NHSGGC HEPMA Programme 22 July 2021 Michele Lindsay

NHSGGC HEPMA Programme 22 July 2021 Michele Lindsay HEPMA Systems Manager

Topics • HEPMA overview • Progress so far • Why do we need HEPMA • Key learning for prescribers • Questions

Overview • Successful pilot December 2020 -February 2021 • Rollout began 19 th April 2021 • Now completed roll-out in QEUH with X wards & 25 theatres • Excellent engagement from clinical services • Clinical staff find HEPMA easy to get to grips with • Rollout will continue across GGC and is expected to take another 12 months to complete

Why do we need HEPMA? • For decades, our hospitals have done almost all prescribing and administration of medicines on the paper drug chart (Kardex) • Paper medicines processes are error-prone and timeconsuming • Clinical information is increasingly managed electronically • Hospital medicines are a missing piece in the EPR (electronic patient record) jigsaw

Why do we need HEPMA?

What is different?

What is different? • There are no paper drug charts • HEPMA provides decision support e. g. interactions, allergies • HEPMA provides prescribing support where appropriate e. g. prescribing templates and protocols • Administration of medicines will be recorded on HEPMA • HEPMA link to admission and discharge medicines processes are in the testing process

Benefits • • • Reduced errors and harm Legibility Improved audit trail Decision support e. g. interactions, allergies Protocol-based prescribing where appropriate Medicines record accessible wherever you are Multiple people can view the medicines record at the same time No more re-writing drug charts Optimised prescribing

Key learning for Prescribers • Allergies • Protocols • AS CHARTED medicines • Order Notes

Key learning for Prescribers - Allergies • First HEPMA admission • Subsequent admissions • Combination drugs – use constituents • Allergy note – further details ‘retain between spells’

Key learning for Prescribers - Protocols • Protocols • Either/or: options for dose/route/drugs • Bundles: groups of drugs in single selection

Key learning for Prescribers – AS CHARTED • Paper charts • PRN

Key learning for Prescribers – Order Notes • Order Notes

Key messages • HEPMA is only as good as the user • HEPMA does not remove the need for decision making • Ask questions

HEPMA login Learn. Pro • User access already set up as view only • Complete the HEPMA prescribing module in advance, access will be amended to prescribing once complete – use GGC email address • If you have problems accessing Learn. Pro, email LE. support@ggc. scot. nhs. uk

Questions