IHS EHRIndian Health Service Electronic Health Record
PharmacyPharmacy
CDR Jim Gemelas, R.Ph.CDR Jim Gemelas, R.Ph.Clinical Applications CoordinatorClinical Applications Coordinator
Objectives for this sessionObjectives for this session
Demonstrate how to finish a prescription Demonstrate how to finish a prescription order in RPMSorder in RPMS
Using EHR in the Pharmacy Using EHR in the Pharmacy Process ChangesProcess Changes Preparing for EHR –Role of PharmacistPreparing for EHR –Role of Pharmacist
Finishing the Pharmacy Order Finishing the Pharmacy Order in RPMSin RPMS
The provider initiates the orderThe provider initiates the order Once signed, a service copy prints to Once signed, a service copy prints to
pharmacy for workflowpharmacy for workflow Complete orders from OERR Complete orders from OERR The pharmacist reviews/finishes orderThe pharmacist reviews/finishes order
Pharmacy Service Copy OrdersPharmacy Service Copy Orders
Stop-review provider noteStop-review provider note
Provider note- toggle feature RPMS/EHRProvider note- toggle feature RPMS/EHR Review chart- IHS Pharmacy standards of Review chart- IHS Pharmacy standards of
practice practice
Order checks;Allergies
Drug-drugDuplicate class
Document Patient Ed- Wellness Document Patient Ed- Wellness TabTab
Using EHR in the PharmacyUsing EHR in the PharmacyPharmacy Only VisitsPharmacy Only Visits
S.O.A.P formatS.O.A.P format Refill templateRefill template Anticoagulation templateAnticoagulation template Tobacco Cessation templateTobacco Cessation template Hypertension templateHypertension template
Pharmacy refills/Pharmacists Pharmacy refills/Pharmacists as codersas coders
Paperless Refill functionPaperless Refill function
Pharmacist enters DX code based on Pharmacist enters DX code based on medication and existing patient infomedication and existing patient info
Pharmacist creates a note in EHR Pharmacist creates a note in EHR
Pharmacist will use refill Pharmacist will use refill template in EHRtemplate in EHR
Pharmacy Process ChangesPharmacy Process Changes PharmacistsPharmacists
Finish all new prescriptionsFinish all new prescriptions All refills with a note Include screen capturesAll refills with a note Include screen captures Pharmacy-run clinicsPharmacy-run clinics
Pharmacy TechniciansPharmacy Technicians No more data entryNo more data entry Assemble and batch all prescriptions (ScriptPro)Assemble and batch all prescriptions (ScriptPro) Customer Service- phone calls, initial patient contactCustomer Service- phone calls, initial patient contact
Outside Prescription Orders (non-formulary Outside Prescription Orders (non-formulary drugs)drugs)
Printing controlled substancesPrinting controlled substances Use of ScriptPro- improved workflow,batching Use of ScriptPro- improved workflow,batching
prescriptions, electronic signaturesprescriptions, electronic signatures
Preparing for EHRPreparing for EHR
Role of the pharmacistRole of the pharmacist Enter drug allergies and drug class codesEnter drug allergies and drug class codes Create Order MenusCreate Order Menus Create Quick OrdersCreate Quick Orders
Order MenuOrder Menu
Order MenuOrder Menu
QUICK ORDERQUICK ORDER
Where are the charts?Where are the charts?
““I don’t look back I don’t look back darling, it only darling, it only distracts from the distracts from the now!” …Edna Modenow!” …Edna Mode
Look at all the trees we are saving with the Electronic Look at all the trees we are saving with the Electronic Health Record! This is government land behind be Health Record! This is government land behind be
belonging to the Official Medical Record Board. These belonging to the Official Medical Record Board. These trees behind me were marked for medical trees behind me were marked for medical
records!..............records!..............
Order prints out in pharmacyOrder prints out in pharmacyand shows in RPMSand shows in RPMS