1 ELECTRONIC PRESCRIBING AND APPLICATION OF NEW TECHNOLOGIES IN THE SPANISH PHARMACY Carmen Peña López Secretary General. General Spanish Council of Pharmacists

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ELECTRONIC PRESCRIBING AND APPLICATION OF NEW TECHNOLOGIES

IN THE SPANISH PHARMACY

Carmen Peña LópezSecretary General. General Spanish Council of Pharmacists

ELECTRONIC PRESCRIBING

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Spanish pharmacists have always backed the use of Communication and Information Technologies

in benefit of the quality care TO PATIENTS

The new technologies have been incorporated on demand for the new projects and professional challenges

PRESCRIPTIONINVOICES INTERNET

INTRANET:PRIVATE VIRTUAL

NETWORKS

CORPORATE PORTALS:INFORMATIONINSTRUCTION

COMMUNICATION

SECURITY


COMPUTERISATION OF COMMUNITY

PHARMACIES


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Electronic prescribing consists of Electronic prescribing consists of incorporating the new information and incorporating the new information and communication technologies into the communication technologies into the prescription, dispensing and invoicing prescription, dispensing and invoicing processes for medicines, aimed at processes for medicines, aimed at optimising the system’s optimising the system’s quality quality in the in the patient’s benefit. patient’s benefit.


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IMPROVEMENTSIMPROVEMENTSREGARDING TRADITIONAL PRESCRIBINGREGARDING TRADITIONAL PRESCRIBING

For the patientsFor the patients::

• Improvement in quality care and therefore, the Improvement in quality care and therefore, the safety and efficiency of the patients’ safety and efficiency of the patients’ treatments. treatments.

• Chronic patients will avoid unnecessary visits Chronic patients will avoid unnecessary visits and paperwork for the doctors’ surgeries in and paperwork for the doctors’ surgeries in order to renew prescriptions. order to renew prescriptions.


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For the AdministrationFor the Administration::

• Control of the prescriptionControl of the prescription• Decrease in bureaucracyDecrease in bureaucracy• Knowledge in real time of the evolution of Knowledge in real time of the evolution of

expenditure on medicines.expenditure on medicines.• Promotion of the rational use of medicines.Promotion of the rational use of medicines.• Safe, fast, reliable and confidential Safe, fast, reliable and confidential

transactions. transactions.

ELECTRONIC PRESCRIPTIONS

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For the pharmacist in the community For the pharmacist in the community pharmacypharmacy

• The mistakes made when reading prescriptions are The mistakes made when reading prescriptions are eliminated. eliminated.

• Active participation in pharmaceutical care and Active participation in pharmaceutical care and drug-monitoring plans. drug-monitoring plans.

• Efficiency in the costs produced by management Efficiency in the costs produced by management and invoicing.and invoicing.

• Implication in new technologies.Implication in new technologies.• Rapid information exchange with the doctors.Rapid information exchange with the doctors.



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Royal Decree 1.910/1984 (26-09) on medical prescriptions. General Law 15/1999, of the 13th of December on personal

data protection. Law 41/2002, of the 14th of November, basic regulator of

the patient’s autonomy and on the rights and obligations on the subject of clinical information and documentation.

Law 16/2003, on Cohesion and Quality of the NHS, which establishes the regulation and development framework within the National Health System.

Royal Decree 183/2004, of the 30th of January, which regulates the individual healthcare card.

Law 29/2006, of the 26th of July, on guarantees and rational use of medicines and healthcare products.

Regulatory Framework


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Law 16/2003, on Cohesion and Quality of the NHS, which establishes the regulation and development framework within the National Health System, for:

• a) The error-free identification of users and patients (Healthcare Card).

• b) The exchange of healthcare information between organisms, centres and services.

• c) Electronic Prescribing.• d) The Communications Network (NHS Intranet)

The development of these provisions and of the technical functionalities for their performance is a competence of the Spanish Ministry of Health.

Promoting electronic prescribing (I)


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Quality Plan for the NHS (2006):HEALTHCARE ON-LINE (141 mill €. For 2006-07)(Healthcare-industry framework agreement)

Promoting electronic prescribing (II)

The Autonomous Regions may benefit from the funds committed within the framework agreement for cooperation through the bilateral agreements signed between each Region and the organisation: Red.es, in coordination with the National Ministry of Health.

RED.ES: It promotes the development of the Information Society with the producing of programmes defined in the ‘Plan Avanza’ for the convergence with Europe and between the different Autonomous Regions.


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Situation in SpainSituation in Spain Electronic prescribing is already a reality in Spain:Electronic prescribing is already a reality in Spain:

Andalusia: Prescription XXIAndalusia: Prescription XXIData for Seville in January 2007:Data for Seville in January 2007:• 606 community pharmacies (76% of the total)606 community pharmacies (76% of the total)• 47 health centres. 679 doctors (53% of the total)47 health centres. 679 doctors (53% of the total)• Since May 2006: 1,000,000 electronic prescriptions Since May 2006: 1,000,000 electronic prescriptions

dispensed. dispensed.

There are different Electronic Prescription projects, promoted There are different Electronic Prescription projects, promoted by the Autonomous Regions, which are evolving at different by the Autonomous Regions, which are evolving at different rates and using different models, from the technological, rates and using different models, from the technological, functional and even operational points of view.functional and even operational points of view.

The The Official Colleges and the Autonomous Official Colleges and the Autonomous CouncilsCouncils of Pharmacists of Pharmacists ensure the quality of ensure the quality of the system on a dispensing level.the system on a dispensing level.


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Situation in SpainSituation in SpainFunctional Model for electronic prescribingFunctional Model for electronic prescribing

Prescribing Doctor

PatientPatient9301082PEGA0 3

48/11223344/55 10T

JOSE PEREZ GARCIAAVDA. BILBAO, 32

Healthcare CardHealthcare Card

PrescriptionDatabase

Prescribing Doctor’selectronic signature

PatientPatient9301082PEGA0 3

48/11223344/55 10T

JOSE PEREZ GARCIAAVDA. BILBAO, 32

Healthcare CardHealthcare Card

Pharmacist

Dispensing-invoicingDatabase

4

Pharmacist’selectronic signature

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Dispensing

HEALTH CENTRE

AUTONOMOUS HEALTHCAREADMINISTRATION

COMMUNITY PHARMACY

OFFICIAL COLLEGE OFPHARMACISTS


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Role of the Pharmacists College Role of the Pharmacists College Organisation in Electronic Prescribing (I)Organisation in Electronic Prescribing (I)

11 To guarantee the Universality, To guarantee the Universality, Quality and Accessibility to all Quality and Accessibility to all community pharmaciescommunity pharmacies

22 Tools: Facilitators for the projectTools: Facilitators for the project


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Role of the Pharmacists College Role of the Pharmacists College Organisation in Electronic Prescribing (II)Organisation in Electronic Prescribing (II)

11 Guarantees of QualityGuarantees of Quality::

The Pharmacists College Organisation plays an active role The Pharmacists College Organisation plays an active role since it tries to move the since it tries to move the representation and coordination representation and coordination task of the community pharmacists task of the community pharmacists over to the field of the over to the field of the new technologies.new technologies.

The dispensing process will be clearly affected, therefore The dispensing process will be clearly affected, therefore the Pharmacy Colleges will monitor it to ensure its quality.the Pharmacy Colleges will monitor it to ensure its quality.


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Role of the Pharmacists College Role of the Pharmacists College Organisation in Electronic Prescribing (III)Organisation in Electronic Prescribing (III)

2. 2. Facilitators of the projectFacilitators of the project

Accrediting the identity of the professionals: electronic signature.Accrediting the identity of the professionals: electronic signature. Providing a secure pharmaceutical corporate network and suitable Providing a secure pharmaceutical corporate network and suitable

technological equipment for the community pharmacies. technological equipment for the community pharmacies. Organising instruction activities for the adaptation of the Organising instruction activities for the adaptation of the

pharmacists to the new technologies.pharmacists to the new technologies. Supplying value added services over the network (Pharmaceutical Supplying value added services over the network (Pharmaceutical

Care, Long distance training, college services and medicine Care, Long distance training, college services and medicine database).database).

Working as an operational back up for possible specific incidences Working as an operational back up for possible specific incidences in equipment and communications.in equipment and communications.

Arranging grants.Arranging grants.


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Role of the General Spanish Council of Role of the General Spanish Council of PharmacistsPharmacists

SUPPORT FOR THE PHARMACIST COLLEGES TO SUPPORT FOR THE PHARMACIST COLLEGES TO UNDERTAKE THE ELECTRONIC PRESCRIBING UNDERTAKE THE ELECTRONIC PRESCRIBING PROJECT ON A NATIONAL SCALE.PROJECT ON A NATIONAL SCALE.

TECHNOLOGICAL SOLUTIONS: NETFARMACIA: TECHNOLOGICAL SOLUTIONS: NETFARMACIA: National Pharmacists Corporate NetworkNational Pharmacists Corporate Network

Ensuring the inter-operability of pharmacy services betweenthe different Autonomous Regions


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Role of the General Spanish Council of PharmacistsRole of the General Spanish Council of Pharmacists

NETFARMACIA: NETFARMACIA: Pharmacists Corporative NetworkPharmacists Corporative Network

It is set out as a large scale It is set out as a large scale pharmacist corporative network pharmacist corporative network that integrates the different that integrates the different networks of provincial colleges networks of provincial colleges encouraging the interoperabilityencouraging the interoperabilityon the dispensing level.on the dispensing level.


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REFLECTIONSREFLECTIONS Electronic prescribing is already a reality in Spain.Electronic prescribing is already a reality in Spain.

Homogenous criteria are needed to be set down in order to Homogenous criteria are needed to be set down in order to promote the interoperability between the different models promote the interoperability between the different models guaranteeing the healthcare service regardless of the guaranteeing the healthcare service regardless of the geographic mobility.geographic mobility.

The Pharmacists College Organisation guarantees the The Pharmacists College Organisation guarantees the universality, quality and accessibility of the dispensing in universality, quality and accessibility of the dispensing in the patient’s benefit. the patient’s benefit.

The Pharmacists College Organisation holds a key role as The Pharmacists College Organisation holds a key role as FACILITATORS of this system from the point of view of FACILITATORS of this system from the point of view of representing the pharmacist profession and as facilitators representing the pharmacist profession and as facilitators of the necessary technological infrastructure.of the necessary technological infrastructure.


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THANK YOU VERY MUCHTHANK YOU VERY MUCH


Documents

1 ELECTRONIC PRESCRIBING AND APPLICATION OF NEW TECHNOLOGIES IN THE SPANISH PHARMACY Carmen Peña López Secretary General. General Spanish Council of Pharmacists