Transcript ePharmacy Programme: The Chronic Medication Service Alison Strath Principal Pharmaceutical Officer, Scottish Government & David Green ePharmacy Programme Manager.

ePharmacy Programme:
The Chronic Medication Service
Alison Strath
Principal Pharmaceutical Officer, Scottish Government
&
David Green
ePharmacy Programme Manager
Objectives
• To provide an overview of the ePharmacy
Programme
• To describe the GP elements of the
Chronic Medication Service (CMS)
• To share next steps and timelines for
implementation
ePharmacy Programme Overview
ePharmacy Programme
• Minor Ailment Service
(eMAS)
– Live June 2006
• Acute Medication
Service (eAMS)
– Live July 2009
• Chronic Medication
Service (eCMS)
– In progress
Programme Organisation
Ministerial/National IM&T & eHealth strategy
ePharmacy Programme Board
Scottish Government, National Services Scotland,
ePharmacy Programme Manager
(plus other key stakeholders)
Other Programmes
and projects. e.g.
ECS, GPIT
ePharmacy Advisory &
Support Groups:
NHS Boards, Clinicians,
CPS,SGPC, SCIMP
ePharmacy Programme Implementation team
ePharmacy Message
Store & interfaces
ISD Data
Warehouse
PSD ePharmacy
Programme
GP IT system
suppliers x 4
CP IT system
suppliers x 6
Core Infrastructure
GP
(1000)
CHI
NSS PSD
Patient
Registration
Service
A
Information
Services
Division
GP System
Elec msgs
via N3
network
ePharmacy
Message
Store
Payment process
Pharmacy
(1200)
ePay rules engine
A
Forms sent to PSD
CP System
Scanning and message
processing
Delivered to date…
• Minor Ailment Service
– Live in June 2006
– Patients registered electronically
– Prescriptions generated
electronically
– Reimbursement claims made
electronically
• Acute Medication Service
– Live in July 2009
– 98% of all GP practices and
community pharmacies enabled
– 900,000 prescriptions sent
electronically every week (95%
of all prescriptions)
– 92% of prescriptions received in
pharmacies are processed and
claimed electronically
– First full end to end UK ETP
solution
The GP elements of the Chronic
Medication Service
The Chronic Medication Service
Description
• A system of personalised
pharmaceutical care to
patients with long term medical
conditions
Purpose
• To ensure patients obtain
optimal therapeutic benefit
from their medicines and
minimise any predictable
undesirable effects
GP elements of CMS
• Patient registration
– Patient registration notification
• Shared Care
– Serial prescribing
– Feedback
• Dispensing information
• End of Care Treatment Summary
Patient registration
• Process
– A patient can only register with one pharmacy
– Registration is via a central Patient Registration
System (PRS) using the CHI database
– It is underpinned by explicit patient consent
– GP practice receives an electronic registration
notification message
• Eligibility criteria
– Patient must be registered with a Scottish GP practice
– Patient must have a long term condition
• Withdrawal
– Patient can withdraw or be withdrawn at any time
Shared care: serial prescribing
• Initial eligibility criteria
– Age or medical exemption
categories
• The patient’s GP
– decides on their suitability for a
serial prescription
– selects the appropriate dispensing
intervals
• The patient’s pharmacist
– dispenses the prescription in
defined instalments
Feedback
• Patient registration
notification message
• Dispensing information
• End of Care Treatment
Summary
GP
GP System
– summary of all the dispensing
feedback
– any appropriate additional
information
– serial prescription renewal
request (optional)
• Received & queued
electronically in the GP IT
system
Elec msgs
via N3
network
CP
CP System
ePharmacy
Message
Store
Testing prior to roll out:
early adopter sites
• SEF business reviews
• Select one NHS board
• Identify early adopter sites
– GP practices and community pharmacies
– 8 week consolidated end to end testing
• Registration
• Serial prescription
• End of care treatment summary
– Extend to 24 weeks
– Develop toolkit for implementation
Progress to date…
• To date 5 GP practices and 6 community
pharmacies involved
• This month another 3 GP practices and 3
community pharmacies
• Continue the EA testing into next year
• Identify lessons learnt and include in any training
and communication materials
• Produce an implementation toolkit including an
implementation support pack for GPs, CPs
• Commence as a full service in April 2010
• Continue to evolve, learn, improve….
Come and see for yourselves at
the AOA stand……
Demo:
Patient registration, serial prescribing
& dispensing and feedback
Questions…..