The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are

The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are submitted to you under the understanding that they are to be considered by you in the strictest of confidence and that no use shall be made of the said concepts and ideas, including communication to any third party without MEDITECH’s express prior consent and/or payment of related professional services fees in full.

© 2012. MEDITECH SA (Pty) Ltd. All rights reserved.

Prepared by: Nevika KrishinchandDate : 12 September 2013

iMix 2013Integrated and Informative Decision Support for Health Care Providers

across Pharmacy and CPOE


• Introduction• Decision Support Mechanisms

• Monographs• Interactions

• Drug-Drug• Food

• Allergy Warnings• Order Sets• Suggested Orders• Rules• Dose Range Checking • Notices• Lab Tests Linked to Drugs

and Orders• Lab Test Results on Patient

Profile• Dosing Sets

Agenda


WHO estimates that more thathalf of all medicines areprescribed, dispensed of soldinappropriately

Some examples of irrational use of medicines include• Poly pharmacy• Inappropriate use of

antimicrobials• Overuse of injections when oral

formulations would be more appropriate

• Failure to prescribe in accordance with clinical guidelines

MEDITECH Decision SupportIntroduction


• 5 Rights of Medication Management• Right Patient• Right Medication• Right Dosage• Right Route • Right Time

• Dictionaries that support this Decision Support:• Order Management• Pharmacy• MIS

MEDITECH Decision SupportIntroduction


MEDITECH Decision SupportScenario 1

• Patient Helen Mercier• 60 year old female• Diabetic since 2005• Severe allergy to Macrolides

• Maintained at home on• Furosemide• Enalapril• Glyburide• Metformin

• Reason for Admission• Pneumonia


Scenario 1

MEDITECH Decision Support


OM Orders Reconcile….Monographs

Scenario 1


Monographs

Scenario 1


OM Orders Reconcile..Check for Conflicts

Scenario 1


OM Drug Interaction Conflict

Scenario 1


OM Override Interaction

Scenario 1


OM Order Sets

Scenario 1


OM Allergy Conflict

Scenario 1


OM Food Interaction Conflict

Scenario 1


OM Suggested Orders

Scenario 1


Rules

Scenario 1


OM Dose Range Checking

Scenario 1


PHA Dose Range Dictionary

Scenario 1

• Defined for a condition, age range and route• Daily Low• Daily High• Daily Max • Max Single Dose• Low, High and Max Duration• Low, High and Max Frequency• Are Renal and Hepatic assessment indicators to be

checked?


OM Conflict Check on File

Scenario 1


OM Notices

Scenario 1


Pharmacy Desktop -> New Activity

Scenario 1


Pharmacy Desktop->Patient Profile->Allergy Warning

Scenario 1


Pharmacy Desktop->Patient Profile

Scenario 1


Pharmacy Desktop->Patient Profile->Rules

Scenario 1


Pharmacy Desktop->Verify -> Interaction Checking

Scenario 1



• Ebrahim Mohammed• 75 year old male• Hypertensive since 1990

• Maintained at home on• Furosemide• Enalapril

• Lipid profile ordered on previous visit


Scenario 2


OM Lab Results Linked to Orders

Scenario 2


Pharmacy -> Lab Results Linked to Drugs

Scenario 2



• Johan Smith• 4 year old male

• Admitted for a severe allergic reaction


OM Weight Based Dosing -> Dosing Set Dictionary

Scenario 3


OM Weight Based Dosing

Scenario 3


OM Weight Based Dosing -> Dosing Sets

Scenario 3


Conclusion

MEDITECH Decision Support

• Provide clinicians with instant access to evidence based medicine to help guide their decision making

• Establish Best Practices• Promote Rational Drug Use• Flag potential medical errors before they occur• Decrease patient length of stay .....lower costs

How can MEDITECH’s Decision Support Tools Benefit the end user?

How can MEDITECH’s Decision Support Tools Benefit the patient?

• Enhances patient care• Reduce patient complications• Improve Patient Safety

Thank you

Documents

The concepts and ideas submitted to you herein are the intellectual property of MEDITECH SA (Pty) Ltd. They are strictly of confidential nature and are