Technology in Pharmacy Education & Learning SIG Using an Electronic Health Record to Simulate Real-World Experiences in Therapeutics and Skills Laboratory Courses
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Technology in Pharmacy Education & Learning SIG Using an Electronic Health Record to Simulate Real-World Experiences in Therapeutics and Skills Laboratory Courses
Presenters Keith Christensen (Moderator) Sam Augustine Kim Begley Amy Pick TIPEL SIG SGChair Gary Thielman
Objectives Describe the benefits of the use of an electronic health record (ehr) in achieving educational outcomes in students throughout the curriculum Demonstrate the application of the ehr for the delivery of information necessary to prepare a medication therapy management plan for a therapeutics case study in lieu of paper-based documents
Objectives Describe the development and implementation of the Electronic Laboratory Manual approach to simulating pharmacy practice and skills development Describe the use of the laboratory sequence as a means of demonstrating student achievement of educational outcomes and applicability to curricular assessment
Technology in Pharmacy Education & Learning SIG Development and Use of an Electronic Health Record Keith Christensen, Pharm D, BCPS Associate Professor of Pharmacy Practice & Internal Medicine Creighton University School of Pharmacy and Health Professions School of Medicine
Background Case content delivery for a Pharmacotherapeutics course previously consisted of information contained within a single document Many health-systems are now adopting electronic health records for storage of health record information Education regarding the navigation of a health record would be beneficial i for the didactic learning environment
Electronic Health Records (ehr) There are many companies developing proprietary ehr software solutions Available for purchase/installation in a health-system setting Some require local storage of the data, others are cloud-based solutions where storage is off-site Acquiring an ehr for use in the classroom may prove to be difficult as not many companies have developed d that t solution Lowes R. Top 10 Cloud-Based EHRs. Medscape Medical News, http://www.medscape.com/viewarticle/763894; Accessed June 12, 2012.
Local Development Our quest was to develop an ehr system for use in our classes and classrooms that would introduce the concept of information retrieval from an electronic database to the learning process Implemented in our Pharmacotherapeutics sequence and also utilized by our Pharmacy Skills Lab sequence Customizable for other courses and for courses in other disciplines US Patent Pending, SYSTEM AND METHODS FOR EFFICIENTLY DEVELOPING THERAPY DECISION MAKING SKILLS; September 2, 2009: Number 61/275,771.
Description Access database platform with planned conversion to an SQL database platform User level access (students) and administrator level access (faculty) Case information entry using de-identified patient Case information entry using de-identified patient information collected from 4 th year pharmacy students and preceptors
Utilization Used in the Pharmacotherapeutics sequence as a method for students to retrieve needed case information to assess and optimize drug therapy Introduces the concept of using an ehr for information retrieval Allows for a real-world experience in searching through an ehr for relevant information vs. case information given in a document
Demonstration
Technology in Pharmacy Education & Learning SIG Pharmacy Practice Skills Lab Electronic Simulation Manual Kimberley Begley, RPh, Pharm D Assistant Professor of Pharmacy Practice Creighton University School of Pharmacy and Health Professions Sam Augustine, RPh, Pharm D, FAPhA Professor, Pharmacy Practice Creighton University School of Pharmacy and Health Professions
Laboratory Layout
Lab Content Pre-lab review of session Rotation sequence 9 out of 14 lab sessions were stations Timed: 8 minutes per station with distractions Graded real time with QuestionMark; faculty/alumni volunteer feedback; rubric assessment Post-mortem (post-lab review)
Simulation Rotation Phone Interaction Voice Mail Live Prescription Verification Sterile Preparation Verification Calculations Case OTC Drug Utilization Review Patient Case QuestionMark Quiz Brown Bag/Drug Utilization Review Prescription Entry Patient Assessment Patient Counseling New Medication Medication History
e-voice Mail
Live Communication
Prescription Verification
Prescription Verification 1. Joseph Clark -- Ceftazidime Looking at the physician order and what was entered into the pharmacy system (typed on the label), was the correct information entered? Yes No Did the technician choose the correct IV solution? Yes No Did the technician choose the correct volume of IV solution? Yes No Did the technician choose the correct medication? Yes No Was the dose of ceftazidime drawn up correctly? Yes No
e-prescription Verification
Live Prescription Verification
Live Prescription Verification
Live Sterile Product Prescription Verification
Drug Utilization Review
Brown Bag Instructional Videos Students Faculty
e-brown Bag
e-brown Bag
Live Brown Bag
Live Drug Utilization Review
Brown Bag Rubric
Remediation Videos
Medication Therapy Management Mirixai
Pharmacy Management Systems (Prescription Entry) Cerner Etreby Prescription Entry Patient Profile Prescription Processing Self-Care Recommendations QS1 Prescription Processing Hard copy scanned Patient Profile Prospective/Retrospective DUR Clinical decision to fill or override
Advantages/Disadvantages g Cerner Etreby ADVANTAGES Used at CUMC Outpatient Pharmacy In-house IT support DISADVANTAGES Expense Training version Not universally used License number limitations QS1 ADVANTAGES Free Used by most independents Prescription scanning DISADVANTAGES Off site support Longer response times
Communication Phone Verification Patient Counseling Patient Histories Electronic Order Entry Verification
Ignatian Values Assessment EDUCATIONAL OUTCOMES Professionalism, Citizenship, and Leadership Critical Thinking Communication Patient Assessment Medication Therapy Management Dispensing i Medications - Drug Information Public Health Health Systems
Introduce, Reinforce and Demonstrate Pharmacy Skills Lab has responsibilities in Reinforcement and Demonstration Application i to our Pharmacy Curriculum (Educational Outcomes) Assessment Plan
Pharmacy Curriculum (Educational Outcomes) Assessment Plan EO Measure When By whom Data sent to: 7. Dispensing Area 2 scores Post graduation Dean Program Medications from NAPLEX (Summer) Assessment -Dispense Committee drug MPJE scores Post graduation Special Program products (Summer) Assistant to the Assessment consistent Dean Committee with patient APPE Year 4 Office of Program needs and (Dispensing & Semesters 7-9 Experiential Assessment patient safety Medication Education Committee in harmony preparation with the law. scores) Skills Lab - Years 1-3 Instructors of Program Dispensing Semesters 1-6 Record Assessment Committee
7. Dispensing Medications 7.1 Identify drug products by their generic, brand, and common names. 7.2 Determine whether a particular drug dosage strength or dosage form is commercially available and whether it is available as nonprescription. 73Accurately 7.3 interpret the prescription, select the appropriate dosage form, route and method of administration, and appropriately package and label the product. 7.4 Utilize appropriate resources to select drug products and devices. 7.5 Identify and communicate appropriate information regarding drug effects, packaging, storage, handling, administration, and disposal of medications. 7.6 Identify and describe the use of equipment and apparatus required to dispense and administer medications. 77Explain 7.7 the role of technology and apply it in the dispensing process. 7.8 Utilize appropriate resources to determine equivalence among manufactured drug products and identify products for which documented evidence of inequivalence exists. 79I 7.9 Interpret t and comply with federal and state t law in the practice of pharmacy. 7.10 Describe and apply techniques and procedures related to drug preparation, compounding, and quality assurance. 7.11 Identify and use resources, components, and equipment necessary to properly prepare compounded medications and maintain quality assurance. 7.12 Identify and describe devices required to monitor medication therapy and patient outcomes.
Technology in Pharmacy Education & Learning SIG Development and Use of Multimedia in the Instruction of Cases Amy Pick, Pharm D, BCOP Associate Professor of Pharmacy Practice Creighton University School of Pharmacy and Health Professions School of Medicine
Pain Management Electronic review of conversion calculations in pain management Interactive case studies
Pain Conversion Calculations Website Videos JingPro OneNote Comments
Assessment of Pain Management Therapeutic Outcomes Training Using a Multimedia Interactive Case Rationale: Learning varies among students Shift in teaching from traditional didactic lectures Role of technology Distance education
Development Case prepared in PowerPoint Recorded videos using Flip Video HD Use of Wavepad and djing Options given for all questions/answers ispring Pro Winstream
Pain video Video
Comments on Interactive Case Feedback Future Explore other topics Remediation purpose Brown bag review
Questions
Technology in Pharmacy Education & Learning SIG: Using an Electronic Health Record to Simulate Real-World Experiences in Therapeutics and Skills Laboratory Courses CODE: HHP4N6