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Presentation Outline ICHP Annual Meeting September 13-15

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PPMI – Technology Solutions 2<br />

• Order management and review around drug<br />

therapy management services<br />

• Real time monitoring systems<br />

• Work k queue supporting i ddrug therapy h<br />

management and documentation<br />

• Automated notification of labs/ tests outside<br />

of normal range<br />

AJHP Vol 68, June <strong>15</strong> 2011.<br />

NorthShore University Health System<br />

• Four Community Teaching Hospitals<br />

– Evanston, 354 beds<br />

– Glenbrook, 169 beds<br />

– Highland Park, Park 149 beds<br />

– Skokie, 195 beds<br />

• Medical Group, Research Institute, Foundation<br />

• Fully automated electronic medical records<br />

(EMR) system<br />

NorthShore –Work Queue Build<br />

•Front line<br />

clinical<br />

pharmacists h i t<br />

•Primary<br />

literature<br />

Scoring system<br />

recommendations<br />

Corporate clinical<br />

decision support<br />

committee<br />

•Pharmacy<br />

clinical<br />

services<br />

committee<br />

•Develop<br />

working rules<br />

• Prioritization<br />

• Safety<br />

• Quality<br />

•Regulatory<br />

• Financial<br />

EMR build, testing,<br />

education<br />

PPMI – Technology<br />

Recommendations 2<br />

• C7. EMRs designed to align pharmacists’<br />

documentation outlining care provided and a<br />

method to ensure the quality of care provided<br />

• C9 C9. Technology T h l ddesigned i dtto ddemonstrate t t the th impact i t<br />

of pharmacy services on patient outcomes<br />

• C10. Technology designed to support pharmacy<br />

processes to improve patient outcomes<br />

AJHP Vol 68, June <strong>15</strong> 2011.<br />

NorthShore –Work Queue<br />

• Clinical surveillance system internal to EMR<br />

• Scoring system based on changing clinical<br />

status and documentation<br />

• Notification ifi i for f patients i requiring ii review i and d<br />

possible intervention<br />

• Supports pharmacist documentation<br />

• Developed & maintained by informatics<br />

personnel<br />

Self Assessment Questions<br />

• Building an ideal work queue integrated<br />

within a health system’s EMR can be achieved<br />

with pharmacy informatics specialists<br />

– True<br />

– False<br />

8/29/2012<br />

2

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