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Advisor
Posts: 29
Registered: ‎07-28-2011
0

Pharmacy Documentation Webinar

[ Edited ]

Thanks for joining our webinar with Robert Adamson, PharmD, on "Practice Models and Efficiencies in Clinical Pharmacy Documentation."

 

View the on-demand webinar or download the slides.

Have a question for our speaker? Post it here and Robert Adamson, PharmD, will answer for a limited period of time.

Advisor
Posts: 29
Registered: ‎07-28-2011
0

Re: Pharmacy Documentation Webinar

Rob, here are some questions we were not able to get to in our live presentation:

 

1. How often are your interventions reviewed/evaluated?  Do you assign a category, outcome, and significance rating to each intervention?

 

2. Can you elaborate on Clinical workflow for Clinical staff: report driven?  reviewing all patient profiles?  Ie how does the pharmacist plan their day?  thanks

 

3. Is documentation done at work or home?

 

4. Is any of your follow up or documentaion on paper or is all your work done and saved on quantifi.  Is your clinical staff's documentation paperless?

Advisor
Posts: 29
Registered: ‎07-28-2011
0

Re: Pharmacy Documentation Webinar

MMcDaniel also asks: Your comments regarding the value of the heparin to warfarin conversions were interesting.  How did you determine the number of uncompensated patient days related to the need to stabilize the INR?

Expert
Posts: 2
Registered: ‎10-17-2011
0

Re: Pharmacy Documentation Webinar

Thanks to all of you for your thoughtful questions.  Below are the answers to each of you who submitted a question:

 

 

How often are your interventions reviewed/evaluated? 

 

We review our interventions on a quarterly basis for the system level by each facility. Several facilities review their interventions on a monthly basis.

 

 

Do you assign a category, outcome, and significance rating to each intervention?

 

Each of our interventions are assigned a category but we do not assign significance or outcomes on a consistent basis

 

 

2. Can you elaborate on Clinical workflow for Clinical staff: report driven?  reviewing all patient profiles?  Ie how does the pharmacist plan their day?  thanks

 

The staff have an assigned floor(s) where by they review the associated labs for each patient under their care as well as review the patient chart. The next step is to review the rules that have been built in the Sentry 7 product to see if there is any opportunities with their patients. From there they attend their daily rounds with the attending and multidiscipline of clinicians. At that point they act on their opportunities and mitigate any pending issues.

 

 

3. Is documentation done at work or home?

 

The majority is done at the facility but there are some of my co-workers who do this at home. Documenting at home is not what we strive for and are currently trying to determine the barriers that prevent them from doing this at the facility. A solution at one of our facility we are piloting is having time budgeted on the schedule several time a week (Minutes blocks) that are dedicated to ADR, Med Error and interventions documentation.

 

4. Is any of your follow up or documentation on paper or is all your work done and saved on quantifi.  Is your clinical staff's documentation paperless?

 

Currently almost all document on some paper system and then enter that into the program at a later date.  We are exploring the possibility of using a tablet platform i.e.. IPAD that may offer a more portable solution to avoid the paper documentation and then electronic documentation

Expert
Posts: 2
Registered: ‎10-17-2011
0

Re: Pharmacy Documentation Webinar

MMcDaniel also asks: Your comments regarding the value of the heparin to warfarin conversions were interesting.  How did you determine the number of uncompensated patient days related to the need to stabilize the INR?

 

This opportunity was identified by our Medicare coordinator who looked at denied days and then categorized them into those related to medication and those that did not. She told us that due to a slow transition from Heparin to warfarin we were denied days as well as decreasing our reimbursement from the acute care rate to the skilled nursing facility rate ($1400 down to $150).  Our system business office and reimbursement group has been very helpful in this area.