March 2010 Pharmacy Data Management (PDM)

Describe and Manage PDM –Menu Options –Interaction between options Proper set up Identify common pharmacy issues in EHR Course Objectives

Pharmacy Data Management Set Up The baseline for how well medication management will work for all disciplines. Impacts all disciplines Clerks Technicians Providers Nurses Pharmacy Overview

Menu Options Dosages... Drug Enter/Edit Drug Interaction Management... Electrolyte File (IV) Lookup into Dispense Drug File Medication Instruction File Add/Edit Medication Route File Enter/Edit Orderable Item Management... Orderable Item Report Drug Text Enter/Edit Drug Text File Report Pharmacy System Parameters Edit Standard Schedule Edit Synonym Enter/Edit

Dosages Enter/Edit Dosages –Possible Dosages Single entity tablets & capsules, and some other single entity agents Auto Created Can add/edit Enter Package use Inpatient and/or Outpatient (if allowed) –Local Possible Dosages All other drugs ie creams, susp, MDIs Add/edit individual (local) dosages Enter Package use Inpatient and/or Outpatient

Drug Enter/Edit Some Important Fields to Populate –DEA Special Handling –VA Drug Class Code –Dispense and Order Units –Pricing –NDC

Drug Enter/Edit Other data options inclusive with drug entry –Dosages –Orderable item –Synonym –ID packages for drug use.

Look Up into Dispense Drug File Snapshot of medication information –Cost –Synonyms –NDC –Dosages –VA Drug Class Code Can be of use for non-pharmacy staff to look up meds (billing)

Medication Instruction File Enter/Edit common instructions –PM = Evening –AM = Morning –AP = Apply Entered under edit orderable items

Medication Route File Enter/Edit common routes –Ophthalmic = In Affected Eyes –Topical = To Affected Area The most common route (just one) can be added under “Edit Orderable Items” Routes can be tied to Dosage Forms* so that only certain ones show in the EHR for a given Dosage Form (so providers can’t choose “IV” for an oral tablet, for example) *this can be helpful, but editing can also have unintended consequences

Orderable Item Management Edit/Enter several pertinent fields –Assign Drug Text Entry for provider viewing if desired –Med Route –Schedule Type –Schedule –Patient Instructions –Synonym (for EHR med ordering selection)

Drug Text Enter/Edit Enter Text that can be viewed. –Enter for viewing under Orderable Item Edit –Can enter multiple texts under Orderable Item –Providers can view on EHR med order entry –Pharmacist can view on rpms med order entry –Viewed under heading “Restriction/Guidelines” –Can cut and paste dosing tables

AWP Scan Option Separate Menu Option –Allows the scanning of medications into the Drug File –Automatically updates Synonym NDC Dispense Units per Order

Standard Schedule Edit Inpatient and Outpatient dosing schedule Entered for viewing under Orderable Item Edit

New Drug Entry Exercise Enter a new drug –Dosages –Medication Instruction –Medication Route –Orderable Item –Drug Text –Standard Schedule