IHS EHR Indian Health Service Electronic Health Record

IHS EHR Indian Health Service Electronic Health Record Pharmacy CDR Jim Gemelas, R. Ph. Clinical Applications Coordinator

Objectives for this session Ø Demonstrate how to finish a prescription order in RPMS Ø Using EHR in the Pharmacy Ø Process Changes Ø Preparing for EHR –Role of Pharmacist

Finishing the Pharmacy Order in RPMS Ø The provider initiates the order Ø Once signed, a service copy prints to pharmacy for workflow Ø Complete orders from OERR Ø The pharmacist reviews/finishes order

Pharmacy Service Copy Orders

Stop-review provider note Ø Provider note- toggle feature RPMS/EHR Ø Review chart- IHS Pharmacy standards of practice

Order checks; Allergies Drug-drug Duplicate class

Document Patient Ed- Wellness Tab

Using EHR in the Pharmacy Only Visits Ø S. O. A. P format Ø Refill template Ø Anticoagulation template Ø Tobacco Cessation template Ø Hypertension template

Pharmacy refills/Pharmacists as coders

Paperless Refill function Ø Pharmacist enters DX code based on medication and existing patient info Ø Pharmacist creates a note in EHR

Pharmacist will use refill template in EHR

Pharmacy Process Changes Ø Pharmacists l l l Ø Finish all new prescriptions All refills with a note Include screen captures Pharmacy-run clinics Pharmacy Technicians l l l No more data entry Assemble and batch all prescriptions (Script. Pro) Customer Service- phone calls, initial patient contact Outside Prescription Orders (non-formulary drugs) Ø Printing controlled substances Ø Use of Script. Pro- improved workflow, batching prescriptions, electronic signatures Ø

Preparing for EHR Ø Role of the pharmacist l l l Enter drug allergies and drug class codes Create Order Menus Create Quick Orders

Order Menu

Order Menu

QUICK ORDER

Where are the charts? “I don’t look back darling, it only distracts from the now!” …Edna Mode

Look at all the trees we are saving with the Electronic Health Record! This is government land behind be belonging to the Official Medical Record Board. These trees behind me were marked for medical records!. . .

Order prints out in pharmacy and shows in RPMS