ASHP Activities with Smart Pumps Karl F. Gumpper, BS, BCPS,
FASHP Director, Section of Pharmacy Informatics & Technology
American Society of Health-System Pharmacists
[email protected]
Slide 2
2 Better Information, Better Care What are the numbers? Primary
Members* 550 members Secondary Members* 3400 members Listserv
Subscribers Members Only > 1950 participants (8/2010) *Members
as of 5/2010
Slide 3
3 Better Information, Better Care Organization of the Section
Section Advisory Committees Section Advisory Group on Clinical
Information Systems Section Advisory Group on Pharmacy Operations
Automation Section Advisory Group on Ambulatory Care Informatics
Section Advisory Group Pharmacy Informatics Education Executive
Committee Educational Steering Committee Section Advisory Groups
Work Groups Task Forces Nominations Committee
Slide 4
4 Better Information, Better Care
Slide 5
5 Section of Pharmacy Informatics and Technology Executive
Committee 2010-2011 Chair: Chris Urbanski (Indiana) Chair-Elect:
TBD (Ron Burnette or Allen Flynn) Immediate Past Chair: Chad Hardy
(Texas) Director-at-large: Anne Bobb (Illinois) Director-at-large:
Leslie Mackowiak (Tennessee) Director-at-large-Elect: TBD (Stanley
Pestotnik or Sylvia Thomley) Board Liaison: John Armitstead
(Kentucky)
Slide 6
6 Better Information, Better Care Section Advisory Group on
Clinical Information Systems Chair: Nancy Smestad Vice-Chair: Lynn
Ethridge Executive Committee: Leslie Mackowiak Charge: CPOE
Guidelines Seeking Board Approval August 2010 Decision support
library coordination Promote original research with clinical
information systems and patient safety Develop recommendations on
the content of Clinical Decision Support for CPOE and pharmacy
systems. Develop standard approach for managing patient drug
allergies in pharmacy, CPOE systems, and Electronic Health Records
(Functional Requirements) Deferred by SAG (2009-2010) Identify
sites where pharmacy departments have been able to successfully
educate appropriate C-suite personnel about changing role of
pharmacist involvement in high-level CIS planning, vendor
negotiations, etc. Make strategies/tactics available for membership
of section by showcasing on the Sections Web-site. Develop
recommendations for sharing and standardizing smart pump medication
libraries Active ADE Surveillance Rule Sharing In progress by
SAG
Slide 7
7 Better Information, Better Care Section Advisory Group on
Pharmacy Operations Automation Chair: Gwen Volpe Vice-Chair:
Barbara Giacomelli Executive Committee: Chris Urbanski Charge:
Develop a guideline on re-packaging and re-labeling medications for
use with in hospitals and health systems to incorporate bar-code
technology requirements and standardization In process by SAG
Determine state of RFID implementation for supply chain management
and make available for section membership Develop a position
statement on the synchronization of medication formularies to
better manage information with multiple systems and hospitals.
Completed column submission 2010 Monitor the use and development of
robotic technologies in hospitals. Multiple projects under way
Monitor the use of smart pump technology in hospitals related to
automation, interconnectivity, and integration to provide a
closed-loop patient safety solution. Work Group addressing issues
Develop a Statement on the use of bar-code technology for
medication preparation and dispensing Completed HoD 2010
Slide 8
2007 ASHP Survey on Informatics and Automation Craig A.
Pedersen, R.Ph., Ph.D., FAPhA Associate Professor, College of
Pharmacy, The Ohio State University Karl F. Gumpper, R.Ph., BCNSP,
BCPS, FASHP Director, Section of Pharmacy Informatics &
Technology, ASHP
Slide 9
Survey Population IT Survey: All 6,944 U.S. Hospitals 4,112 in
sample (email addresses available for Director of Pharmacy) 1,145
respondents n=1066 usable responses 26% of those surveyed 15% of
all U.S. hospitals Population is different from ASHP National
Hospital Pharmacy Surveys Focuses on the ~5,000 General and
Childrens Medical Surgical Hospitals in U.S. ~1,300 surveyed
(varies from year to year) ~550 respondents (varies from year to
year) 9
Slide 10
#11 Intelligent Infusion Devices (Smart IV Pumps) and PCA
Definition: A smart infusion pump is a point-of-care computer that
integrates the infusion pump with clinical best practice
guidelines. Smart infusion pumps have software that checks
programmed doses against preset limits specific to a drug and
clinical location. The clinician may either override an alert (soft
limit) or not be allowed to continue at all (hard limit), depending
on preset limits. Some manufacturers include Baxter,
Cardinal/Alaris, and Hospira.
Slide 11
11 Smart Infusion Pumps
Slide 12
12 Smart Infusion Pump Vendor
Slide 13
13 Plans for Smart Infusion Pumps
Slide 14
14 Pharmacy Maintains Smart Infusion Pump Drug Library
Slide 15
15 QI logs are used to document user rates of overrides or near
misses
Slide 16
16 Smart Infusion Pumps are Wireless Enabled
Slide 17
17 Smart Infusion Pumps are Interfaced with eMAR
Slide 18
18 PCA Pumps
Slide 19
19 PCA Pump Vendor
Slide 20
ASHP Data Comparisons Plans (2007) Have it ASHP National Survey
Within 1 yearNo plans CPOE/CDSS12%15.4% (2009)8%15% Robot10.1%16.2%
(2008)4%79% Carousel12.7% n/a 6%65% ADC82.8%82.9% (2008)2%5%
BCMA24.1%27.9% (2009)15%17% Smart Pumps44%56.2% (2009)11%19%
EMR42.9%47.1% (2009) n/a Complete EMR5.9%8.8% (2009) n/a
Slide 21
Links to AJHP Articles Craig A. Pedersen and Karl F. Gumpper
ASHP national survey on informatics: Assessment of the adoption and
use of pharmacy informatics in U.S. hospitals 2007 Am. J. Health
Syst. Pharm., Dec 2008; 65: 2244 - 2264.
http://www.ajhp.org/cgi/reprint/65/23/2244
http://www.ajhp.org/cgi/reprint/65/23/2244 Craig A. Pedersen,
Philip J. Schneider, and Douglas J. Scheckelhoff ASHP national
survey of pharmacy practice in hospital settings: Monitoring and
patient education2009 Am. J. Health Syst. Pharm., Apr 2010; 67: 542
- 558. http://www.ajhp.org/cgi/reprint/67/7/542
http://www.ajhp.org/cgi/reprint/67/7/542