IHS Pharmacy Policies and Procedures Pertaining to RPMS Pharmacy 7 and EHR Pharmacy

IHS Pharmacy Policies and Procedures IHS Manual, Part 3, Chapter 7 Outlines all policies and procedures, many which are not within the scope of this training. Standards of Practice: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p3c7_ap_a Whole chapter: http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p3c7&thisTN=1

EHR and Standards of Practice Standard 1: Assure Appropriateness of Therapy Signed note Drug-Drug & Drug Allergy Checks Complete medication orders Complete all visit elements Current Health Maintenance & Wellness Pharmacists can document their activities

EHR and Standards of Practice Standard 2: Verify That patients understand their medications and appropriate outcomes of their drug Patient education resources Drug education resources Patient Wellness Handout Medication Histories

EHR and Standards of Practice Standard 3: Assure Availability, Preparation and control of medications Controlled Substance Management Reports Drug Accountability Package Prepack system in Pharmacy package

EHR and Standards of Practice Standard 4: Provide Drug Information Drug Therapy Consultation and Staff Education Relating to Drug Therapy Drug Text EHR Training using demo patients

EHR and Standards of Practice Standard 5: Provide Health Promotion and Disease Prevention activities relating to drug use and preventive drug therapy Chart Reviews for health maintenance activities (ie. Pap, immunizations, etc.) Screening for appropriate drug therapy previously diagnosed diseases Compliance on documentation standards

EHR and Standards of Practice Standard 6: Manage Therapy for Selected Patients in whom drugs are the principal method of treatment Anticoagulation clinics Hypertension clinics Other Pharmacy-Only clinics

Group Activity Enumeration of some local EHR/RPMS Policies and procedures RTS Procedures How many days Narcotics Refill after RTS – procedure if it was original fill Allow providers to order “Refill” through EHR? Write a note with refills?

Group Activity More Group Discussion of local policies & procedures

Questions?