Technology in Pharmacy Education & Learning SIG Using an Electronic Health Record to Simulate Real-World Experiences in p and Skills Laboratory y Therapeutics Courses This is a reminder that this session is being recorded and synchronized to speaker materials for future viewing on the AACP Online Learning Center. As an attendee benefit, the AACP Online Learning Centre is available to you FREE FREE. This online resource allows you to catch up on sessions you missed, review key information at your own pace and helps you continue your professional development year-round. Stay tuned St t d for f a post-conference t f emailil with ith iinstructions t ti for accessing your complimentary content. Visit the Registration and Information desk for more details. Technology in Pharmacy Education & Learning SIG Using an Electronic Health Record to Simulate Real-World Experiences in p and Skills Laboratory y Therapeutics Courses Presenters • • • • Keith Christensen (Moderator) Sam Augustine Kim Begley Amy Pick • TIPEL S SIG G Chair C a – Ga Garyy Thielman e a 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 ld b be b beneficial fi i l ffor th the did didactic ti llearning i 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 d developed l d th thatt solution l ti 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 • C Customizable t i bl ffor other th courses and d ffor courses iin 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 information collected from 4th 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 i f information ti given i iin a d documentt 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 y ((typed yp 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 Mi i Mirixa 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 g Cerner Etreby QS1 ADVANTAGES – Used at CUMC Outpatient Pharmacy – In-house IT support ADVANTAGES – Free – Used byy most independents – Prescription scanning DISADVANTAGES − Expense p − “Training version” − Not universally used − License number limitations DISADVANTAGES – Off site support pp – Longer response times Communication − Phone Verification – Patient Counseling – Patient Histories – Electronic El t i O Order d Entry Verification Assessment EDUCATIONAL OUTCOMES • • • • • • • • • • Ignatian Values Professionalism, Citizenship, and Leadership Critical Thinking Communication Patient Assessment Medication Therapy Management Di Dispensing i Medications M di ti Drug Information P bli Health Public H lh Health Systems Introduce, Reinforce and Demonstrate Pharmacy Skills Lab has responsibilities p in Reinforcement and Demonstration • Application A li i to our Pharmacy Ph Curriculum C i l (Educational Outcomes) Assessment Plan Pharmacy Curriculum (Educational Outcomes) Assessment Plan EO 7. Dispensing Medications -Dispense drug products consistent with patient needs and patient safety in harmony with the law. Measure When By whom Data sent to: Area 2 scores from NAPLEX Post graduation (Summer) Dean MPJE scores Post graduation (Summer) APPE (Dispensing & Medication preparation scores) Skills Lab Dispensing Year 4 Semesters 7-9 Special Assistant to the Dean Office of Experiential Education Program Assessment Committee Program Assessment Committee Program Assessment Committee Years 1-3 13 Semesters 1-6 Instructors of Record Program 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. 7 3 Accurately interpret the prescription 7.3 prescription, select the appropriate dosage form 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. 7 7 Explain the role of technology and apply it in the dispensing process 7.7 process. 7.8 Utilize appropriate resources to determine equivalence among manufactured drug products and identify products for which documented evidence of inequivalence exists. 7 9 Interpret 7.9 I t t and d comply l with ith ffederal d l and d state t t llaw iin th the practice ti off pharmacy. h 7.10 Describe and apply techniques and procedures related to drug preparation, compounding, and quality assurance. 7.11 Identifyy and use resources,, components, p , and equipment q p necessary y 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, Pick Pharm D, 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 C t Assessment of Pain Management Therapeutic Outcomes Training g Using g 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 U off Wavepad W d and d Ji Jing • Options given for all questions/answers • iSpring Pro • Winstream Video • Pain 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 El t i H Health lth R Record d tto Simulate Real-World Experiences in Therapeutics and Skills Laboratory Courses CODE: HHP4N6