206H - Pharmacy FileMan and Query Tools
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Transcript of 206H - Pharmacy FileMan and Query Tools
206H - Pharmacy FileMan and Query Tools
Rob Silverman, PharmD
LuAnne Barron, RPh
Goals and Objectives
• Compare and Contrast the utility of VA FileMan and the Query Tool in obtaining typical pharmacy data
• Practice report building and editing
• Understand the limitations of each method and the importance of validating your data
Sample Reports
• Outpatient pharmacy : List all the patients that are on simvastatin– Useful for MUE, drug recalls, formulary substitution, etc.
• Inpatient pharmacy: List all the patients that are on warfarin– Useful for daily clinical monitoring
• Canned Reports, for example:– Incomplete Orders– Abnormal Results
Outpatient Pharmacy – Which Tool to Use
• Query– Start with a predefined selection of patients
• Team or Clinic– Potentially runs faster– May be easier to reuse and share with others– Data is exportable
• FileMan – Select from among all patients– CPU intensive– Save as a FileMan sort and print template– Data is exportable
FileMan/Query Tool Comparison
Issue FileMan Query Tool
Start with ALL Patients? Yes No
Control Output Yes Maybe
System Performance Issues Yes Maybe
End user learn easily No Yes
Templates defined by user Yes Yes
Import to Excel spreadsheet Yes Yes
Inpatient Pharmacy – Which Tool to Use
• Patients on Specific Drugs Report (PSD)– An “old standby” report for many pharmacists– Not too slow once you get to know it– Retrieves orders that are ACTIVE as of a certain date– Difficult to save for reuse
Inpatient Pharmacy – Which Tool to Use
• Query Tool– May start out a little slower (not to mention the learning
curve), but gets faster with use– Retrieves orders that were WRITTEN as of a certain date
• May get some extra (DC’ed) orders in the report– Can be saved for daily reuse
• Modify and save a variation of an existing report– Exportable and shareable between colleagues– Different control over the data displayed
PSD/Query Tool Comparison
Issue Patients on Specific Drugs
Query Tool
Order selection algorithm
ACTIVE orders Date orders were WRITTEN
Reuse report daily No Yes
System resource usage
Average Starts Slow, gets much
faster
A little more about Query Tool
• It’s part of Care Management on the dashboard
Predefined and Custom
Queries
Step 1 – Select your group of patients
Step 2a – Select the timeframe of VISIT
Step 2b – Select the timeframe of RESULTS
Step 3 – Select what you’re looking for
Qualifiers:
Step 4 – Define your output
Step 5 – Save Custom Reports
Stored in 102.21
CPRS QUERY DEFINITION FILE
Ready to Run
Sensitive Patients
Results and Details
A little more about FileMan
Think of a filing cabinet with – drawers (files) - PRESCRIPTION– folders (records) – RX #901958– notes on the folder itself (flat fields)
• Patient Name, Drug, Quantity– papers inside the folders (multiple fields)
• Refill #1, Refill #2, Partial #1, CMOP Activity
FileMan functions
• INQUIRE – look at a record (a folder)• PRINT – look at a series of records
– Dynamic searching– A little bit of M
• SEARCH – look for a selected set of records– Static searches that can be saved– Logical
Data Validation
• Does Your Output Make Sense?Does Your Output Make Sense?
• Random SampleRandom Sample
• Time Or Single Events (Snowbirds)Time Or Single Events (Snowbirds)
• IntuitionIntuition
• Consult An ADPAC Or ExpertConsult An ADPAC Or Expert
What we’re going to do hands-on
• OUTPATIENT EXAMPLE– Patients on simvastatin (“active and suspended”) via
FileMan and Query• INPATIENT EXAMPLE
– Patients on warfarin via PSD (Patients on Selected Drugs) and Query
• Discussion of the CANNED QUERY REPORTS
Log On
•Access code: ##VEHU•Verify code: VEHU##
•If your name is not LuAnne Barron or Robert Parish, you are NOT number 00.
References
• Rob Silverman ([email protected])– 708-202-5040
• Tom Fagan ([email protected])– 804-675-5298
• FileMan documentation– http://vista.med.va.gov/fileman/index.asp
• Query documentation– http://vaww.vistau.med.va.gov/VistaU/CPRS/
rcprsevents.htm (see June 2003 section)
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Questions?