1. Bar Code Medication Administration (BCMA) Back to Basics From Provider Order Entry to the VistA Documentation Library (VDL): How Orders Get from Computerized Patient Record System (CPRS) to BCMA Diane Murphy, RN and Nancy Smestad MS, RPH Applied Informatics Service Health Informatics (HI) Office of Informatics and Analytics (OIA) Veterans Health Administration (VHA) MAY 7, 2012

2. VETERANS HEALTH ADMINISTRATION Objectives Introduction to basic medication order entry Understanding provider, pharmacist and nursing roles in assuring safe medication administration Your part as a BCMA coordinator in assuring safety of medication software when it comes to reporting problems Informatics Patient Safety’s role in the software 2

3. VETERANS HEALTH ADMINISTRATION Medication Tab in CPRS 3

4. VETERANS HEALTH ADMINISTRATION Orders Tab in CPRS What you see in the “Write Orders” column will be different from site to site. It is controlled by the Clinical Application Coordinator (CAC) setup. It may even differ from provider to provider or service to service within your site. 4

5. VETERANS HEALTH ADMINISTRATION Provider Order Checks 5

6. VETERANS HEALTH ADMINISTRATION Provider Order Checks Order checks* are done when the accept button is selected and the order is being signed A few of the order check types include: Drug/drug interactions Duplicate drug class Drug/allergy interactions The two degrees of order checks are: Significant – for information only Critical – requires justification and signature for acceptance * Order checks appear for both inpatient and outpatient medication order(s). 6

7. VETERANS HEALTH ADMINISTRATION Additional Dose 7

8. VETERANS HEALTH ADMINISTRATION Enhanced Order Checking 8

9. VETERANS HEALTH ADMINISTRATION Unreleased Until Signed by Provider 9

10. VETERANS HEALTH ADMINISTRATION Order Checks 10

11. VETERANS HEALTH ADMINISTRATION Order Pending in CPRS 11

12. VETERANS HEALTH ADMINISTRATION Quick Orders 12

13. VETERANS HEALTH ADMINISTRATION Infusion Orders 13

14. VETERANS HEALTH ADMINISTRATION BCMA No, Still Not There? Just Checking. 14

15. VETERANS HEALTH ADMINISTRATION Pharmacies Provide the magic that makes the order active 15

16. VETERANS HEALTH ADMINISTRATION Veterans Health Information System and Technology Architecture (VistA) Inpatient Order Entry Select PATIENT: patient name 16

17. VETERANS HEALTH ADMINISTRATION Pharmacy Patient Information 17

18. VETERANS HEALTH ADMINISTRATION Pharmacy Finishing 18

19. VETERANS HEALTH ADMINISTRATION Pharmacy Edit 19

20. VETERANS HEALTH ADMINISTRATION Pharmacy Review Screen 20

21. VETERANS HEALTH ADMINISTRATION Pharmacy Verification 21

22. VETERANS HEALTH ADMINISTRATION Intravenous (IV) Type 22

23. VETERANS HEALTH ADMINISTRATION Accept/Verify Actions 23

24. VETERANS HEALTH ADMINISTRATION Unit Dose/One Time Medication Order 24

25. VETERANS HEALTH ADMINISTRATION Pharmacy Allergy Intervention 25

26. VETERANS HEALTH ADMINISTRATION Pharmacy Recommendation 26

27. VETERANS HEALTH ADMINISTRATION Pharmacy Intervention Menu 27

28. VETERANS HEALTH ADMINISTRATION Pharmacy Accept Order 28

29. VETERANS HEALTH ADMINISTRATION Active Medication Order(s) 29

30. VETERANS HEALTH ADMINISTRATION CPRS Display/Status Active 30

31. VETERANS HEALTH ADMINISTRATION Drum Roll Please… Don’t You Love Happy Endings? 31

32. VETERANS HEALTH ADMINISTRATION As BCMA Coordinator: My Two Favorite Screens 32

33. VETERANS HEALTH ADMINISTRATION Why Won’t This Scan? 33

34. VETERANS HEALTH ADMINISTRATION Not a Happy Ending? Remedy 34

35. VETERANS HEALTH ADMINISTRATION https://vaww.portal.va.gov/sites/BCRO/BCROPublic/BarCodeCoordinators/default.aspx New Service Request proposal vetting on the Bar Code Coordinators SharePoint Have a Great Idea? New Service Request (NSR) http://vista.med.va.gov/nsrd/ 35

36. VETERANS HEALTH ADMINISTRATION Questions From Any of the Links? 36