ePharmacy Programme

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ePharmacy Programme

• 31st October 1st November
• David Green ePharmacy Programme Manager

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ePharmacy Programme

• ePharmacy a reminder of what it is
• eMAS its alive and out there
• Next steps coming to a practice near you soon.

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What is ePharmacy ?ePharmacy Programme

• To establish a Programme to underpin and
  supportthe delivery of the new community
  pharmacy contract (nCPC) and.In doing so
  introduces Electronic Transmission of
  Prescriptions (ETP) and supports change in the
  end to end GP prescribing, dispensing and CP
  reimbursement process

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Four core elements, three with IT support

• Minor Ailment Service (eMAS)
• Acute Medication Service (eAMS)
• Chronic Medication Service (eCMS)
• Also supports initiatives such as ePay
  (electronic support in payment process) Shipman
  (delivery mechanism for some of the change
  requirements from Shipman enquiry, e.g. capturing
  dispensed date and time)

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Core Components system

• N3 network connection
• Central ePharmacy message store (ePMS)
• Central Patient Registration System (PRS)
• System application changes in GP Practice
• Systems application changes in Pharmacy
• ePay functionality in NSS (supports reimbursement
  and remuneration for Pharmacy)

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Minor Ailment Service

• Individual registers with a pharmacy
• Individual presents with symptoms
• Pharmacist offers
• Treatment advice
• Advice only
• Referral to other Health Care Professional
• Associated healthy lifestyle advice
• Pharmacist remunerated capitation payment
• Pharmacist reimbursed for treatment
• This service went live 1st July in every pharmacy
  in Scotland.

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Minor Ailment Service

• So far so good.
• 500,000 registrations for Minor Ailment Service
• Over 150,000 consultations in Pharmacy
• Average system response time on on-line
  registrations is less than 5 seconds round trip.
• Established Help Desk at PSD support in place
  including IMT facilitators. Demo system in the
  exhibition area

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Core infrastructure components ePharmacy
NSS
Now
CHI
Patient Registration System
InformationServicesDivision
Payment Process D C V P

ePharmacy Message Store
Patient leaves with GP10
Scanning and messageprocessing
Registration and claim forms sent to PSD
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Core infrastructure components ePharmacy
NSS
2007/8
CHI
Patient Registration System
InformationServicesDivision
Payment Process D C V P

ePharmacy Message Store
Patient leaves with GP10
ePay rules engine
Scanning and messageprocessing
Registration and claim forms sent to PSD
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Looking ahead
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Acute Medication Service

• Processes at the GP practice almost unchanged
• All prescribing and dispensing activities
  create electronic message/s to ePMS and
  corresponding bar-coded GP10s
• Processes for patient unchanged
• Processes at the pharmacy involve scanning the
  bar code which pulls down the prescribing data
  to pre-populate the dispensing screen and
  subsequent label
• ePay starts to improve PSDs payment processes
• ISD gets a richer set of data (not just paid
  information)
• Some Shipman requirements satisfied

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Acute Medication Service progress

• GP system suppliers (5) in test, roll-out 2007
• ePharmacy Message Store ready
• NSS systems (DCVP) ready
• Pharmacy systems 2007

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eAMS Business Process
An eAMS GP10 will normally look something like
this
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eAMS is coming..
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A few words about dmd

• In common with CFH, initially prescribing data
  from prescriber systems will be mapped to
  dmd
• Mapping direct to dmd or via Multilex,
  depending on supplier solution, covers high
  90 of what is prescribed.
• Gives early benefits whilst longer term
  strategy is to move to dmd as native
  dictionary, but this requires prescribing
  process changes and training at GP practice
• Historical data records are as much of a
  problem as making the step change to dmd
  native
• As always we will take a pragmatic view but
  take benefits as soon as reasonable

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Chronic Medication Service (concept)

• Processes at the GP practice centre around
  prescribing common repeatable items for
  stable care
• All prescribing and dispensing activities
  create electronic message/s to ePMS and a
  single corresponding bar-coded GP10 to cover a
  period of dispensing (e.g. 6 and 12 months)
• GP decides on patient review period as per
  current GP diary systems
• GP practice receive dispensing activity
  information to assist in patient care review

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Chronic Medication Service (concept)

• Patient registers at a pharmacy for CMS service
• Processes at the pharmacy involve scanning the
  bar code which pulls down the prescribing data
  to pre-populate the dispensing screen and
  subsequent label
• The pharmacy keep the CMS GP10 until all items
  dispensed or if intervention.
• Complete Specifications in February 07 for
  development to commence

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ePharmacy Shifting the balance of care

• The ePharmacy programme is part of the exploiting
  what exists and filling the gaps elements of the
  eHealth Programme Infrastructure in place and
  working
• It is underpinning the new community pharmacy
  contract (nCPC)
• It supports the direction of travel described in
  Delivering for Health

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ePharmacy Summary and plans

• ePharmacy Infrastructure in place and working
• eMAS rolled-out nationally
• eAMS followed by eCMS in 2007/8
• Commitment to continue to involve clinicians
  throughoutdesign development process
• Finish what weve started
• Look ahead to logical next steps, real delivery
  within the strategy.

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Questions ?