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Output Reports Menu Outpatient Pharmacy main menu: Output Reports Action Profile (132 COLUMN PRINTOUT) Alpha Drug List and Synonyms AMIS Report CMOP Controlled.

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Presentation on theme: "Output Reports Menu Outpatient Pharmacy main menu: Output Reports Action Profile (132 COLUMN PRINTOUT) Alpha Drug List and Synonyms AMIS Report CMOP Controlled."— Presentation transcript:

1 Output Reports Menu Outpatient Pharmacy main menu: Output Reports Action Profile (132 COLUMN PRINTOUT) Alpha Drug List and Synonyms AMIS Report CMOP Controlled Substance Rx Dispense Report Commonly Dispensed Drugs Cost Analysis Reports... Daily AMIS Report Drug List By Synonym Free Text Dosage Report Inactive Drug List List Prescriptions on Hold Management Reports Menu... Medication Profile Monthly Drug Cost Narcotic Prescription List Non-Formulary List Non-VA Meds Usage Report Poly Pharmacy Report Released and Unreleased Prescription Report

2 Action Profile (80 or 132 COLUMN PRINTOUT, Action or Information) Lists medications due for renewal or refill Some sites use this in their paper charting for providers to order meds (by printing “Action” version which has check boxes and blanks for initials) Is obsolete in EHR sites Select Output Reports Option: ACTION Profile (132 COLUMN PRINTOUT) Action or Informational (A or I): A// Informational By Patient, Clinic or Clinic Group (P/C/G): P// atient Do you want this Profile to print in 80 column or 132 column: 132// Select PATIENT NAME: DEMO,CAROL F XXX-XX-4789 CI Select PATIENT NAME: Profile Expiration/Discontinued Cutoff: (0-9999): 120// DEVICE: 0;132;999 VT Press Return to Continue or "^" to Exit:

3 Informational Rx Profile Run Date: MAY 19,2010 Page: 1 Sorted by drug classification for Rx's currently active and for those Rx's that have been inactive less than 120 days. Site: DEMO HOSPITAL Name : DEMO,CAROL ID#: DOB : FEB 22,1991 Address : 6110 RAPE RD MIMS, FLORIDA Phone : WEIGHT(Kg): (03/21/2007) HEIGHT(cm): (03/21/2007) DISABILITIES: ALLERGIES: DEMEROL 100MG/ML CARTRIDGE, LISINOPRIL, MORPHINE SULFATE, ADVERSE REACTIONS: Medication/Supply Rx# Status Expiration Provider Date Classification: AM111 - PENICILLINS,AMINO DERIVATIVES AMOX/CLAV 250/125MG TAB (30'S) PREPACK Qty: 30 for 10 Days Expired USER,ASTUDENT Sig: TAKE 1 TABLET BY MOUTH THREE TIMES A DAY FOR 10 DAYS FOR INFECTION TREATMENT; TAKE UNTIL FINISHED Filled: Remaining Refills: 0 Clinic: UNKNOWN Price: $0.00 Classification: HS502 - ORAL HYPOGLYCEMIC AGENTS,ORAL GLYBURIDE= 5MG TABLETS Qty: 30 for 30 Days Active NIESEN,MARY ANN Sig: TAKE ONE (1) TABLET BY MOUTH DAILY FOR BLOOD SUGAR CONTROL Filled: Remaining Refills: 11 Clinic: PHARMACY Price: $0.54 *** NO RESULTS FOR POC A1C SINCE METFORMIN= 500MG *PLAIN* TABS Qty: 60 for 30 Days Active NIESEN,MARY ANN Sig: TAKE ONE (1) TABLET BY MOUTH TWICE A DAY TAKE WITH FOOD FOR DIABETES TREATMENT Filled: Remaining Refills: 11 Clinic: PHARMACY Price: $ PENDING ORDERS No pending orders for this patient!

4 Alpha Drug List and Synonyms ALPHABETIC DRUG LIST AND SYNONYMS MAY 19, :21 PAGE 1 DEA, PRICE PER SPECIAL DISPENSE GENERIC NAME HDLG N/F UNIT Synonym ACETAMINOPHEN 120MG SUPP Apap Tylenol ACETAMINOPHEN 160MG/5ML SOLN Tylenol Apap ACETAMINOPHEN 325MG TAB 9P Apap Tylenol Prints a list from the drug file with the synonyms Might be useful for file troubleshooting or for training new pharmacists

5 AMIS Report Tallies prescription counts Tracks new/refill, controlled rx, outpatient/inpatient, mail/window Statistics compiled nightly and added to a file When running monthly/quarterly reports, recompile the data prior to running report using the option – Outpatient Pharmacy Manager: MAIN: Recompile AMIS Data

6 Sample AMIS Report Interpretation: –New + Refill = Total RX –Window + Mail = Total RX –Fee + Staff = Total RX A M I S R E P O R T FROM TO DIVISION: HARD LABOR DATE INPAT SC A&A OTHER NVA CNTLD METHA PAT REQ FEE STAFF NEW REFILL WINDOW MAIL SUB-TOTALS

7 Commonly Dispensed Drugs Counts medication fills by drug and quantity over a period of time Useful for inventory management Select Output Reports Option: Commonly Dispensed Drugs STARTING DATE: -90 (FEB 18, 2010) ENDING DATE: T (MAY 19, 2010) DO NOT PRINT DRUG IF COUNT IS LESS THAN : (1-100): 20// 1 DEVICE: HOME// 0;80;999 MOST COMMONLY DISPENSED DRUGS FROM THRU MINIMUM DRUG COUNT OF 1 Pg: 1 ENTRY NUMBER DRUG QUANTITY FILLS Division: DEMO HOSPITAL 348 CARBAMAZEPINE 200MG *PLAIN* TAB ACETAMINOPHEN 325MG TAB AMOX/CLAV 250/125MG TAB (30'S) PREPACK AMOXICILLIN 250MG/5ML SUSP (150ML) AMOXICILLIN= 250MG CAP FOLIC ACID= 1MG TAB GLYBURIDE= 5MG TABLETS METFORMIN= 500MG *PLAIN* TABS 60 1

8 Cost Analysis Reports... Options print cost reports and statistics Useful for formulary, inventory and workload management Accurate reports depend on having correct acquisition costs in drug file Select Output Reports Option: COST Analysis Reports Clinic Costs Division Costs by Drug Drug Costs Drug Costs by Division Drug Costs by Division by Provider Drug Costs by Provider High Cost Rx Report Patient Status Costs Pharmacy Cost Statistics Menu... Provider by Drug Costs Provider Costs Request Statistics

9 Sample reports Drug Costs by Clinic for the period: APR 2010 to MAY 20,2010 Run Date: MAY 19,2010 Page: 1 Orign Total Total Avg Cost Clinic Fills Refil Fills Cost per Fill A CLINIC Total Drug Costs by Division by Drug for the period: APR 2010 to MAY 20,2010 Run Date: MAY 19,2010 Page: 1 Orgin Total Total Total Avg Cost Drug Fills Refills Fills Qty Cost per Fill Division: DEMO HOSPITAL ACETAMINOPHEN 325MG TAB CARBAMAZEPINE 200MG *PLAIN* TAB Total for DEMO HOSPITAL Total for all divisions

10 Drug Costs by Drug for the period: APR 2010 to MAY 20,2010 Run Date: MAY 19,2010 Page: 1 Orign Total Total Avg Cost Drug Fills Refil Fills Cost per Fill ACETAMINOPHEN 325MG TAB CARBAMAZEPINE 200MG *PLAIN* TAB Total Drug Costs by Division by Provider for the period: APR 2010 to MAY 20,2010 Run Date: MAY 19,2010 Page: 1 Orign Total Total Avg Cost Division by Provider Fills Refil Fills Cost per Fill Division: DEMO HOSPITAL NIESEN,MARY ANN USER,ASTUDENT Total for DEMO HOSPITAL Total Drug Costs by Division for the period: APR 2010 to MAY 20,2010 Run Date: MAY 19,2010 Page: 1 Orign Total Total Avg Cost Division Fills Refil Fills Cost per Fill DEMO HOSPITAL Total

11 Drug Costs by Drug by Provider for the period: APR 2010 to MAY 20,2010 Run Date: MAY 19,2010 Page: 1 Orign Total Total Avg Cost Drug by Provider Fills Refil Fills Cost per Fill DRUG: ACETAMINOPHEN 325MG TAB NIESEN,MARY ANN Total for ACETAMINOPHEN 325MG TAB DRUG: CARBAMAZEPINE 200MG *PLAIN* TAB USER,ASTUDENT Total for CARBAMAZEPINE 200MG *PL Total High Cost Drug Report: Fills That Cost at Least $.5 for the Period: APR 20,2010 to MAY 20,2010 Page 1 Run Date: MAY 19,2010 Rx # Drug QTY Un.Cost Total Cost CARBAMAZEPINE 200MG *PLAIN* TAB No. of Fills = 1 Total Cost = (* indicates a refill, % indicates a partial)

12 Drug Costs by Patient Status for the period: APR 2010 to MAY 20,2010 Run Date: MAY 20,2010 Page: 1 Orign Total Total Avg Cost Patient Status Fills Refil Fills Cost per Fill OUTPATIENT Total Pharmacy Cost Statistics Menu Option: PHARMACY Statistics START WITH FILLED DATE: FIRST// -30 (APR 20, 2010) GO TO FILLED DATE: LAST// DEVICE: VT Right Margin: 80// PHARMACY STATISTICS MAY 20, :39 PAGE 1 AVE FILLED FILLS MAIL WINDOW REQUESTS TOTAL COST COST/FILL MAY 7, TOTAL Drug Costs by Provider by Drug for the period: APR 2010 to MAY 20,2010 Run Date: MAY 20,2010 Page: 1 Orign Total Total Avg Cost Provider by Drug Fills Refil Fills Cost per Fill Provider: NIESEN,MARY ANN ACETAMINOPHEN 325MG TAB Total for NIESEN,MARY ANN

13 Drug Costs by Provider for the period: APR 2010 to MAY 20,2010 Run Date: MAY 20,2010 Page: 1 Orign Total Total Avg Cost Provider Fills Refil Fills Cost per Fill NIESEN,MARY ANN USER,ASTUDENT Total REQUEST STATISTICS MAY 20, :44 PAGE 1 AVE AVE FILLED DATE REQUESTS COST/REQUEST FILLS/REQUEST MAY 7, TOTAL

14 Daily AMIS Report Lists RX totals for day specified. Also lists cumulative totals: monthly and quarterly Daily/Monthly/Quarterly AMIS report for MAY 2010 Division: SOME INDIAN HOSPITAL Page: Monthly Totals Quarterly Totals INPAT SC A&A OTHER NVA CNTLD METHA PAT REQ FEE STAFF NEW REFILL WINDOW MAIL Sub Totals ========= ========= =========

15 Drug List By Synonym Prints drug file by listing synonym and associated drug Might help someone learn synonyms Could be helpful in cleaning up drug file DRUG LIST BY SYNONYM MAY 20, :51 PAGE 1 SYNONYM GENERIC NAME N/F DIPHEN/MAALOX/LIDO 1:1: ATAZANAVIR 150 MG CAPSULE N/F ANTIVENIN, SPIDER BITE INJECTION PHYTONADIONE 10MG/ML INJECTION PHYTONADIONE 1MG/0.5ML INJECTION PANTOPRAZOLE 40MG INJECTION DIMERCAPROL 100MG/ML INJECTION POLYVINYL ALCOHOL/POVIDONE DROPS N/F

16 Free Text Dosage Report Provides a list of drugs for those prescriptions where the dosage field has a free text entry Also identifies providers prescribing those drugs Might be helpful in identifying medications where dosages might need to be created Free Text Dosage Entry Report for the Period: MAY 13,2010 to MAY 20,2010 Drug Free Text Entry Count Provider:Count ACCU-CHEK COMFORT CURVE STRIP (85978) 1 strip 1 USER,ASTUDENT:1 ACETAMINOPHEN 325MG TABLET 100 (85041) 1 TABLET 1 USER,ASTUDENT:1 1 to 2 tablets 1 MILLER,JOHN MD:1 1-2 TABLET(S) 2 USER,ASTUDENT:1 NIESEN,MARY ANN:1

17 Inactive Drug List Lists inactive entries in the drug file Also lists dates they were inactivated and synonyms INACTIVE DRUG LIST MAY 20, :06 PAGE 1 INACTIVE NUMBER GENERIC NAME DATE Synonym OCT 22, ,3,DIDEOXYINOSINE, POWER, PAC SEP 7,1999 Videx Ddi /50 INSULIN INJ AUG 3, ABCIXIMAB IV 2MG/ML AUG 3,2005 Reopro ACARBOSE OCT 20,

18 List Prescriptions on Hold Allows sorting by date, division and hold reason Useful to determine common causes for RX going on hold and developing strategy to minimize instances PRESCRIPTIONS ON HOLD MAY 20, :11 PAGE 1 RX # PATIENT DRUG ISSUE DATE DIVISION: DEMO HOSPITAL HOLD REASON: REFILL TOO SOON HOLD DATE: AUG 17, CLAUSON,DAPHE DAWNE CARVEDILOL CR 20MG CAP AUG 17,2009 PROVIDER: USER,LSTUDENT LAST FILL: ACTIVITY LOG AUG 17, :38 RX placed in a HOLD status ( ) HOLD COMMENTS:

19 Management Reports Menu... Menu for management reports Used for periodic, monthly, quarterly, and annual reports Cover a variety of pharmacy functions Daily and monthly reports have same report options Daily Management Report Menu... Date Range Recompile Data Initialize Daily Compile (Starts up a Taskman task) Monthly Management Report Menu... One Day Recompile Data Purge Data(purges old data from compiled file)

20 (Daily/Monthly)Management Report Menu All Reports Cost of Prescriptions Count of Prescriptions Intravenous Admixture Type of Prescriptions Filled(132 columns) Sample report: Type of Prescriptions Filled O U T P A T I E N T P H A R M A C Y M A N A G E M E N T R E P O R T TYPE OF PRESCRIPTIONS FILLED PAGE 1 FROM 04/10 TO 04/10 DIVISION: ANOTHER INDIAN HOSPITAL FEE TOT WD PARTIC % OF FEE DATE FEE STAFF & STAFF NEW REFILL FILLS WD MAIL & MAIL PHARM FL BY VA INVEST / ===== ===== ===== ===== ===== ====== ===== ===== ===== ===== ===== ===== DIV TOTAL FEE+STAFF=NEW+REFILL=TOTAL FILLS WD=WINDOW

21 Medication Profile Lists medications dispensed over a specified date range Can be sorted by drug, or for a specific drug Allows for short or long display of meds and instructions Can be printed for multiple patients Useful for tracking dose changes over time Superceded by some EHR reports Select Output Reports Option: MEDication Profile Select PATIENT NAME: DEMO,CAROL F XXX-XX-4789 CI LONG or SHORT: SHORT// Sort by DATE, CLASS or MEDICATION: DATE// All Medications or Selection (A/S): All// DEVICE: HOME// VT Right Margin: 80//

22 DEMO,CAROL ID#: RAPE RD DOB: FEB 22,1991 MIMS PHONE: FLORIDA ELIG: CANNOT USE SAFETY CAPS. WEIGHT(Kg): (03/21/2007) HEIGHT(cm): (03/21/2007) DISABILITIES: ALLERGIES: DEMEROL 100MG/ML CARTRIDGE, LISINOPRIL, MORPHINE SULFATE, ADVERSE REACTIONS: Medication Profile Sorted by ISSUE DATE REF Rx# Drug ST REM Issued Last Fill AMOX/CLAV 250/125MG TAB (30'S) PREPACK E QTY: 30 SIG: TAKE 1 TABLET BY MOUTH THREE TIMES A DAY FOR 10 DAYS FOR INFECTION TREATMENT; TAKE UNTIL FINISHED GLYBURIDE= 5MG TABLETS A QTY: 30 SIG: TAKE ONE (1) TABLET BY MOUTH DAILY FOR BLOOD SUGAR CONTROL METFORMIN= 500MG *PLAIN* TABS A QTY: 60 SIG: TAKE ONE (1) TABLET BY MOUTH TWICE A DAY TAKE WITH FOOD FOR DIABETES TREATMENT FOLIC ACID= 1MG TAB A QTY: 30 SIG: TAKE ONE (1) TABLET BY MOUTH DAILY AMOXICILLIN= 500MG CAP E QTY: 30 SIG: TAKE ONE (1) CAPSULE BY MOUTH THREE TIMES A DAY FOR 10 DAYS FOR INFECTION TREATMENT; TAKE UNTIL FINISHED

23 Monthly Drug Cost Lists drugs in alphabetical order and lists monthly costs associated with each drug Can be limited to certain drugs or by a minimum number of fills Totals based on acquisition costs MONTHLY DRUG COST REPORT FOR APR 2010 PAGE: 42 MINIMUM REFILLS OF 0 AT A MINIMUM COST OF $0 DIVISION TOTAL TOTAL TOTAL DRUG FILLED QUANITY COST N/F TIMOLOL MALEATE 0.5% OPHTHALMIC SOLUTION *** N/F *** TIZANIDINE 2MG TABLET *** N/F *** TOBRAMYCIN 0.3% OPHTH OINTMENT 3.5GM TOBRAMYCIN 0.3% OPHTH SOLUTION 15ML TOLTERODINE 2MG TABLET TOPIRAMATE 25MG TABLET *** N/F *** TRAMADOL 50MG TABLET TRAVOPROST 0.004% OPHTHALMIC SOLN. 5ML TRAZODONE 100MG TABLET TRAZODONE 50MG TABLET ZOLPIDEM 10MG TABLET ZOLPIDEM 5MG TABLET SUB-TOTALS ========== ========== ========== GRAND TOTALS

24 Narcotic Prescription List Lists narcotic RX dispensed over specified date range. 132 columns Drug selection controlled via DEA field in drug file NARCOTIC PRESCRIPTIONS MAY 20, :58 PAGE 1 RX # DRUG QTY PROVIDER FILL DATE PATIENT ID# APAP 300MG & CODEINE 30MG TABL 20 PAYNE, I.M.A. MAY 19,2009 FROST,JACQUELINE J APAP 300MG & CODEINE 30MG TABL 20 ACHE, TOOTH MAY 19,2009 FLAKE, SNOW LYNN

25 Non-Formulary List Lists from the drug file: drugs marked non-formulary Good resource for training new staff and for reminding old staff of what’s not on the formulary NON-FORMULARY DRUG LIST MAY 20, :00 PAGE 1 DEA, PRICE PER SPECIAL DISPENSE NUMBER GENERIC NAME HDLG UNIT Synonym ACEBUTOLOL 200MG CAP Sectral 335 ACEBUTOLOL 400MG CAP Sectral 418 ACYCLOVIR 800MG TAB 6P Zov Zovirax ACYCLOVIR ORAL SUSP. 200MG/5ML 6P Zovirax ADALIMUMAB Humira

26 Non-VA Meds Usage Report Displays medications entered through Outside Meds functionality in EHR Drug selection for this report controlled by having “X” in the application packages field in drug file Sortable by any combination of: –Patient Name –Orderable Item –Date Documented –Status –Order Checks

27 Non-VA Meds Usage Report Page: 1 Sorted by PATIENT NAME Date Range: 03/18/ /16/2011 Run Date: Jun 16, DEMO, PATIENT (ID:1958) Patient Phone #: Non-VA Med: LISINOPRIL Dispense Drug: LISINOPRIL 10MG TABLET Dosage: 10MG Schedule: EVERY DAY Med Route: BY MOUTH Status: ACTIVE CPRS Order #: Documented By: DEMO, USER Documented Date: 05/01/2011 Clinic: 01 GENERAL CLINIC Start Date: 10/01/2008 ============================================================== Non-VA Meds Usage Report

28 Poly Pharmacy Report Lists patients whose total # of active medications exceeds a threshold number Default is 7 but can be set by a parameter to any number This report is useful to identify patients with high risk of medication misadventure caused by multiple potential drug interactions Poly pharmacy patients also have more difficulty managing their medications due to the sheer number of pills they have to organize and take every day 132 columns

29 Poly Pharmacy Report to for 180 Days for 7 or More Active Prescriptions and/or Outsided Meds Page 647 Patient ID# Active Rx's Class Drug Status Last Filled Provider Rx Number PATIENT,DEMO MARIAN (8876) 12 CN103 ACETAMINOPHEN 500MG A APR 15, 2010 PROVIDER,TEST DO ASPIRIN 81MG E.C. TAB A APR 15, 2010 PROVIDER,TEST DO CN609 FLUOXETINE 20MG CAP A APR 15, 2010 PROVIDER,TEST DO CV100 METOPROLOL 50MG TAB A APR 15, 2010 PROVIDER,TEST DO CV200 AMLODIPINE 10MG A APR 15, 2010 PROVIDER,TEST DO CV702 FUROSEMIDE 40MG TAB A APR 15, 2010 PROVIDER,TEST DO CV800 LISINOPRIL 10MG TAB A APR 15, 2010 PROVIDER,TEST DO GA900 OMEPRAZOLE 20MG CAP A APR 15, 2010 PROVIDER,TEST DO OP105 DORZOLAMIDE 2%-TIMOLOL 0.5% A APR 15, 2010 PROVIDER,TEST MD A OP219 POLYMYXIN/TRIMETHOPRIM OPH SOLN A FEB 22, 2010 PROVIDER,TEST PA TN410 FERROUS SULFATE 325MG TAB A APR 15, 2010 PROVIDER,TEST DO TN430 POTASSIUM CHLORIDE 10mEQ TAB A APR 15, 2010 PROVIDER,TEST DO Total Number of Patients: 736 Total Number of Rxs: 7660 Average Rxs per Patient: 10

30 Released and Unreleased Prescription Report Lists RX filled by a date range Shows whether or not RX were released Release/Unreleased Report for IHS HOSPITAL MAY 13, 2010 to MAY 20, 2010 Page: 1 Fill/ Date Rx # Refill Released Released Status Copay A Refill #2 MAY 13,2010 Yes Active Refill #4 MAY 13,2010 Yes Active A Refill #5 MAY 13,2010 Yes Active E Refill #7 MAY 13,2010 Yes Active A Refill #7 MAY 13,2010 Yes Active Refill #1 No Active Refill #5 MAY 13,2010 Yes Active Refill #5 MAY 13,2010 Yes Active Refill #3 MAY 13,2010 Yes Active Refill #6 MAY 13,2010 Yes Active Refill #7 MAY 13,2010 Yes Active Refill #3 MAY 13,2010 Yes Active

31 Reports on IHS Specific Options Menu Developed for IHS by IHS, reports and options AAC IMPORT ENTRIES FROM AAC FILE(Imports acquisition costs) APS AWP/PMI UPDATE STATUS AWP AWP Manual Update(Runs the AWP update routine) CDUR Controlled Drug Use Report CMP Chronic Medication Profile CSM Controlled Substance Management Report DPL Daily Prescription Log DRRR Drug Recall Report DSLL Drug Storage Location List DUER Drug Utilization Evaluation Report ERR PRINT ERRORS FROM IMPORT OF AAC FPN FIND PROBLEM NDC'S IN DRUG FILE IHS IHS Pharmacy Site Parameters(Sets IHS pharmacy parameters) INLI Inventory List LMRS Label/Pro Monitor Reprint (Slave Printers Only!) LPATPharmacy Last Patch Lister MDFMultiple Drug File Menu... MEDI Print Patient Instruction Sheet OUT Outside Rx Menu... PREP Pharmacy Prepack Main Menu... PSL PRINT SIGNATURE LABEL(Print/Reprint summary label) RPTPharmacy Package Maintenance Reports... RR Process Refill Requests(Starts Refill option) RTS Return To Stock Report SUM Summary label Print(prints summary labels) TDDRTotal Drugs Dispensed Report VBPVerify by Patient

32 AWP/PMI UPDATE STATUS Used to determine date of last update of AWP pricing and PMI sheets PDED is not accurate because this is obsolete and PMI sheets now delivered with NDF patches AVERAGE WHOLESALE PRICE (AWP) >>> UPDATE STATUS <<< Last AWP monthly update occurred on APR 5, 2011 (last AWP patch) Most recent 'manual' AWP update was ran on MAY Total number of DRUGS updated with AWP >>> ACTIVE DRUGS STATUS <<< The Total Number of Active Drugs PATIENT DRUG EDUCATION DATABASE (PDED) (ignore this. PDED obsolete) >>> UPDATE STATUS <<< The last quarterly PDED update occurred on JAN 5,2009 PATIENT DRUG EDUCATION DATABASE WILL EXPIRE ON APR 1,2009

33 CDUR Controlled Drug Use Report Lists all CS prescriptions for a date range Should be run daily, signed, and kept for 2 years 132 columns Can be printed by division, DEA class Can be sorted by date (if using multiple dates) or by drug Check with your site to see how they like to print it Pharmacy Controlled Drug List by Division 132 Character Format! *** Date Range Selection *** Begin with DATE: MAY 20, 2010//-1 (MAY 19, 2010) End with DATE: MAY 20, 2010// (MAY 20, 2010) Would you like all pharmacy divisions? Yes// YES Select one of the following: 1 Date 2 Drug Sort Report by: // 2 Drug Select one of the following: 1 C-2'S 2 C-3'S to C5'S 3 All Drug Class Types: // 3 All DEVICE: HOME// 0;132

34 IHS HOSPITAL CONTROLLED DRUG USE LIST (By Drug Order) Page 10 DATE OF LISTING: 03/17/2009 Drug Class: C-II through C-V All Divisions for: IHS HOSP Division: IHS HOSPITAL This list will include all Prescriptions for any controlled medications dispensed from 03/16/2009 through 03/17/2009 RX # DRUG QTY PHYSICIAN DATE FILLED PATIENT CHART # CLERK TEMAZEPAM 15MG CAPSULES 30 HYDE, MR MD 03/16/2009 RUNNING DEER,MA 6351 JMA SUB-TOTAL # OF RX's : 1 TOTAL QTY : TOTAL # OF PRESCRIPTIONS : 19 TOTAL # NEW RX'S : 18 TOTAL # REFILLS : 1 TOTAL # PARTIALS : SATELLITE HC CONTROLLED DRUG USE LIST (By Drug Order) Page 11 DATE OF LISTING: 03/17/2009 Drug Class: C-II through C-V All Divisions for: IHS HOSP Division: SATELLITE HC This list will include all Prescriptions for any controlled medications dispensed from 03/16/2009 through 03/17/2009 RX # DRUG QTY PHYSICIAN DATE FILLED PATIENT CHART # CLERK APAP 300MG & CODEINE 30MG TABLET** 20 JECKYL,A 03/16/2009 DOE, JULENE K CAK SUB-TOTAL # OF RX's : 1 TOTAL QTY : TOTAL # OF PRESCRIPTIONS : 1 TOTAL # NEW RX'S : 1 TOTAL # REFILLS : 0 TOTAL # PARTIALS : 0 CDUR Controlled Drug Use Report

35 Chronic Medication Profile Lists only chronic medications Works for sites who diligently mark prescriptions EHR may have made this obsolete Designed to be filed in the paper chart, blanks for dates of refills to be entered CHRONIC MEDICATION PROFILE DATE : SITE: IHS HOSPITAL PATIENT,MARLA CHART # Page 1 DOB: REACTIONS: ASPIRIN, METHOTREXATE, REGLAN RX# DRUG QTY LAST FILLED | | | | ALBUTEROL MDI HFA |_____|_____|_____| | | | | ERYTHROMYCIN 0.5% OP OINT |_____|_____|_____| | | | | FOLIC ACID 1MG TABLET** |_____|_____|_____| | | | | LUBRICANT, OCULAR 3.5GM |_____|_____|_____| | | | | METHOTREXATE 2.5MG TABLET** |_____|_____|_____|

36 Controlled Substance Management Report Lists controlled substances dispensed over a date range Similar to CDUR but with more management style functionality *** Date Range Selection *** Begin with DATE: MAY 20, 2010//-1 (MAY 19, 2010) End with DATE: MAY 20, 2010// (MAY 20, 2010) Would you like all pharmacy divisions? Yes// YES Select one of the following: 1 C-II 2 C-II through C-V 3 C-III through C-V Drug Class Types: // 3 C-III through C-V Select one of the following: 1 Summary 2 Detail Report Type: // 2 Detail Select one of the following: 1 Drug Name 2 Fill Date 3 Drug Schedule/Drug Name 4 Patient 5 Prescriber Sort report by: // 1 Drug Name Select one of the following: 1 Standard Report 2 Data Export Output Mode: 1// Standard Report Would you like dosing information included? No// NO DEVICE: HOME//

37 Controlled Substance Management Report APSP 1011 will add “Refills Left” as a field in the report Controlled Substance Management Report (Detail) 06/16/ :18 Page: 1 Report Criteria: Inclusive Dates: 05/17/2011 to 06/16/2011 Pharmacy Division: All Drug Class: C-II through C-V Sorted by: Drug Name, Fill Date Date Disp. Type Patient HRN Rx Number Drug Name Qty Days Supply Drug Schedule Prescriber DEA Number Pharmacist Dosage Ordered Pharmacy Division: DEMO HOSPITAL 05/17/2011 F DEMO, PATIENT DIAZEPAM 5MG TAB C-IV DEMO, DOCTOR AD DEMO, PHARMACIST Dosing:TAKE ONE-HALF (1/2) TABLET BY MOUTH 3 TIMES A DAY **MAY CAUSE DROWSINESS** *AVOID ALCOHOL* 05/17/2011 F DEMO, PATIENT OXYCODONE 5MG/APAP 325MG TAB C-II DEMO, DOCTOR AD DEMO, PHARMACIST Dosing:TAKE 1 TABLET BY MOUTH EVERY 6 HOURS IF NEEDED FOR PAIN

38 Controlled Substance Management Report Report sub-totals Drug Name # of fills DIAZEPAM 5MG TAB 1 OXYCODONE 5MG/APAP 325MG TAB 1 Total fills (new, refill, and partial): 2 Report Totals Drug Name # of fills DIAZEPAM 5MG TAB 1 OXYCODONE 5MG/APAP 325MG TAB 1 Total fills (new, refill, and partial): 2

39 Daily Prescription Log Lists all RX dispensed over a specified date range Use (or not) determined by business practices DAILY PRESCRIPTION ACTIVITY REPORT Print Date: 03/21/ :35 Pharmacy Division: IHS HOSPITAL For Rx's dispensed from 03/20/2009 to 03/20/2009 Rx #: Name: PATIENT,JANE D Chart #: DRUG: APAP 300MG & CODEINE 30MG TABLET**Qty: 20Provider: PROVIDER,BETA Division: IHS HOSPITAL NEW RX D/Time: 03/20/ :13 Rx #: Name: PATIENT,JANE D Chart #: DRUG: SALSALATE 750MG TABLET** Qty: 120 Provider: PROVIDER,BETA Division: IHS HOSPITAL NEW RX D/Time: 03/20/ :13 Rx #: Name: PATIENT,JOSE YAZZIE Chart #: 1342 DRUG: ASPIRIN 81MG TAB,EC Qty: 30 Provider: PROVIDER,ALPHA Division: IHS HOSPITAL NEW RX D/Time: 03/20/ :17 Rx #: Name: PATIENT,JOSE YAZZIE Chart #: 1342 DRUG: CALCIUM 600MG/VIT D 400IU TAB Qty: 60 Provider: PROVIDER,ALPHA Division: IHS HOSPITAL NEW RX D/Time: 03/20/ :17

40 Drug Recall Report Lists prescriptions for specific medications dispensed over a specified time Prints information needed to contact patients in the event of a drug recall Can be sorted by division SELLS HOSP DRUG RECALL LIST Page 1 DATE OF LISTING: 05/20/2010 All Divisions for: IHS HOSP Division: IHS HOSPITAL CONFIDENTIAL PATIENT INFORMATION This list will include all Outpatients dispensed one or any combination of the following drug(s) from 05/06/2009 through 05/20/2009 DILTIAZEM ER 300MG CAPS, HOME PATIENT CHART DATE QTY PHONE NAME NUMBER DISPENSED ________________________________________________________________________________ PATIENT,XAVIER /12/ ADDRESS: PO BOX 102 HOMETOWN PATIENT,JANE GREY /19/ ADDRESS: PO BOX 285 HOMETOWN 12334

41 Drug Storage Location List Lists drugs (either all or CS) and displays dispensing location and storage location Those fields are found in the drug file Outpatient Pharmacy Inventory Location Page 1 MAY 20,2010 For "All Drugs" Division: IHS HOSPITAL Dispensing Storage Drug Name Location Location ACARBOSE 25MG TAB ACARBOSE 50 MG TABLET ACCU-CHECK AVIVA STRIP 50/BOX ACETAMINOPHEN (TYLENOL) 325MG TABLET** ACETAMINOPHEN 120MG SUPP,RTL ACETAMINOPHEN 160MG/5ML SUSP,ORAL ACETAMINOPHEN 160MG/5ML U/D ACETAMINOPHEN 325MG SUPP,RTL ACETAMINOPHEN 325MG TAB U/D ACETAMINOPHEN 650MG SUPP,RTL ACETAMINOPHEN 80MG CHEW TAB

42 DUER Drug Utilization Evaluation Report Lists prescriptions for specific drug over specified Similar to Drug Recall report but different format Quick way to find out which patients take a specific drug IHS HOSP DRUG USE EVALUATION LIST Page 4 DATE OF LISTING: 05/20/2010 Division: SATELLITE HC This list will include all Outpatients dispensed one or any combination of the following drug(s) from 04/20/2010 through 05/20/2010 ASPIRIN 325MG TAB,EC, PATIENT CHART DATE NAME NUMBER DISPENSED QTY MD _______________________________________________________________________________ PATIENT,HYPERTENSION /23/ DOCTOR,ALPHA MALE PATIENT,ADULT MALE /17/ DOCTOR,ALPHA FEMALE

43 PRINT ERRORS FROM IMPORT OF AAC AAC installs a file from McKesson that updates acquisition costs This report prints any errors that were generated in that process Print this report after importing the file from McKesson and running the AAC routine

44 FIND PROBLEM NDC'S IN DRUG FILE Finds NDC codes in the drug file that are not in the format Used a lot during the file preparation for pharmacy 7 installation Should be run by pharmacy CAC periodically and NDC codes fixed INAPPROPRIATE NDC NUMBERS FOR ACTIVE DRUGS PAGE: 1 DRUG NUMBER PROBLEM MEPHOBARBITAL 50MG (43) HAS NO NDC TERBUTALINE 2.5MG TA (44) HAS NO NDC ERGONOVINE 0.2MG (55) HAS NO NDC TERBUTALINE 1MG/ML A (115) HAS NO NDC AMPICILLIN 500MG CA (83613) HAS NO NDC ANTIVENIN, (CROTALID (83615) HAS NO NDC ASPIRIN 81MG TAB,EC (83620) HAS INCORRECT FORMAT BENZOIN TINCTURE, CO (83627) HAS NO NDC BETAMETHASONE 6MG/ML (83629) HAS NO NDC

45 Inventory List Lists inventory levels from drug file Select between all or CS only Unless using the “current inventory” field, this report is of marginal value Outpatient Pharmacy Inventory Listing Page 1 MAY 20,2010 For "All Drugs" Division: SELLS HOSPITAL Dispense Current Drug Name Unit Inventory ADDERALL 5 MG TABS TAB 6,009 ADDERALL XR 10MG CAP CAP 0 ADDERALL XR 20MG CAP CAP 0 ADDERALL XR 30MG CAP CAP 0 COCAINE HCL 4% TOPICAL SOLN ML 99,989 CODEINE SULFATE 30MG TAB TAB 99,993,934 DEXTROAMPHETAMINE 10 MG SR CAPSULE CAP -14,299 DEXTROAMPHETAMINE 15 MG SR CAPSULE CAP -5,727 DEXTROAMPHETAMINE 5 MG SR CAPSULE CAP 95,009 DEXTROAMPHETAMINE 5 MG TAB TABLET 97,036 FENTANYL 100 MCG/HR TRANSDERMAL PATCH PATCH 889 FENTANYL 25 MCG/HR TRANSDERMAL PATCH PATCH -387

46 Pharmacy Last Patch Lister Pharmacy Related Packages Last Patch Lister Package Version Last Patch Date Installed NATIONAL DRUG FILE IHS PHARMACY MODIFICATIONS ADVERSE REACTION TRACKING PHARMACY POINT OF SALE /08/2010 AUTOMATED DISPENSING INTERFACE /05/2007 IHS SCRIPTPRO INTERFACE /14/2009 BEX AUDIOCARE TELEPHONE REFILL /08/2010 The last EHR installation was EHR*1.1*7 on Last AWP monthly update occurred on 04/05/2011 (this changed in APSP 1010)

47 Multiple Drug File Reports MDFMultiple Drug File Menu Division Drug List Print Drugs with Eligibility Designation Print Monthly Drugs Dispensed on Eligibility

48 Division Drug List Lists all drugs marked for the selected division Select OUTPATIENT SITE NAME: DEMO CLINIC 1234 START WITH GENERIC NAME: FIRST// DEVICE: VIRTUAL TERMINAL Right Margin: 80// DRUG List MAY 18, :14 PAGE 1 GENERIC NAME NDC | 1 | AZITHROMYCIN 250MG TAB | | | 2 | HYDROXYCHLOROQUINE 200MG TAB | | | 3 | MYCOPHENOLATE MOFETIL 500MG TA | |

49 Print Drugs with Eligibility Designation Lists all drugs marked for the selected eligibility designation Select report for Drugs for Eligible or Ineligible Patients Select one of the following: E Eligible I Ineligible Enter response: Eligible// START WITH GENERIC NAME: FIRST// DEVICE: VIRTUAL TERMINAL Right Margin: 80// Drugs Designated for Patients with Eligible Status MAY 18, :21 PAGE 1 GENERIC NAME TACROLIMUS 0.5MG CAP

50 Print Monthly Drugs Dispensed on Eligibility Lists all drugs dispensed in selected month and eligibility status Enter Report Month: (NOV 2010) Select one of the following: 0 Eligible 1 InEligible Select Eligible/Ineligible: 0 Eligible DEVICE: VIRTUAL TERMINAL Right Margin: 80// Monthly Eligible Drug Statistics For Month: NOV 2010 MAY 18, :27 Page: 1 ______________________________________________________________________ Dispensed Drug Number of Orders Number of Units TACROLIMUS 0.5MG CAP 3 300

51 Print Patient Instruction Sheet Allows for printing of individualized Patient Instruction sheets These are NOT PMI sheets, but more Discharge Instructions Name : Txxx,Dxx ADate : MAY 20,2010 Page: 1 ALLERGIES: METFORMIN HYDROCHLORIDE, PENICILLIN, ADVERSE REACTIONS: DEMO HOSPITAL MEDICATION INSTRUCTIONS CARBAMAZEPINE 200MG *PLAIN* TAB - TAKE ONE (1) TABLET BY MOUTH TWICE A DAY -MAY CAUSE DROWSINESS- Alcohol may intensify this effect. USE CARE - when driving or when operating dangerous machinery.

52 Pharmacy Package Maintenance Reports Various Fileman reports for package maintenance, e-prescribing preparation ALL Drug-Complete Listing CODE Quick Codes List DFM Drug File Maintenance Report DR Dosages Review INST Medication Instructions MDR Missing Dosages Report NSYN Drug List W/O Synonyms OISL Orderable Item Synonym List POOS Print Drug File POS fields QO'S List Drugs by VA Drug class (for QO's) ROUT Medication Routes SIGS List Drugs with Standard Sigs STSC Standard Schedules

53 Drug File Maintenance Report ****THIS REPORT IS 160 CHARACTERS WIDE - USE FILE CAPTURE & 0;160;9999 AT THE DEVICE PROMPT**** DEVICE: 0;160;9999 VIRTUAL TERMINAL SCB E-Rx WORKSHEET MAY 18, :43 PAGE 1 # GENERIC NAME VAclas DEAhdl NDC ORDun DISPu DU/OU NCPDP ORD ITEM PKGS ACARBOSE 50MG TAB (SAMPLE) HS502 9P BT TAB 100 U2 ACARBOSE OUX ACETAMINOPHEN 120MG SUPP RTL CN103 9P BX SUPP 50 AR ACETAMINOPHEN OUX 3958 ACETAMINOPHEN 120MG/CODEINE 12MG ELIX CN101 5AB ML 480 ML OX ACETAMINOPHEN 120MG/CODEINE 12MG ELIXIR CN101 3AB BT ML 473 ML ACETAMINOPHEN 120MG/CODEINE 12 OXN ACETAMINOPHEN 120MG/CODEINE 12MG ELX U/D CN CS EA 500 ML ACETAMINOPHEN 120MG/CODEINE 12 UN

54 Dosages Review ****THIS REPORT IS 110 CHARACTERS WIDE - USE FILE CAPTURE & 0;110;9999 AT THE DEVICE PROMPT**** DEVICE: 0;110;9999 VIRTUAL TERMINAL DOSAGES REVIEW MAY 18, :47 PAGE 1 NUMBER GENERIC NAME DOSES PAKGE LOCAL POS DOSAGES PAKGE ACARBOSE 50MG TAB (SAMPLE) 50 IO ACETAMINOPHEN 120MG SUPP RTL 120 I 240 I 1 SUPPOSITORY(IES) Both 2 SUPPOSITORY(IES) Both 3958 ACETAMINOPHEN 120MG/CODEINE 12MG ELIX ACETAMINOPHEN 120MG/CODEINE 12MG ELIXIR 1 ML Both 2 MLS Both 1 TEASPOONFUL Both 2 TEASPOONFULS Both 1 TABLESPOONFUL Both

55 Return To Stock Report Lists prescriptions returned to stock for a specified date range Run when compiling data for periodic pharmacy workload reporting Returned to Stock Report 05/20/ :58 Page: 1 Report Criteria: (An '*' after RTS Date indicates a reissued original Rx.) (An '*' prior to the Rx Number indicates a deleted prescription.) (A '#' indicates that quantity is unknown for returned partial fill.) Inclusive Dates: 04/30/2010 to 05/20/2010 Pharmacy Division: IHS HOSPITAL Type of Search: All Drugs Sorted by: RTS Date/Time RTS Date/Time Rx Number Act Reference Drug Name Qty Last Disp Date /30/ ORIGINAL CITALOPRAM 40 MG TABLET** 15 04/27/ /30/ ORIGINAL REFRESH LIQUIGEL 1% OPH 15ML 15 04/27/ /30/ ORIGINAL CEPHALEXIN 500 MG CAPSULE** 14 04/27/ /30/ H ORIGINAL LEVOTHYROXINE MG (BROWN) TAB 30 04/30/ /30/2010 * ORIGINAL HYDROCORTISONE 2.5% CREAM 60 04/30/2010

56 Total Drugs Dispensed Report Lists all drugs dispensed over a specified time period Can select by division Can print according to drug name or VA drug class *** Date Range Selection *** Begin with DATE: MAY 20, 2010//-5 (MAY 15, 2010) End with DATE: MAY 20, 2010// (MAY 20, 2010) Would you like all pharmacy divisions? Yes// NO Select Pharmacy Division: BUSY// 2906 Select one of the following: 1 VA Drug Class 2 Drug Sort By: // 2 Drug Would you like all drugs? Yes// YES Suppress printing drug names in header? Yes// NO DEVICE: HOME// Virtual

57 BUSY "Total Drugs Dispensed" List Page 1 Date of Listing: 05/20/10 By: Drug Outpatient Drugs dispensed from 05/15/2010 through 05/20/2010 Total Number of Days = 6 Drugs Selected ----> All Drugs Number Type of Units Drug Name of Rx's Dispensed Total ______________________________________________________________________________ ACCU-CHEK AVIVA TEST STRIP 23 STRIP 2300 ACETAMINOPHEN 325MG TAB*(TYLENOL) 9 TAB 860 ACETAMINOPHEN 80MG CHEW TAB 1 TAB 30 ACETAMINOPHEN 80MG/0.8ML SOLN 4 ML 60 ACETAZOLAMIDE 250MG TAB* 1 TAB 15 ACETYLCYSTEINE 20% SOLN 30ML 1 ML 20 ADVAIR HFA 230/21 1 GM 12 ALBUTEROL 2.5MG/NS (0.083%) INH SOLN 3 ML 273 ALBUTEROL HFA-INH (PROVENTIL 6.7GM) 27 GM ALCOHOL SWABS 12 SWAB 2200 ALENDRONATE 70MG TAB 4 TAB 16

58 RX DATA ANALYSIS REPORT Prints workload statistics based on the time of day Prescription counts Helps supervisors develop staffing needs and schedules Can be printed by division RX processed before 9am are not counted in adjusted % because it is assumed most of those are entry of ER charts from the night before Part of PCC Management Reports, but can be added to pharmacy menu locally

59 IHS HOSP May 20, 2010 Page 1 RX ANALYSIS REPORT RX RELEASE TIME WORKLOAD DISTRIBUTION ******************************************************************************* DIVISION: IHS HOSPITAL RX RELEASE DATE RANGE: Apr 20, May 20, 2010 Total Prescriptions Dispensed: RX COUNT ACT % TOTAL ADJ % TOTAL **AM Prescriptions Dispensed** ****************************** Total RX's Before 8:00: 15 0 NA Total RX's 8:00- 8:59: NA Total RX's 9:00- 9:59: Total RX's 10:00-10:59: Total RX's 11:00-11:59: **PM Prescriptions Dispensed** ****************************** Total RX's 12:00-12:59: Total RX's 1:00- 1:59: Total RX's 2:00- 2:59: Total RX's 3:00- 3:59: Total RX's 4:00- 4:59: Total RX's 5:00- 5:59: Total RX's 6:00- 6:59: Total RX's 7:00- 7:59: Total RX's 8:00- 8:59: Total RX's 9:00- 9:59: Total RX's 10:00-10:59: Total RX's 11:00-11:59: ________ ________ ________ % 100% ***SUMMARY*** ACT Total-All Hours: ADJ Total After 9:00 AM: ACT Percent After 2:00 PM: 46% ADJ Percent After 2:00 PM: 48% ACT Percent After 3:00 PM: 35% ADJ Percent After 3:00 PM: 36% ACT Percent After 4:00 PM: 25% ADJ Percentage After 4:00 PM


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