Presentation on theme: "Telepharmacy at Texas Tech"— Presentation transcript:
1 Telepharmacy at Texas Tech Jon Phillips,Associate Director of Telemedicine
2 Senate Bill 65—Legislation Enabling Telepharmacy A “telepharmacy system” means a system that monitors the dispensing of prescription drugs and provides for related drug use review and patient counseling services by an electronic method, including the use of these technologiesAudio and videoStill image captureStore and forward
3 S.B. 65 continuedTelepharmacy services provided by a Class A or Class C pharmacy to a health facility at a distant locationDistant telepharmacy site may not be located in a community in which a Class A or Class C pharmacy existsRequired to be under the continuous supervision of a pharmacist (electronic supervision by audio and video communication)Bullet 2—If the telepharmacy system is in the community first, and a Class A or C pharmacy locates there, then the telepharmacy system may continue to operate in that community.
4 S.B.65 continuedDirects the Texas State Board of Pharmacy to develop rules to govern the operation of telepharmacy services
5 TSBP Telepharmacy Rules Remote pharmacy services—storage & dispensing of prescription drugs, drug regimen review, and patient counseling at a remote siteSites eligible for remote pharmacy servicesRural health care clinicHealth care centerHealth care facility located in a medically underserved area
6 TSBP Rules cont’dEach pharmacist at the central pharmacy may supervise—electronically—no more than three remote sites that are simultaneously open (exceptions may be granted)
7 Texas Tech Telepharmacy Pilot Project Collaborative projectTexas TechSid Ontai – private physicianHealth Care Visions, Inc.
8 Texas Tech Telepharmacy Pharmaceutical Care Center at Texas Tech Medical Center Southwest (TTMCSW) serves as the demonstration central pharmacyEvaluating the projectHealth professional student education and training in rural careEconomic feasibility to provide services to rural communitiesEvaluation of current law to determine if it allows maximum potential of the system
9 Funding USDA RUS grant to Dr. Ontai for equipment and operations Texas Tech for research and monitoring
12 Project Objectives Field test telepharmacy Propose rule changes and improvementsEnhance access to medicationsTraining/education
13 Project informationThe Turkey Telepharmacy site site is staffed with an Emergency Medical Technician (EMT) from 8:00 AM to 12:00 noon Monday through Friday.Medications available for dispensing at the the Turkey Telepharmacy site were determined by a committee composed of Dr. Ontai and the Director of the Texas Tech Pharmaceutical care and Infusion Center.To conform to security standards, medications at the the Turkey Telepharmacy site are stored in approved, secured medication blister packs
14 Project informationThe central computer maintains separate sets of computerized data files. This allows each extended pharmacy to have its own NABP number, drug formulary, inventory, patient, doctor, and prescription files.Communications between the TTMCSW and the Turkey Telepharmacy site are conducted through an encrypted DSL connection.
15 Educational opportunities -Rural Clerkship- One day with Dr. Ontai in his office in Plainview, Texas.One day at central pharmacy at TTMC SW.Three days with mid-level practitioner at Turkey Rural Health Clinic.
16 Progress Report247 total prescription transactions completed as of March 31,2003
17 Telepharmacy Technology RX filled at a central location, RX label and monograph printed at remote locationThumbnail of medication and scanned NDC / quantity used for verification at Remote SiteFinal approval of RX completed by pharmacist utilizing RendezviewerPOS Transaction completes sale and records sale
18 Rendezvous and Rendezviewer Uses store and forward technologyReview episodes from you home, office, airport or anywhere you have access to the InternetProven reports for audits and complianceAllows episodes to be forwarded to multiple healthcare professionals for review and comments
19 Audit and Reporting Features Inventory Control for Central and RemoteCentralized Drug OrderingCash Register Audit ReportVoided Prescription ReportPharmacist Review Time and Date TrackingPatient Compliance Reporting
20 First Telepharmacy Prescription in the State of Texas Texas Tech Medical Center SWLubbock, TexasTurkey Medical ClinicTurkey, TexasSeptember 18, 2002
21 PATIENT SATISFACTION SURVEY QUESTIONS I would rather see a pharmacist on the telepharmacy system than travel to see him or her
22 PATIENT SATISFACTION SURVEY QUESTIONS If the Telepharmacy system were not available, I would receive my medicine by mail or internet pharmacy
23 PATIENT SATISFACTION SURVEY QUESTIONS I felt the pharmacist counseling was not adequate because the pharmacist was not showing me my medicine in person
24 PATIENT SATISFACTION SURVEY QUESTIONS If the Telepharmacy system were NOT available, how many miles would you have to have travel one way to get your prescription?
25 Project status Project will continue Results very positive Sound science and technologyConsidering expansion/additional sites