmacy
Pharmaceutical Care Center at Texas Tech Medical Center Southwest (TTMCSW) serves as the demonstration central pharmacy
Evaluating the project Health professional student education and
training in rural care Economic feasibility to provide services to
rural communities Evaluation of current law to determine if it
allows maximum potential of the system
Funding
USDA RUS grant to Dr. Ontai for equipment and operations
Texas Tech for research and monitoring
Project Objectives
Field test telepharmacyPropose rule changes and improvementsEnhance access to medicationsTraining/education
• The Turkey Telepharmacy site site is staffed with an Emergency Medical Technician (EMT) from 8:00 AM to 12:00 noon Monday through Friday.
• Medications available for dispensing at the the Turkey Telepharmacy site were determined by a committee composed of Dr. Ontai and the Director of the Texas Tech Pharmaceutical care and Infusion Center.
• To conform to security standards, medications at the the Turkey Telepharmacy site are stored in approved, secured medication blister packs
Project information
Project information
• The central computer maintains separate sets of computerized data files. This allows each extended pharmacy to have its own NABP number, drug formulary, inventory, patient, doctor, and prescription files.
• Communications between the TTMCSW and the Turkey Telepharmacy site are conducted through an encrypted DSL connection.
Educational opportunities -Rural Clerkship-
One day with Dr. Ontai in his office in Plainview, Texas.
One day at central pharmacy at TTMC SW.
Three days with mid-level practitioner at Turkey Rural Health Clinic.
Progress Report
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5
10
15
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40
Sept Oct Nov Dec Jan Feb March
NewRefill
247 total prescription transactions completed as of March 31,2003
Telepharmacy Technology
• RX filled at a central location, RX label and monograph printed at remote location
• Thumbnail of medication and scanned NDC / quantity used for verification at Remote Site
• Final approval of RX completed by pharmacist utilizing Rendezviewer
• POS Transaction completes sale and records sale
Rendezvous and Rendezviewer
• Uses store and forward technology
• Review episodes from you home, office, airport or anywhere you have access to the Internet
• Proven reports for audits and compliance
• Allows episodes to be forwarded to multiple healthcare professionals for review and comments
Audit and Reporting Features
• Inventory Control for Central and Remote
• Centralized Drug Ordering
• Cash Register Audit Report
• Voided Prescription Report
• Pharmacist Review Time and Date TrackingPatient Compliance Reporting
First Telepharmacy Prescription in the State of Texas
Turkey Medical ClinicTurkey Medical ClinicTurkey, TexasTurkey, Texas
Texas Tech Texas Tech Medical Center SWMedical Center SW
Lubbock, TexasLubbock, Texas
September 18, 2002September 18, 2002
PATIENT SATISFACTION SURVEY QUESTIONS
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2
4
6
StronglydisagreeSomewhatdisagreeNo opinion
Somewhat agree
Strongly agree
Question # 1
I would rather see a pharmacist on the telepharmacy system than travel to see him or her
PATIENT SATISFACTION SURVEY QUESTIONS
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0.5
1
1.5
2
2.5
3
3.5
4
StronglydisagreeSomewhatdisagreeNo opinion
Somewhat agree
Strongly agree
QUESTION # 2
If the Telepharmacy system were not available, I would receive my medicine by mail or internet pharmacy
PATIENT SATISFACTION SURVEY QUESTIONS
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
Stronglydisagree SomewhatdisagreeNo Opinion
SomewhatagreeStronglyagree
QUESTION # 3
I felt the pharmacist counseling was not adequate because the pharmacist was not showing me my medicine in person
PATIENT SATISFACTION SURVEY QUESTIONS
0
0.5
1
1.52
2.5
3
3.5
44.5
5Less than 20miles20 to 30 miles
30 to 40 miles
40 to 50 miles
over 50 miles
QUESTION # 4
If the Telepharmacy system were NOT available, how many miles would you have to have travel one way to get your prescription?
Project status
Project will continue Results very positive Sound science and technology Considering expansion/additional sites