1. Inpatient Pharmacy 5.0 & Outpatient Pharmacy 7.0 Installation Process

2. Moving to Pharmacy 5/7 For sites that are currently using RPMS Pharmacy For sites that are currently using RPMS Pharmacy There is a different process for sites currently using a commercial package. There is a different process for sites currently using a commercial package.

3. Resources FTP Link: ftp://ftp.ihs.gov/rpms/POS/ FTP Link: ftp://ftp.ihs.gov/rpms/POS/ftp://ftp.ihs.gov/rpms/POS/ Pharmacy 5/7 folder Pharmacy 5/7 folder EHR web site: http://www.ihs.gov/CIO/EHR/ EHR web site: http://www.ihs.gov/CIO/EHR/ http://www.ihs.gov/CIO/EHR/ Specific questions regarding drug file preparation can be addressed to Steve Bowman, sbowman@pacificer.com Specific questions regarding drug file preparation can be addressed to Steve Bowman, sbowman@pacificer.comsbowman@pacificer.com

4. Why is this installation different? Site needs to be current with released software before installation can take place - XBEHRCK Site needs to be current with released software before installation can take place - XBEHRCK Some of the prerequisite packages may require facility preparation (i.e. Lab, Radiology) Some of the prerequisite packages may require facility preparation (i.e. Lab, Radiology) Tedious drug file preparation Tedious drug file preparation Difference between Pharmacy 5/7 and EHR implementation Difference between Pharmacy 5/7 and EHR implementation

5. Things to do besides the drug file Access needed for the programmer to do the install Access needed for the programmer to do the install Installation of Steve’s KIDS file (tool to help work on drug file) Installation of Steve’s KIDS file (tool to help work on drug file) System review – space issues related to install System review – space issues related to install Interfaces – Scriptpro, Omnicell Interfaces – Scriptpro, Omnicell Printers – in most cases, site can continue using their current printer; however, it needs to be on the network Printers – in most cases, site can continue using their current printer; however, it needs to be on the network Training needs of staff Training needs of staff Access to training database Access to training database POS – no changes; process related issues POS – no changes; process related issues In most cases, recommend a conference call with pharmacy and IT before scheduling install. In most cases, recommend a conference call with pharmacy and IT before scheduling install.

6. Install will be scheduled when: Prerequisite software has been installed AND the drug file is 80% complete (1-2 months prior to go-live) Prerequisite software has been installed AND the drug file is 80% complete (1-2 months prior to go-live) Schedule installation via OIT (Pam Schweitzer) – coordination with Area, OIT and facility Schedule installation via OIT (Pam Schweitzer) – coordination with Area, OIT and facility Install will be scheduled about 6 weeks to 2 months out for sites currently using RPMS. Install will be scheduled about 6 weeks to 2 months out for sites currently using RPMS. The install date needs to be coordinated with Area IT, Local IT and Pharmacy. The install date needs to be coordinated with Area IT, Local IT and Pharmacy. Software sent to site 1-2 weeks in advance of install. Software sent to site 1-2 weeks in advance of install. Installation weekend: Installation weekend: Saturday night – installation by OIT Sunday - pharmacy and local IT will need to be on site to do final set-up and testing. Monday – go-live

7. Key Ingredients for Successful Implementation Facility Leadership Facility Leadership Preparation – no cutting corners Preparation – no cutting corners Pharmacy Leadership Pharmacy Leadership attitude attitude Site Manager Site Manager