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
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
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
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: [email protected]: www.healthenterprises.org
Acknowledgment to Kelly Kolker as a content contributor for this prentation.