Transcript Pharmacy PSG 2013 Virtual Meeting

2015 Indian Health Service Southwest Regional Pharmacy
Conference “The Quad”
Technical Pearls: EHR/RPMS Practical Everyday Solutions
1) Expected Dispense Unit in the Drug File
- Setting up and using the APSQ DRUG AWP/AAC
NOTIFICATION
2) Embedding template fields into quick-orders
- Neat ordering solutions
Kendall Van Tyle, PharmD, BCPS
Clinical Pharmacist & Informaticist – Northern Navajo Medical Center
Problem
•
When entering new drugs into the drug file, how can
you tell what the system expects for the dispense
unit?
• Not an issue for tablets, capsules, etc.
• But what about:
• Mometasone DPI Inhaler; 30 doses, 135mg of
drug/inhaler?
• Dispense Unit = MG? or Doses? Or Inhaler?
• Impacts billing and POS
Solution
• Have yourself or a designee setup to receive a
MAILMAN message each time an NDC is
changed…..
• Have your RPMS site manager add you as a member
to the APSQ DRUG AWP/ACC NOTIFICATION
mail group
Caution when
entering/editing
directly via VA
FILEMAN……
It is recommended
to use a menu
structure if
possible…….
Talk to your RPMS
Site Manager.
Trial 1:
ORDER UNIT: BX//
As a rule of thumb,
DISPENSE UNIT: MG//
most items will use a
DISPENSE UNITS PER ORDER UNIT: 135// metric unit, so we will
start there……..
DISPENSE UNIT NCPDP CODE: ME//
NDC: 00085-1461-02// 00085-1461-02
PRICE PER ORDER UNIT: 19.51
LAST PRICE UPDATE: APR 1,2015@12:07:21//
BENCHMARK PRICE PER ORDER UNIT:
BENCHMARK PRICE PER DISP UNIT is
The fact this field is blank can
SOURCE OF SUPPLY:
also be a clue you don’t have
it right……
Trial 1:
“Medi” is the system, expects one dispense unit
per order unit, locally we have 135.
Trial 2
ORDER UNIT: BX//
DISPENSE UNIT: MG// INH
DISPENSE UNITS PER ORDER UNIT: 135// 1
DISPENSE UNIT NCPDP CODE: ME// INHALER IH Inhaler
NDC: 00085-1461-02// 00085-1461-02
PRICE PER ORDER UNIT: 19.51
LAST PRICE UPDATE: APR 1,2015@12:08:58//
BENCHMARK PRICE PER ORDER UNIT: 144.61//
BENCHMARK PRICE PER DISP UNIT is 000144.61000
SOURCE OF SUPPLY:
Trial 2
Problem
• The Joint Commission requires an indication
accompany orders
• How can I have one Quick Order meet all of the
various indications?
•
•
•
•
Mild pain
Moderate pain
Severe Pain
Cough??
Solution
• Embed TIU template fields and data objects into the
comments of the Quick Order
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Steps:
• Work with informaticist/CAC to obtain access to
editing “my templates”
• Find an existing data object or template field that
suits your needs…….~OR~
• Work with informaticist/CAC to create what you
need
• Insert into a temporary template
• Cut and past into the comments of the Quick Order
Cut n’ paste this into
the comments of the
Quick Order
14
Cut n’ paste this into
the comments of the
Quick Order
15
Flexibility
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