Transcript Allergy Conversion

CHANGES IN ALLERGY
MANAGEMENT
by
Steven Botwinski, R.Ph.,
Yvonne Kimura, Pharm.D.
Bruce Matthias, R.Ph.
The IN Group, Inc.
February 18, 2009
Goals:
• Outline the steps to convert from version 1a to
version 2 allergy management
• Lessons learned from other facilities
Why Convert to Version 2?
• FSV, no longer supports Version 1A allergy
checking as of January 1, 2009
• Advanced clinical modules will require Version
2 MIS allergy management routines
What Version Am I on Anyway?
• Must be on Meditech Version 5.62 SR2 or
higher
• If your edit patient data screen has:
• 1 page = Version 1A, need to convert to
Version 2
• 2 pages = Version 1B - no need to convert
• 4 pages = Version 2 - no need to convert
General Steps and Timeline
•
•
•
•
•
Fix all NDC numbers - 1 or 2 months
Mapping and conversion in TEST - 2 days
Train end users - 1 month
Mapping in LIVE - 1 day
Conversion in LIVE - ??
Open Meditech Task
• Inform Meditech going through allergy
conversion
• Load any DTS’s that will be needed. (There my
be quite a few)
• Change toolbox parameters
Fixing NDC Numbers
• FSV updates allergy data by NDC number
• The NDC number must be the correct drug
• Validate NDC’s in TEST and LIVE
 Correct drug
 Valid NDC
 Missing NDC
Fixing NDC Numbers
Consideration
The NDC does not necessarily need to be a
match to the exact product on the shelf BUT
this is a good time to do that in preparation for
BMV
 Use purchasing history to match product
on shelf
 Consider fixing packaging strings and
 acquisition cost data to prepare for cost
based charging
Fixing NDC Numbers
Consideration
The NDC does not necessarily need to be a
match to the exact product on the shelf BUT
this is a good time to do that in preparation for
BMV
 Use purchasing history to match product
on shelf
 80/20 report(s)
 Online catalog with purchase history
Fixing NDC Numbers
Consideration
If taking the time to use purchase history to
load NDC for product on shelf may want to
prepare for Cost Based Charging
 Fix packaging strings
 Load acquisition cost data
Formulary Service Vendor
• First DataBank
 Obtain new allergy data disc (DAM). This
will be used to update the formulary after
the conversion.
 Load most recent quarterly update disc
(DACN). Process all errors and file.
 Load Version 2 allergies in TEST. Do
NOT file yet.
Formulary Service Vendor
• Medispan / Micromedex
 New disc already has allergy data
 Perform quarterly update; process all
errors
 This suspense file to be used for allergy
conversion
Load FSV Allergy Data
• Load FSV Allergy Data into a new suspense
file BUT do NOT file yet. (“File allergens after
load?” Set to No)
• Allow system to auto-map. It is quite accurate.
Mapping in TEST
• Utilize the mapping routine to map current
allergies on patients to the equivalent version 2
allergy. (Knowledge Based Article KB31161)
• TEST may not have many existing allergies as
compared to LIVE. If needed, add a few more.

Load screen shot of mapping here
Conversion in TEST
• Pick patients with existing allergies to validate
before and after conversion
• Perform the conversion in TEST - usually
quick due to small number of patients with
allergies
• Check patients after conversion to validate
correct allergy conversion
Train End Users and Change
Custom Reports
• In general reports will not need to be modified
as the new allergy field will be utilized where
the old allergy field exists.
• EXCEPTION: Listing verified PLUS unverified
allergies will require report modification(s) as
only verified allergies will listed after the
conversion in place of the old allergy field.
Conversion in LIVE
• Repeat steps in LIVE if TEST conversion is
successful
 Load Allergy Data into suspense file BUT
do not FILE yet
 Set up / restart allergy mappings
• Mapping may take longer dependent
upon number of patients in the database with
allergies
Conversion in LIVE
• Conversion in LIVE - may take a long time if
there are a lot of patients with allergies and
concurrent activity processing active patients at
the same time (weeks to months). Process
occurs in the background.
Summary
• Conversion from Allergy Checking Version 1A
to Version 2 is not difficult.
• NDC is the key but accuracy will not be a
problem as long as the NDC is for the correct
drug (not necessarily the exact shelf item)
Summary
• Auto-mapping is accurate
• Contact Meditech early to prevent delays
• Remember load the suspense file first but do
NOT file until the mappings are complete