Benefits Realisation ideas for an EPMA project Rick

Benefits Realisation ideas for an EPMA project Rick Cooper Lead Pharmacist for Electronic Prescribing

Rick Cooper Lead Pharmacist for Electronic Prescribing

UHBristol NHS Foundation Trust • 1000+ bed acute teaching hospital • 2 large NHS trusts in Bristol (we are one) • Development partnership with PAS provider • EPMA project in build and config. stage • Pilot to start in 2016 Rick Cooper Lead Pharmacist for Electronic Prescribing

My role in benefits realisation • Collect data to show: • • • Reduction of paper Reduction in chart re-writes Improved audit efficiency Improved anti-microbial stewardship Reduction in staff journey time Improved medicine supply from pharmacy Rick Cooper Lead Pharmacist for Electronic Prescribing

Improved audit efficiency & anti-microbial stewardship • Adapted existing audit tool for antimicrobial rounds • Measurement of time spent on rounds (to be costed) • Record of proportion of patients seen on round Rick Cooper Lead Pharmacist for Electronic Prescribing

Improved audit efficiency • Ward rounds should change dramatically with EPMA Average times spent on tasks Ward round Looking up consultants on PAS Data entry Week 2 Week 1 0 1 2 3 4 5 6 7 8 9 10 Hours 11 12 13 14 15 16 17 18 19 20 Rick Cooper Lead Pharmacist for Electronic Prescribing

Improved anti-microbial stewardship • An estimated 35 antimicrobial prescriptions are ‘missed’ each week Proportion of all patients seen on anti-microbial ward rounds Patients seen current Potential additional patients seen with EPMA Week 2 79% 21% Week 1 78% 22% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Rick Cooper Lead Pharmacist for Electronic Prescribing

Improved medicine supply from pharmacy Rick Cooper Lead Pharmacist for Electronic Prescribing

Improved medicine supply from pharmacy • Data was collected for 4 weeks, over 20 consecutive working days on our two proposed pilot wards • There were a total of 377 items ordered on 138 unique requisitions Time 1 Time 3 Time 2 Time 4 Time 7* Drug chart seen Item Time requested by pharmacy transcribed to staff order sheet Order sheet enters pharmacy Logged on to Web. Tracker Checked *data from Web. Tracker Rick Cooper Lead Pharmacist for Electronic Prescribing

Improved medicine supply from pharmacy Rick Cooper Lead Pharmacist for Electronic Prescribing

Reduction in staff journey time • Simple tally chart for all wards with staff role when a drug chart presented to dispensary • I then walked from every ward to the pharmacy and back and timed my journey Rick Cooper Lead Pharmacist for Electronic Prescribing

Reduction in staff journey time • 2 week data collection period (incl. weekends) • Total of 491 charts brought to the dispensary • Estimated total journey time of 45 hours (49 days a year) • These 45 hours cost £ 1, 018. 43 (~£ 27, 000 a year) • Some limitations with the method but still valuable, and data collection was easy Rick Cooper Lead Pharmacist for Electronic Prescribing

Tips for measuring benefits • Adapt any existing audit tools • Small improvements in time may add up to big savings over the course of a year • Keep it simple rick. cooper@uhbristol. nhs. uk Rick Cooper Lead Pharmacist for Electronic Prescribing