1 Nova Scotia’s Drug Information System College of Dental Hygienists AGM Dr. Rod Wilson, Physician Advisor Judy Sampson, Change Management Lead May 24, 2015
Silos of Patient Today Medication Information GP / NP Specialist ER Other Health Care Community Providers Pharmacy Patient: Ms. Clark Dentist / Optometrist Dental Hygienist Midwife
DIS Practice Model Contributing and Consuming Patient Medication …the future… Information Hospital Drug Information Physician / Community Nurse System Pharmacy Practitioner Patient Medication Profile Optometrist Dentist / Dental Hygienist Midwife
2 What is the Drug Information System The Drug Information System is made up of two components: A provincial ‘ repository ‘ of medication information that lives in 1. SHARE (Stream 1) – The repository contains a medication profile for every Nova Scotian (and others) who has a prescription filled in a community pharmacy in the province that is connected to DIS A ‘portal’ to access the medication profile in the provincial 2. repository (Stream 2) – The Drug Information System Portal is used to: • Add information to or update information in a patient’s medication profile • Prescribe medications electronically (e-Prescribe) DIS Portal Repository
3 Drug Information System - Access The Drug Information System medication profile can also be accessed through: 1. The SHARE Clinical Portal (Stream 2) – See information in a patient’s medication profile (view -only access) • A new tab in SHARE: ‘Community Med Profile’ 2. Community Pharmacy Systems (Stream 1) – Add information to or update information in a patient’s medication profile 3. Electronic Medical Record Systems in Physician offices (Stream 3) – Add information to or update information in a patient’s medication profile – Prescribe medications electronically (e-Prescribe)
Dental Hygienists Access 4 • Dental Hygienists will access DIS through the DIS Portal – Initially will only be able to view the patient profile through the DIS Portal – Eventually will be able to: • Add information to or update information in a patient’s medication profile • Prescribe medications electronically (e-Prescribe) Access will be available in hospitals and in Private Healthcare Organizations (e.g., Physician clinics)
DIS Medication Profile 5 • The medication profile will automatically include: – Prescriptions Dispensed by Community Pharmacies connected to the DIS – e-Prescribed Drugs & Devices • If entered by a healthcare provider * , the medication profile may also include: – Other Medications (e.g., OTCs, Drug Samples, Natural Products) – Allergies & Intolerances – Adverse Drug Reactions * Dispensary staff in community – Immunizations pharmacies and healthcare – Medical Conditions providers with access to the DIS – Patient Observations Portal. – Patient Notes – Pharmacy Professional Services (e.g., smoking cessation) – entered by community pharmacies only
6 DIS Rollout Streams Stream 1 – Connecting Community Pharmacies • Dispensary staff access DIS through their pharmacy software • Rollout start: November 2013 • Rollout end: All community pharmacies must be connected by June 30, 2016 (149 connected @ May 13, 2015) Stream 2 – Access in Hospital and in Community • Healthcare providers access DIS through the DIS Portal or the SHARE Clinical Portal • Rollout start: Late summer/fall 2015 • Rollout end: Ongoing as healthcare providers request access Stream 3 – Connecting with Physician EMRs • Physicians and their staff access DIS through the Electronic Medical Record (EMR) system in the Physician’s clinic • Rollout start: Dependent on EMR vendors • Rollout end: Ongoing as physician clinics request connection
Stream 2 - Rollout Approach 7 DIS Access in Hospital and in Community Phase 1 – Pilots (Specific Communities & Users) • Pilot DIS access in two rural communities • Will include a small number of healthcare providers in hospital and in the community • Will include e-Prescribing with the local community pharmacies Phase 2 – Targeted Communities • Roll out DIS in specific targeted communities; will include e-Prescribing • Communities targeted will be those where the majority of community pharmacies are connected to the DIS • Will be available to all healthcare providers in private healthcare organizations in the targeted communities • Will be available to all healthcare providers in hospital as determined by the hospital/zone Phase 3 – DIS available across Nova Scotia DIS • Will occur once all pharmacies are connected to DIS Portal SHARE Clinical • Will include e-Prescribing Portal (Community • Available to all healthcare providers in hospital and in Med Profile community as requested tab)
8 Questions/Comments Contact us: DIS@novascotia.ca See our website: novascotia.ca/dhw/dis
Recommend
More recommend
