ePrescribing – Integrating Primary Care, Hospitals, Pharmacies in Spain (Andalucia)
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Transcript of ePrescribing – Integrating Primary Care, Hospitals, Pharmacies in Spain (Andalucia)
ePrescription in Andalucía
(Receta XXI)
María José Piña Vera
Andalusian Health Service
Andalusia
Andalusian population
• 8.302.923 inhabitants
• 17,8% of the Spanish
population
DIRAYA
BDU
HSDC
BDP
FARMA
CENTRALIZED DISPENSED
MEDICINES DATABASE
Prescriptions
Network
Dispensed
medicines
Dispensed
medicines
Medical office (PC-SC)
DIRAYA
Network
USER
INSTRUCTIONS
FORM
e-Prescription (Receta XXI)
ePrescribing: advantages
USERS:• Avoids unnecessary visits to the clinics to repeat
prescriptions
PRACTITIONERS:• Minimizes activity prescription in health centres:
entire treatment prescribed by specialists
• Releases personnel from bureaucratic tasks
• Increases time devoted to patients
• Possibility of better support for rational prescription
ePrescribing: advantages
PHARMACISTS:• Significant promotion of Pharmaceutical Care
• Reduction of management expenses and billing in prescriptions
HEALTH ADMINISTRATION:• Improves follow-up and control of rational use of
drugs (RUD)
• Correct assignment of responsibility in RUM among levels
• Decrease in fraud and better control of billing
Diraya Workgroup to improve
the ePrescribing
• Primary care Doctors
(8)
• Pharmacology
Technician (1)
• SAS IT Technician (1)
• Pharmacists from the
SAS Pharmaceutical
and Provision
Department (3)
• Pharmacists of the Andalusian
Council of Official Colleges
of Pharmacists
< 25 %25 - 50 %50 - 75 %75 - 90 %> 90 %
Population coverage
2003
Torreblanca
IMPLEMENTED
NOT IMPLEMENTED
Implementation of Receta XXI
Implementation of Receta XXI
NOT IMPLEMENTED
IMPLEMENTED
< 25 %25 - 50 %50 - 75 %75 - 90 %> 90 %
Population coverage
94,6%
5,4%
Implantado
No implantado
Implementation of Receta XXI
2009
IMPLEMENTED
NOT IMPLEMENTED
726 centres
7.620.101 users (94,6 %)
3.188.240 patients
5.398 doctors (92 %)
3.553 pharmacies (99 %)
206.228.769 dispensed
medicines
1 hospital
16.726 patients
72.584 dispensed medicines
Results
58 %
Receta XXI: eDispensing Percentage
December 2009
Chronic treatments
71 %
Number of dispensed medicines
247.545 1.245.313
8.982.319
30.520.106
66.315.635
89.240.751
0
10.000.000
20.000.000
30.000.000
40.000.000
50.000.000
60.000.000
70.000.000
80.000.000
90.000.000
100.000.000
2004 2005 2006 2007 2008 2009
% ePrescriptions
0,180,88
6,10
19,46
39,71
50,31
0
20.000.000
40.000.000
60.000.000
80.000.000
100.000.000
120.000.000
2004 2005 2006 2007 2008 2009
0,00 %
10,00 %
20,00 %
30,00 %
40,00 %
50,00 %
60,00 %
Hand-written prescriptions Printed prescriptions
ePrescriptions % ePrescriptions
www.ehr-impact.eu
56.552
47.910
10.000
20.000
30.000
40.000
50.000
60.000
2006 20072nd half-year
Number
of
appointments
Progress of appointments by
Receta XXI in Andalusia
Appointments reduction
15.28%
Progress of appointments by Receta XXI
Area Sanitaria Norte de Córdoba
95.766
53.378
24.444 23.388
81.121
41.809
17.009 17.059
0
20.000
40.000
60.000
80.000
100.000
120.000
POZOBLANCO HINOJOSA EL VISO ESPIEL
sep-05
sep-08
Appointments reduction:
El Viso 30 %
Espiel 27 %
Hinojosa 22 %
Pozoblanco 16 %
Prescriptions precautionary cancelled
by the pharmacist (2009)
• 20.892.779 Prescriptions
• 11.349 Precautionary cancellations (0,05%)
• 10.762 Confirmed by the doctors
• 587 Activated by the doctors
Prescriptions precautionary cancelled
by the pharmacist (2009)
95%
5%
Confirmed by thedoctor
Activated by thedoctor
Conclusions
Peribanyez
Unique
Electronic
Health
Record
Interoperability
Quality
issues
Continuous
updatingContinuous
training
Thank you for
your attention
Peribanyez