1. 1 VA Adverse Drug Event Reporting System (VA ADERS) Thomas Emmendorfer, PharmD VA PBM Services

2. 2 VAMedSAFE Mission Preventable adverse drug events –Identify –Track –Address Improve the safety of: –Drug prescribing practices –Medication administration

3. 3 VA ADERS Time Line Web application developed March 06 National program March 07 Training Completed June 07

4. 4 VA ADERS Time Line Secretary’s Charge Jun 08 New drug/ vaccine alerts Aug 08 ARTS draft import Oct 09

5. 5 Primary Goals of VA ADERS Improve ADE reporting Provide ADE trending reports Provide an intranet portal for medical centers to share process improvements

6. 6 VA ADERS Software Application https://medora.va.gov/MedSafe_portal/

7. 7 ADE Flowchart

8. 8 Alerts: New Drugs On Market

9. 9

10. 10 ADE Pyramid MedWatch VA ADERS (Observed) Documented in CPRS (Historical & Observed) Recognized (Documented & Undocumented) Recognized & Unrecognized Goal: move more ADEs to next level What can be improved and how can it be measured? Who is involved? What processes are involved?

11. 11 ARTS DRAFT IMPORT As of October 2009 all allergies/adverse reactions entered into CPRS are imported from the previous month if not previously entered into VA ADERS

12. 12 Location of ARTS Draft Import Feature inside application

13. 13 Report run 2/17/10

14. 14 REPORTS & SHAREPOINT

15. 15 VA ADERS Access Requirement to logon to application –Valid CPRS/VistA access/verify codes –Ability to read CPRS progress notes ProClarity Cube/Reporting Services and SharePoint –Requests must be approved by either: VPE Chief of Pharmacy –Requests should be e-mailed to: Von Moore: von.moore@va.govvon.moore@va.gov

16. 16 Reports Reporting Services –Auto-generate trending reports for committees Global trending Preventable Anticoagulation –Reports can be exported to Acrobat pdf file ProClarity –Setup customized queries for specialized reports

17. 17 Auto-generated reports Customized Reports http://vhacmnpbm/pas/en/src/Proclarity.asp http://vhacmnreporting/Reports/Pages/Folder. aspx?ItemPath=%2fPBM

18. 18 VA ADERS SharePoint Site http://vaww.national.cmop.va.gov/PBM/VAADE RS/default.aspx

19. 19 ROLE OF VA ADERS

20. 20 National Role Surveillance Drug Recalls PBM Bulletins Formulary Process

21. 21 Training Resources https://medora.va.gov/MedSafe_portal/

22. 22 VA ADERS: Important Links VA ADERS https://medora.va.gov/MedSafe_portal/ Reporting Services http://vhacmnreporting/Reports/Pages/Folder.aspx?ItemPath=%2fPBM SharePoint http://vaww.national.cmop.va.gov/PBM/VAADERS/default.aspx ProClarity® (Intranet) http://vhacmnpbm/pas/en/src/Proclarity.asp

23. 23 Questions