Transcript TelePharmacy in Minnesota

TelePharmacy in Minnesota
Many Models
After hours order entry is a good
thing for a small hospital
Pharmacist
• Medication orders are reviewed and
entered into our patient care system
• Allergies are entered, MAR’s are printed,
problems orders are handled if necessary
• Morning “clean up” is much quicker
• Patients get morning meds sooner
Pharmacy Automation makes it
better
• We don’t have Acudose/Pyxis/Omnicell
cabinets
• With cabinets nurses rarely needs to enter
Pharmacy at night
• New JCAHO medication standard July 1
2006
• Only Pharmacists may enter Pharmacy
Accurate MARs
• Computer generated Medication
Administration Records are priceless to
Nursing after hours
• Clinical notes appear on MARs to get
problem orders clarified
TelePharmacy models in MN
• Mostly retail Pharmacies
• Technician at remote site with drugs
• Audio and Video connection to main
Pharmacy
• Usually share computer system with main
Pharmacy
• Pharmacist does drug use review and
checks med and label
TelePharmacy models in MN
• Usually low volume remote sites
• Some remote sites have prepacked med
that are released from cabinet by main
Pharmacy
• Drop stations where prescriptions are
picked up and patients counseled face to
face or by phone
TelePharmacy models in MN
• Prepacked meds are taken to remote clinic
sites and dispensed by Physicain/provider
• Instymed machines in ERs and clinics are
considered Physician dispensing
Board of Pharmacy
Our primary role is to protect the public
Telepharmacy should not replace the face to
face interactions of a Pharmacist and
patient.
Technology and the marketplace change
much faster than legislation and regulation