ePharmacy overview and update

1
ePharmacy overview and update

• Alison Strath Principal Pharmaceutical Officer,
  Scottish Government
• David Green ePharmacy Programme Manager, Atos
  Origin Alliance

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Agenda

• ePharmacy introduction
• Acute Medication Service (AMS ) overview
• Chronic Medication Service (CMS) overview
• ePharmacy update on delivery
• Questions

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ePharmacy Introduction
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ePharmacy delivery programme

• To establish an ePharmacy Programme to underpin
  and support the delivery of the new community
  pharmacy contract (nCPC) and.In doing so
  introduce the Electronic Transmission of
  Prescriptions (ETP) and support improvements in
  the end to end prescribing, dispensing and
  payment processing of prescriptions

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Four core elements, three with IT support

• Minor Ailment Service (eMAS)
• Acute Medication Service (eAMS)
• Chronic Medication Service (eCMS)
• The IT also supports initiatives such as
• ePay (electronic support in payments process)
• Future Shipman requirements
• Future connections to other areas (e.g. Out of
  Hours, other prescribers, the wider eHealth
  strategy)

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ePharmacy programme organisation
Ministerial / National IMT eHealth strategy
ePharmacy Programme Policy GroupSRO Jonathan
Pryce S Gov, NSS, ePharmacy Programme
Manager(plus other key stakeholders)
Other Programmes And projects
ePharmacy Advisory Support GroupsNHS Boards,
Clinicians, CPS,SGPC, SCIMP
ePharmacy Programme Implementation team
ePharmacy MessageStore interfaces
ISD DataWarehouse
PSD ePharmacyProgramme PRS, eMSG, ePay, DCVP.
GP system suppliersX 5
CP system suppliersPMRs x 8
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Core components - System

• N3 network connection
• Central ePharmacy Message Store (ePMS)
• Central Patient Registration System (PRS)
• GP application changes
• CP application changes
• ePay functionality in NSS

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Core components - Support

• ePharmacy helpdesk
• IMT facilitators
• SEF process for GP systems accreditation
• GP and CP support
• National communications and supporting material

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Core components summary2006/8
CHI
NSS
GP
Patient Registration Service
Information Services Division
ePharmacy Message Store
Elec msgs via N3 network
Payment process D C V P
CP
ePay rules engine
Scanning and message processing
Forms sent to PSD
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Acute Medication Service Overview
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AMS with ETP support

• Electronic messages support the existing paper
  forms
• Includes all GP10 prescriptions. Acute and
  repeat
• Electronic message contains same patient
  information as on the prescription form
• Electronic messages are used in the pharmacy and
  by NSS

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AMS with ETP support - Benefits

• Patient safety improved through use of patient
  identifier
• Patient safety maximised by minimising the need
  to re-key information
• Type, accuracy and availability of prescription
  information is improved
• NSS realise significant efficiencies using the
  electronic message

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High level eAMS Process
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eAMS GP10 looks like this
See it working today !
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Chronic Medication Service Overview
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CMS an overview

• Patient registers for the service (and signs to
  provide consent) at a Pharmacy
• eCMS allows prescriber to issue an eCMS master
  GP10 which provides 6 to 12 months regular items
• Pharmacy (at which Patient registered for CMS)
  dispenses without need for repeat prescriptions
• GP practice receives regular compliance
  information plus an end of period patient report
• Reduced paper, reduced GP practice visits, more
  convenient for patient, improved monitoring and
  feedback

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eCMS prescribing at GP practice
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eCMS dispensing Pharmacy
CP managesIntervals and Provision until GP10
time or total prescribed expires
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eCMS Service administration at GP
Daily File By GP Pr.

• Retrieve information for CMS patients from
  ePMS (automated)
• Add information to patient record or view
  only (summary report)
• Review Patient from GP perspective as now
• Respond to repeat requests using prescribing
  process

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ePharmacy Update on Delivery
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ePharmacy Programme Timeline(Aligned to the new
Pharmacy Contract Delivering for Health eHealth
Strategy)
2006 2007 2008 2009
eMAS
Completed
eAMS
FuturesOther Initiatives E.g., Shipman,
OOHNurse Prescribing.
Live implementation Within context of
national And UK changes and in Supplier user
markets
eCMS
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eAMS progress report

• CP systems
• Two Beta testing since October 2007
• Others in development or Fitness for Purpose
• Roll out starts from December 2007
• Circa 150 sites by year end
• Due to complete 30 September 2008 (latest)

• GP systems
• All Completed SEF testing
• 4 completed beta testing
• Roll out of software from September 2007
• Matched to SQL2K/GP2007
• Substantial numbers (200)by year end
• Due to complete 31 May 2008 (latest)

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eCMS progress report

• GP systems
• Start SEF testing November 2007
• Extended FfP including clinicians review
• Beta testing and roll out thereafter
• Due to complete 31 August 2008 (latest)

• CP systems
• Start Fitness for Purpose testing July 2008
• Beta testing and roll out thereafter
• Due to complete 28 February 2009 (latest)

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ePharmacy delivery programme

• A Key national implementation as part of Scottish
  Government Delivering For Health and eHealth sub
  programmes.
• Future commitment to single technology approach
  using standards and integration of clinical
  systems and shared data for patient benefit
• Real progress on a national level, a step change
  in its own right but also a platform for future
  developments and integrated health solutions.

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Questions ?