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A Self-Assessment Tool for Hospitals that Use Electronic Medication Management Systems
Herbert Down BSc(Pharm) CHIA Project Manager, e-Health and Medication Safety
for Hospitals that Use Electronic Medication Management Systems - - PowerPoint PPT Presentation
for Hospitals that Use Electronic Medication Management Systems - - PowerPoint PPT Presentation
A Self-Assessment Tool for Hospitals that Use Electronic Medication Management Systems Herbert Down BSc(Pharm) CHIA Project Manager, e-Health and Medication Safety What is the Commission? The Commissions Work NSQHS Standards (second
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The Commission’s Work
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NSQHS Standards (second edition)
Clinical Governance Standard Partnering with Consumers Standard Preventing and Controlling Healthcare-associated Infection Standard Medication Safety Standard Comprehensive Care Standard Communicating for Safety Standard Blood Management Standard Recognising and Responding to Acute Deterioration Standard
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Medication Management Cycle
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EMM Guide and Business Requirements
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Presentation of information
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Lessons Learnt about EMM systems
- EMM remains one of the most complex change projects
a health service will undertake
- Poor project management and unclear communication
will deliver a poor implementation
- EMM is not a ‘set and forget’ system – go live is just the
beginning of the journey to delivering those benefits promised in the original business case
- Begin planning for quality improvement and system
- ptimisation from before go-live to avoid the data
tsunami
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Scoping an EMM SAT
- Literature review to identify international examples
- Consider the Australian EMM environment
- Identify the characteristics of the SAT required to be useful to
hospitals taking into account:
- Australian medicine safety priorities
- Australian EMM system implementations as well as the
Australian EMM landscape
- Electronic Medication Management Systems – A guide to safe
implementation (third edition )
- Some comparable Australian surveys and assessment tools
- The NHS England Digital Maturity SAT
- The Leapfrog Group CPOE Evaluation tool.
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Leapfrog Group
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NHS Digital Maturity SAT
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Developing the SAT
- Health Services Medicines
Expert Advisory Group provides technical advice and
- versight
- Structure of the SAT based
- n the approach used in the
Standards
- Domains and indicators
- Validation and testing
- Workbook and improvement
plan template
SAT Domains Executive support Governance Infrastructure Integration of core systems Security of access Role delineation Useability and workflow optimisation Medication reconciliation Transfer of care medicines Use of Australian standards Clinical decision support EMM policies and procedures Access and review of EMM data including adverse events, near-miss prescribing events Use of continuous quality improvement to optimise EMM workflow, medication safety, education and training Ongoing EMM support
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Benefits of the SAT
- Immediate and useful feedback
- Monitor, evaluate and improve the EMM system fits with
accreditation activities:
- Standard One - Governance
- Standard Four - Medication Safety
- Structured and standardised approach to system improvement
- Potential to share and improve future iterations
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Acknowledgements
- The Commission would like to the thank the following
individuals
– Steve Saunders, Principal Consultant, Closed Loop & Associates – Neville Board, Chief Digital Health Officer, Department of Health and Human Services, Victoria.
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