E-Prescribe Project Recap

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    07-Jan-2016

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E-Prescribe: Adopting Health Care Information Technology ADG associates presenting: Barbara Antuna Jessica Carpenter Patrick Esparza Brian Frazior. E-Prescribe Project Recap. Summary so far. ADG has been asked to consult for a suburban 200 bed hospital to help them implement E-Prescribing. - PowerPoint PPT Presentation

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E-Prescribe: Adopting Health Care Information TechnologyADG associates presenting:Barbara AntunaJessica CarpenterPatrick EsparzaBrian FraziorAdvance Development GroupSummary so far.ADG has been asked to consult for a suburban 200 bed hospital to help them implement E-PrescribingE-Prescribe Project RecapAdvance Development GroupSo far we have examinedStakeholders Business CaseCommon workflow scenariosUse of StandardsInformation system requirementsAdvance Development GroupPresentation OverviewNOW we will look at:Information ArchitectureOrigin of data elementsFlow of data sets between systemsAdvance Development GroupInformation ArchitectureFundamental system propertiesDatabasesApplicationsStandardsProceduresInformation use and confidentiality policiesHardwareSoftwareNetworksAdvance Development GroupSystem Architecture Pharmacy Information ExchangeNeed to be able to integrate various data systems, such as medication distribution, billing, and inventoryPharmacy Information Exchange certifies software to connect to pharmaciesProvides behind the scenes network that makes the exchange of new prescriptions and prescription renewals between prescriber and pharmacy possible.Works to improve the prescribing process through a focus on safety, efficiency, and qualityAdvance Development GroupSystem Architecture: OverviewPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupSystem Architecture: Origins of DataPatient DemographicsMedical History Data2. Eligibility Data3. Formulary and Benefits4. Medication Data5. Fill Status Data6. Billing DataAdvance Development GroupData Flow: Patient EligibilityEligibility Request and RespsonsePIE - Interface EnginePIE - Master Patient Index Database SystemPatientHospitalComputer TerminalPharmacy Information Exchange (PIE)Billing Claim InterfacePharmacy Information SystemPharmacy Information System DatabasePharmacy Information SystemPharmacy Information System DatabasePBM Management Information SystemPBM Management Information System DatabasePBM Management Information SystemPBM Management Information System DatabaseHospital Management Information System CPOEHospital Management Information System DatabaseEligibility Request / Response(ASC X12N 270/271)Advance Development GroupData Flow: Medication Formulary and Benefits InformationFormulary & Benefit Request and ResponsePIE - Interface EnginePIE - Master Patient Index Database SystemPatientHospitalComputer TerminalPharmacy Information Exchange (PIE)Billing Claim InterfacePharmacy Information SystemPharmacy Information System DatabasePharmacy Information SystemPharmacy Information System DatabasePBM Management Information SystemPBM Management Information System DatabasePBM Management Information SystemPBM Management Information System DatabaseHospital Management Information System CPOEHospital Management Information System DatabaseFormula and Benefit Request / Response (NCPDP 1.0)Advance Development GroupData Flow: Medication RequestPrescription Request and ResponsePIE - Interface EnginePIE - Master Patient Index Database SystemPatientHospitalComputer TerminalPharmacy Information Exchange (PIE)Billing Claim InterfacePharmacy Information SystemPharmacy Information System DatabasePharmacy Information SystemPharmacy Information System DatabasePBM Management Information SystemPBM Management Information System DatabasePBM Management Information SystemPBM Management Information System DatabaseHospital Management Information System CPOEHospital Management Information System DatabasePrescription Request / Response(NCPDP SCRIPT)Advance Development GroupData Flow: Medication HistoryMedication History Request and ResponsePIE - Interface EnginePIE - Master Patient Index Database SystemPatientHospitalComputer TerminalPharmacy Information Exchange (PIE)Billing Claim InterfacePharmacy Information SystemPharmacy Information System DatabasePharmacy Information SystemPharmacy Information System DatabasePBM Management Information SystemPBM Management Information System DatabasePBM Management Information SystemPBM Management Information System DatabaseHospital Management Information System CPOEHospital Management Information System DatabaseMedication History(NCPDP RXHREQ/RXHRES)Advance Development GroupSystem Architecture ConcernsUsability and AvailabilityEMR upgrade in order to connect to Pharmacy Information ExchangeCurrent EMR system creates limited need for additional workstationsSecuritySystem functions will depend on prescriber levelSystem will require HIPAA compliant secure login to access databaseCostCost of system upgrades will be agreed upon in vendor contract in advance of implementationReliabilitySystem will have frequent upgrades to keep it operationalSystem will be functional for at least 95% of the timeData IntegritySystem will back-up data frequentlySystem will have data entry checks in place to prevent data errorAdvance Development GroupSystem Architecture - Timeline********************

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