IHS EHRIndian Health Service Electronic Health Record

PharmacyPharmacy

CDR Jim Gemelas, R.Ph.CDR Jim Gemelas, R.Ph.Clinical Applications CoordinatorClinical Applications Coordinator

Objectives for this sessionObjectives for this session

Demonstrate how to finish a prescription Demonstrate how to finish a prescription order in RPMSorder in RPMS

Using EHR in the Pharmacy Using EHR in the Pharmacy Process ChangesProcess Changes Preparing for EHR –Role of PharmacistPreparing for EHR –Role of Pharmacist

Finishing the Pharmacy Order Finishing the Pharmacy Order in RPMSin RPMS

The provider initiates the orderThe provider initiates the order Once signed, a service copy prints to Once signed, a service copy prints to

pharmacy for workflowpharmacy for workflow Complete orders from OERR Complete orders from OERR The pharmacist reviews/finishes orderThe pharmacist reviews/finishes order

Pharmacy Service Copy OrdersPharmacy Service Copy Orders

Stop-review provider noteStop-review provider note

Provider note- toggle feature RPMS/EHRProvider note- toggle feature RPMS/EHR Review chart- IHS Pharmacy standards of Review chart- IHS Pharmacy standards of

practice practice

Order checks;Allergies

Drug-drugDuplicate class

Document Patient Ed- Wellness Document Patient Ed- Wellness TabTab

Using EHR in the PharmacyUsing EHR in the PharmacyPharmacy Only VisitsPharmacy Only Visits

S.O.A.P formatS.O.A.P format Refill templateRefill template Anticoagulation templateAnticoagulation template Tobacco Cessation templateTobacco Cessation template Hypertension templateHypertension template

Pharmacy refills/Pharmacists Pharmacy refills/Pharmacists as codersas coders

Paperless Refill functionPaperless Refill function

Pharmacist enters DX code based on Pharmacist enters DX code based on medication and existing patient infomedication and existing patient info

Pharmacist creates a note in EHR Pharmacist creates a note in EHR

Pharmacist will use refill Pharmacist will use refill template in EHRtemplate in EHR

Pharmacy Process ChangesPharmacy Process Changes PharmacistsPharmacists

Finish all new prescriptionsFinish all new prescriptions All refills with a note Include screen capturesAll refills with a note Include screen captures Pharmacy-run clinicsPharmacy-run clinics

Pharmacy TechniciansPharmacy Technicians No more data entryNo more data entry Assemble and batch all prescriptions (ScriptPro)Assemble and batch all prescriptions (ScriptPro) Customer Service- phone calls, initial patient contactCustomer Service- phone calls, initial patient contact

Outside Prescription Orders (non-formulary Outside Prescription Orders (non-formulary drugs)drugs)

Printing controlled substancesPrinting controlled substances Use of ScriptPro- improved workflow,batching Use of ScriptPro- improved workflow,batching

prescriptions, electronic signaturesprescriptions, electronic signatures

Preparing for EHRPreparing for EHR

Role of the pharmacistRole of the pharmacist Enter drug allergies and drug class codesEnter drug allergies and drug class codes Create Order MenusCreate Order Menus Create Quick OrdersCreate Quick Orders

Order MenuOrder Menu

Order MenuOrder Menu

QUICK ORDERQUICK ORDER

Where are the charts?Where are the charts?

““I don’t look back I don’t look back darling, it only darling, it only distracts from the distracts from the now!” …Edna Modenow!” …Edna Mode

Look at all the trees we are saving with the Electronic Look at all the trees we are saving with the Electronic Health Record! This is government land behind be Health Record! This is government land behind be

belonging to the Official Medical Record Board. These belonging to the Official Medical Record Board. These trees behind me were marked for medical trees behind me were marked for medical

records!..............records!..............

Order prints out in pharmacyOrder prints out in pharmacyand shows in RPMSand shows in RPMS