Transcript 5-nov-2016-digital-meds - SPS

Implementing the NHS dictionary of medicines
and devices (dm+d)
presented by Jo Goulding
Head of Pharmacy Terminology Implementation
What is dm+d?
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What is dm+d?
dm+d is:
• Text – standardised UNIQUE description for each
entry
The human readable bit
• Code – SNOMED CT The computer readable bit
• Paracetamol 500mg tablets
322236009
dm+d is not:
• A computer system
• Decision support
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dm+d links to
SNOMED CT
etc etc
SNOMED® CT™ International
Release
IS_A
cardiovascular drug
IS_A
NHS dictionary
of medicines
and devices
calcium channel blocking agent
IS_A
VMP
Nifedipine 30mg
modified-release tablets
(product)
VMPP
Nifedipine 30mg modifiedrelease tablets 28 tablet (product)
VTM
Nifedipine
(product)
AMP
Adalat LA 30mg tablets
(Bayer Plc) (product)
AMPP
Adalat LA 30mg tablets (Bayer Plc)
28 tablet 2x14 tablets (product)
Why is dm+d important?
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Why dm+d – historical drivers
• The 1998 Government White Paper ‘Information for
Health’ noted:
“There is a lack of standardisation in the UK in describing
medicines, appliances and medical devices, in how such
descriptions are organised, and in linking knowledge
required for decision support to these descriptions”
• The UK Clinical Products Reference Source
(UKCPRS) programme was initiated to deliver a
terminology to address this lack of standardisation
• dm+d is the product of the UKCPRS programme
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Why dm+d – current context
• ‘The Power of Information’ (May 2012)
“At the moment different areas of the health and care
system use different coding terminologies – this means
that information cannot flow around the system
well……..all relevant systems should use the same
terminology to exchange coded information; SNOMED CT,
adapted to fit all necessary uses, is the appropriate
terminology to base this on. Similarly, to allow drugs to be
consistently referenced, systems will consistently use the
electronic drugs dictionary (dm+d)”
National Information Board
• National Information Board (NIB) - ‘Personalised Health and Care
2020: A Framework for Action’
“The NIB endorses the move to adopt a single clinical
terminology – SNOMED CT – to support direct management of
care, and will actively collaborate to ensure that all primary care
systems adopt SNOMED CT by the end of December 2016; the
entire health system should adopt SNOMED CT by April 2020”
(p30-31)
• Noting that SNOMED CT includes dm+d
dm+d – the NHS Standard
• ISB 0052
• Dictionary of Medicines and Devices (dm+d)
The Standards primary purpose is to support interoperability.
Therefore electronic systems that exchange or share
information about medicines relating directly to a patients
care must adhere to the Standard by using dm+d identifiers
and descriptions when transferring information
• Implementation Date 30th June 2017
• Standard is still applicable (moving to SCCI)
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The Carter Context – supporting Hospital Transformation
Recommendation 3
• Recommendation 3(a) – HPTP planning and governance
• Recommendation 3(b) – clinical pharmacy and
infrastructure services
• Recommendation 3(c) – Electronic prescribing and
medicines administration
• Recommendation 3(d) – Accurate coding of medicines
• Recommendation 3(e) – Top 10 drug saving opportunities
• Recommendation 3(g) – Medicines stock-holding and
supply chain
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The Carter Context – supporting Hospital Transformation
Recommendation 3
• Recommendation 3(a) – HPTP planning and governance
• Recommendation 3(b) – clinical pharmacy and
infrastructure services
• Recommendation 3(c) – Electronic prescribing and
medicines administration
• Recommendation 3(d) – Accurate coding of medicines
• Recommendation 3(e) – Top 10 drug saving opportunities
• Recommendation 3(g) – Medicines stock-holding and
supply chain
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The Carter Context – supporting Hospital Transformation
Recommendation 3
• Recommendation 3(a) – HPTP planning and governance
• Recommendation 3(b) – clinical pharmacy and
infrastructure services
• Recommendation 3(c) – Electronic prescribing and
medicines administration
• Recommendation 3(d) – Accurate coding of medicines
• Recommendation 3(e) – Top 10 drug saving opportunities
• Recommendation 3(g) – Medicines stock-holding and
supply chain
13
The Carter Context – supporting Hospital Transformation
Recommendation 3
• Recommendation 3(a) – HPTP planning and governance
• Recommendation 3(b) – clinical pharmacy and
infrastructure services
• Recommendation 3(c) – Electronic prescribing and
medicines administration
• Recommendation 3(d) – Accurate coding of medicines
• Recommendation 3(e) – Top 10 drug saving opportunities
• Recommendation 3(g) – Medicines stock-holding and
supply chain
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What do you have to do?
15
Current Landscape
• Primary Care
– EPS, GP2GP, SCR
– Good dm+d coverage
– ISB 0052 compliance
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Current Landscape
• Primary Care
– EPS, GP2GP, SCR
– Good dm+d coverage
– ISB 0052 compliance
• Secondary Care
– No programmes
– Poor coverage (polite)
– Not a hope….
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dm+d in Secondary Care
• There is a long way to go in Secondary Care
• Small steps – being here today is a good first step
• NIB, NHSE, Hospital Transformation
– Beginning to define requirements
• What do you have to do?
– Think – are you dm+d ready?
– Talk to your Pharmacy IT lead or the PBTG
– Speak to your suppliers
• Get dm+d on your roadmap
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How will NHS Digital help?
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Pharmacy Terminology Implementation
• Small team - we have to be realistic with what we can
achieve, and how we set about to achieve it
• Same as that used for Primary Care
– Direct liaison with Central initiatives and drivers
– Working with system suppliers
– Implementation guidance
• Educational materials to support implementers and
front line staff
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Information sources
•
•
•
•
•
•
General enquiries – [email protected].
Implementation queries – [email protected]
dm+d website
dm+d Browser
dm+d download - TRUD
dm+d education materials
– Current resources on TRUD for download
– New portal arriving soon
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www.digital.nhs.uk
@nhsdigital
[email protected]
0300 303 5678
dm+d Webinars – coming soon…..
•
•
•
Webinars already developed and ready to be released once site agreed:
– Downloading dm+d and SNOMED CT UK Drug Extension files from
TRUD
– BSA dm+d Browser
In development:
– The NHS dictionary of medicines and devices - A brief introduction to
dm+d, what it is and why we need it
Planned:
– dm+d model
– dm+d or SNOMED CT Drug Extension?
– dm+d Standard
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