Transcript Document

iMix 2013
Integrated and Informative Decision
Support for Health Care Providers
across Pharmacy and CPOE
Prepared by: Nevika Krishinchand
Date : 12 September 2013
The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential
nature and are submitted to you under the understanding that they are to be considered by you in the strictest of confidence and that no
use shall be made of the said concepts and ideas, including communication to any third party without MEDITECH’s express prior consent
and/or payment of related professional services fees in full.
© 2012. MEDITECH SA (Pty) Ltd. All rights reserved.
Agenda
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Introduction
Decision Support Mechanisms
• Monographs
• Interactions
• Drug-Drug
• Food
Allergy Warnings
Order Sets
Suggested Orders
Rules
Dose Range Checking
Notices
Lab Tests Linked to Drugs
and Orders
• Lab Test Results on Patient
Profile
• Dosing Sets
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MEDITECH Decision Support
Introduction
WHO estimates that more that
half of all medicines are
prescribed, dispensed of sold
inappropriately
Some examples of irrational use of
medicines include
• Poly pharmacy
• Inappropriate use of
antimicrobials
• Overuse of injections when oral
formulations would be more
appropriate
• Failure to prescribe in accordance
with clinical guidelines
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MEDITECH Decision Support
Introduction
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5 Rights of Medication
Management
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Right
Right
Right
Right
Right
Patient
Medication
Dosage
Route
Time
Dictionaries that support this
Decision Support:
• Order Management
• Pharmacy
• MIS
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MEDITECH Decision Support
Scenario 1
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Patient Helen Mercier
• 60 year old female
• Diabetic since 2005
• Severe allergy to Macrolides
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Maintained at home on
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Furosemide
Enalapril
Glyburide
Metformin
• Reason for Admission
• Pneumonia
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MEDITECH Decision Support
Scenario 1
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Scenario 1
OM Orders Reconcile….Monographs
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Scenario 1
Monographs
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Scenario 1
OM Orders Reconcile..Check for Conflicts
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Scenario 1
OM Drug Interaction Conflict
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Scenario 1
OM Override Interaction
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Scenario 1
OM Order Sets
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Scenario 1
OM Allergy Conflict
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Scenario 1
OM Food Interaction Conflict
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Scenario 1
OM Suggested Orders
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Scenario 1
Rules
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Scenario 1
OM Dose Range Checking
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Scenario 1
PHA Dose Range Dictionary
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Defined for a condition, age range and route
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Daily Low
Daily High
Daily Max
Max Single Dose
Low, High and Max Duration
Low, High and Max Frequency
Are Renal and Hepatic assessment indicators to be
checked?
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Scenario 1
OM Conflict Check on File
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Scenario 1
OM Notices
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Scenario 1
Pharmacy Desktop -> New Activity
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Scenario 1
Pharmacy Desktop->Patient Profile->Allergy Warning
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Scenario 1
Pharmacy Desktop->Patient Profile
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Scenario 1
Pharmacy Desktop->Patient Profile->Rules
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Scenario 1
Pharmacy Desktop->Verify -> Interaction Checking
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MEDITECH Decision Support
Scenario 2
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Ebrahim Mohammed
• 75 year old male
• Hypertensive since 1990
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Maintained at home on
• Furosemide
• Enalapril
• Lipid profile ordered on
previous visit
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Scenario 2
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Scenario 2
OM Lab Results Linked to Orders
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Scenario 2
Pharmacy -> Lab Results Linked to Drugs
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MEDITECH Decision Support
Scenario 3
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Johan Smith
• 4 year old male
• Admitted for a severe allergic
reaction
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Scenario 3
OM Weight Based Dosing -> Dosing Set Dictionary
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Scenario 3
OM Weight Based Dosing
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Scenario 3
OM Weight Based Dosing -> Dosing Sets
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MEDITECH Decision Support
Conclusion
How can MEDITECH’s Decision Support Tools
Benefit the end user?
Provide clinicians with instant access to evidence based
medicine to help guide their decision making
Establish Best Practices
Promote Rational Drug Use
Flag potential medical errors before they occur
Decrease patient length of stay .....lower costs
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How can MEDITECH’s Decision Support Tools
Benefit the patient?
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Enhances patient care
Reduce patient complications
Improve Patient Safety
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Thank you