Pharmacy Track – Day 1

HEALTH ENTERPRISES HEALTH ENTERPRISES PHARMACY SERVICES PHARMACY SERVICES

HERx REMOTE PHARMACY

Health Enterprises OverviewHealth Enterprises Overview Pharmacy

Off-site fully managed 340B program 340B implementation and audit consulting 24/7 real time remote order entry

Lab Core Reference

Mobile Services MRI Stereotactic Breast Biopsy Digital Mammography Imaging Echo/Ultrasound Lithotripsy Bone Densitometry

Why Remote Pharmacy?Why Remote Pharmacy?

Enhance patient safety

Orders are reviewed on a real-time basis

Cost effectively expand flexibility and options in pharmacy staffing

Free up on-site staff for other critical functions and projects

Improve support for formulary and clinical initiatives

Why Remote Pharmacy?Why Remote Pharmacy?

Reduce expenses associated with overtime and recruiting

Provide cost-effective method for achieving compliance with Joint Commission regulations

Meet the increasing standards of med safety and demand for pharmacist review

Minimize increasing labor costs

Current Services Offered by HERxCurrent Services Offered by HERx

Remote Order Entry and Order Verification

Supplemental Remote Staffing

Clinical Services • Renal Dosing• Pharmacokinetics• Pediatric Dosing• IV compatibility/dilution information

Current Services Offered by HERxCurrent Services Offered by HERx

Address medication related questions from physicians and nurses via telephone

Visual Verification Patient’s home medications Medications removed from pharmacy IV product preparation by nursing

Health Enterprises Remote Pharmacy ServiceHealth Enterprises Remote Pharmacy Service

Electronic Medical Records that HERx Electronic Medical Records that HERx currently supports:currently supports:

Meditech

Cerner

Paragon

CPSI

Centriq

Remote Pharmacy ProcessRemote Pharmacy Process

Written orders are received from hospital via eFax

Pharmacist maintains a secure Citrix connection to all hospitals

Pharmacist constantly reviews CPOE order queues and verifies physician and nurse entered orders

Nursing staff and physicians are contacted via telephone with any questions related to the medication orders

Applications Utilized by HERxApplications Utilized by HERx

Doc-q-Ment

Web based, secure

eFax queue for written orders or nurse communications

Documentation of orders entered, interventions, handoff report to on-site staff, basic reports

reference materials for staff

Applications Utilized by HERxApplications Utilized by HERx qPM

provides secure Citrix connections to all hospitals single point to log into all hospitals for our pharmacists provides IT support for hospital connections

Telax Cloud-based contact center Allows for robust reporting, routing of calls, transfers between

pharmacists, caller ID

Lync Used by HERx pharmacists to communicate with each other

during shifts

Handoff CommunicationsHandoff Communications Report generated by Doc-q-Ment at the end of each coverage period

and faxed to the hospital

Contains numbers of orders processed, broken down by CPOE orders and written orders

All interventions performed are listed

Any clinical information that needs to be relayed to the on-site staff is included

Any information about products that need to be obtained for patients is included

Any operational issues encountered during the shift are included

Handoff ReportHandoff Report

Collaboration Among HERx HospitalsCollaboration Among HERx Hospitals

Best Practices

Policies and Procedures

Protocols

Formulary

EMR utilization

HERx TeamHERx Team

14 pharmacists on staff, including Executive Director, Manager, 4 full time pharmacists, 8 part time/per diem pharmacists

Average of 19 years experience across the team

All have at least 3 years recent hospital pharmacy experience

Team includes Clinical Coordinator for 400 bed hospital IT Pharmacist for a 750 bed academic medical center Several former Directors of Pharmacy

Team CompetencyTeam Competency

Per Diem pharmacists required to work minimum number of hours each week

Team and individual training prior to each go-live

Periodic reviews and re-training for each hospital or EMR that we work with

Quarterly or biannual visits from HERx management to meet with pharmacy and nursing staff to discuss opportunities for improvement

HERx Lead PharmacistsHERx Lead Pharmacists Serve as a single point of contact at HERx for the hospital

Assigned based on EMR in place at the hospital

Lead pharmacists serve as the expert on that hospital for the rest of the HERx team

On-site visits at implementation and as needed

Develop reference materials for initial training and new processes

Responsible for relaying new processes/procedures to the HERx team

KPIsKPIs

Cost Cost

Remote pharmacist costs generally XX% lower than hiring additional on-site staff or expanding pharmacy hours

HERx charges by the hour Based on hospital size and anticipated order volume No hidden charges as there can be with “per line” or “per

click” models

No implementation costs

Questions Questions Thank you for your time and attention today. If you have any questions concerning remote order verification operations or other Health Enterprises’ pharmacy offerings please see my contact information below. Thank you!

Aaron Lott, Pharm.D.Executive Director, Pharmacy ServicesHealth Enterprises, LLC

5825 Dry Creek Lane NECedar Rapids, IA 52402Phone: (319) 310-0612Fax: (319) 368-3626Email: alott@healthenterprises.orgWebsite: www.healthenterprises.org

Acknowledgment to Kelly Kolker as a content contributor for this prentation.

Pharmacy

Roundtable &

Idea Sharing Session

Remember tocheck out of your room

beforethe Thursday General

Sessions.

Evening Event:

Meet outside the Conference Center

at 5:30 pm for a hayride to the venue