Title slide - Safety and Quality

Report
OPPORTUNITIES AND CHALLENGES TO
INTEGRATING
MEDICATION RECONCILLIATION INTO
AN ELECTRONIC MEDICAL RECORD
Maryanne Molenaar – Eastern Health, Victoria
Angliss Box Hill
Hospital Hospital
Healesville &
Maroondah Peter James
District Hospital Hospital
Centre
Wantirna Yarra Ranges Yarra Valley
Turning Spectrum
Health
Health
Community Health Point
CERNER IN VICTORIA
HealthSMART = Cerner + DoH + 4 Agencies
CERNER IN VICTORIA
ehCare – Eastern Health
CLOVER – Peninsula Health
ROMEO – Austin Health
Cerner- RVEEH
ehCare
• Discharge and outpatient prescriptions for all 5 sites:
BHH, MH, AH, PJC, WH
• Inpatient MAR for 2 sites: PJC and WH
Medication Reconciliation in Cerner
In Cerner, Medication Reconciliation is the process of:
• converting Home Medications onto the MAR
• converting medications from the MAR onto a
discharge prescription
Medication Reconciliation Challenges
• Drugs with a duration
• The option to CONTINUE a medication does not
produce a prescription
• No quantity for medications on conversion to a
discharge prescription
• Incongruity between dose unit and dispense quantity
Medication Reconciliation Challenges
• Current medication catalogue build does not have
state Hide / Show rules applied
Drug Catalogue
Primary
Brand / Trade
M-Synonym = Primary +
strength + form
N-Synonym = Trade +
strength + form
Y-Synonym = M-Synonym Z-Synonym = N-Synonym
+ pack size
+ pack size
Medication Reconciliation Challenges
• Current medication catalogue build does not have
state Hide / Show rules applied
• Medications in CareSets and Power Plans
Opportunities from Challenges
• Eastern Health is keen to make Medication
Reconciliation happen
• Start with Discharge Medication Reconciliation
• Electronic Medication Reconciliation would benefit
the Pharmacy with their communication about
patients transferred between sites.
Opportunities from Challenges
• Pressure on DoH to implement HIDE / SHOW rules
• Prompt of ‘duration’ for medications with a duration
• Training for prescribers to ignore the ‘CONTINUE’
options
• Review medications in CareSets and Power Plans
• Find a solution to the blank quantity challenge
Thanks to…
Melina Kung and Laura Fanning
Megan Zigomanis

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