Jerry Fahrni

Pharmacy Informatics and Technology

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Year end thoughts for 2010

Posted on December 31, 2010 by Jerry Fahrni
4 Comments

2010 brought many new and exciting changes not only in my personal life, but in the world of pharmacy and technology as well. I’ve learned many new things, gained some new skills, made some new friends, explored the world of social media more deeply, traveled more than ever before and discovered that I once again know nothing. I am more excited about next year than I ever thought possible.

Below is a list of opinions I’ve gathered over the past 12 months. Some are pharmacy related, some are technology related, some are personal, and some are just random thoughts.

And here we go…
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Categories: What'd I miss | Tags: Android, Apple, Bad, box office, Football, iPad, Pharmacy, Smartphone, Tablet PCs

The National Drug Code (NDC) is a gremlin in the works of pharmacy

Posted on November 24, 2010 by Jerry Fahrni
9 Comments

The National Drug Code, or NDC number as it’s affectionately called in pharmacy, is a set of numbers used to uniquely identify “human drugs and biologicals“. Every pharmacist is familiar with the NDC number, but if you’re not it’s basically a  unique number assigned to each package of medication. It’s an 11 digit number in a 3-segment format, i.e. XXXXX-XXXX-XX.

The first segment consists of five digits and indicates the manufacturer of the drug. The second segment is four digits used to identify the medication and strength. And the final segment of two digits represents the package size.
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Categories: Medication Safety, Pharmacy Informatics | Tags: Bad, Barcoding, BCMA, BPOC

What to do, the case of the unhappy pharmacist

Posted on October 19, 2010 by Jerry Fahrni
7 Comments

I read an article today at the CEO Blog of the American Pharmacists Association (APhA) that talks about the predicament of the retail/community pharmacist.

According to the post “Pharmacists feel it when they’re asked to fill hundreds of prescriptions per shift, provide immunizations on demand, make outbound calls to promote adherence with patients and to do so with less technician help because management just saw another big contract pricing level get cut. And pharmacists are feeling less respected as the supply of pharmacists has increased and employers find positions are easier to fill.”
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Categories: Uncategorized | Tags: Bad, Pharmacy Future

Standardized Numerical Identifiers (SNIs), say what?

Posted on September 29, 2010 by Jerry Fahrni
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A couple of weeks ago a friend and colleague shot me an email asking me if I’d heard about the new “pedigree stuff on barcoding”. I consider myself pretty well informed for the most part, but I had no idea what she was talking about. Upon further inquiry she sent me a PDF document titled “Guidance for Industry Standards for Securing the Drug Supply Chain – Standardized Numerical Identification for Prescription Drug Packages” (the SNI document). The document is also available in non-PDA format at the FDA website here. I asked other pharmacists about the SNI document while at the Siemens West Coast User Group Meeting on September 16, but no one had a clue what I was talking about; not event the Siemens product manager that was in attendance.
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Categories: Barcoding | Tags: Bad, Barcoding, BCMA, BPOC

Don’t miniaturize your application, redesign it instead

Posted on September 9, 2010 by Jerry Fahrni
5 Comments

Anyone that’s read this blog knows that I am a fan of mobile devices and touchscreen technology; from the smartphone to tablet PCs and the iPad. My love affair with mobile technology actually began with the HP 200LX palmtop computer when I was in Pharmacy School. I couldn’t believe that something so small could have so much power; funny now, but a marvel at the time. Now fast forward to early 2000 when I purchased a TRGpro, my first Palm OS device, and never looked back.
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Categories: Mobile Computing | Tags: Bad, Mobile phone, Tablet PCs

Unforeseen barrier to tech-check-tech endeavor

Posted on August 25, 2010 by Jerry Fahrni
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I’ve been on a mission, however small it may be, to get pharmacy technicians more involved in the operational aspect of acute care pharmacy. And by more involved I mean using a tech-check-tech model to free pharmacists up for more patient related clinical activities. I’ve posted my thoughts on the use of tech-check-tech before.

The reason for rehashing the issue is due to a conversation I had with a colleague last week. This particular colleague and I were having a light hearted discussion over the possibility of using a tech-check-tech model with automated packagers like those I described in a post earlier this week.
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Categories: Automation | Tags: Bad, Pharmacy Technology

Musings on poor resource management in healthcare

Posted on August 14, 2010 by Jerry Fahrni
1 Comment

I’ve recently had the displeasure of running up against some significantly poor resource management that has had a negative impact on my ability do my job, and it got me thinking about what kind of overall impact poor resource management has on healthcare. I’ve held a full time position as a pharmacist in four hospitals and worked either part time or per diem in two others. That’s a total of six separate facilities in five different cities, so I’m going to assume that I have a fair sampling. No two facilities were the same, but they all suffered from the inability to manage resources, i.e. people, hardware, software, reference material, etc.

I’m sure running a hospital doesn’t come cheap, but I believe you have to create a balance that gives you not only the ability to move forward, but also creates an environment that allows one to perform at a high level.  The problem I see in healthcare is a general lack of foresight when it comes to moving forward.  For example, you can’t purchase a new piece of automation hardware for the pharmacy and expect it to run itself forever at no cost for maintenance, optimization and upgrades. But that’s how we, i.e. healthcare, view things. While I’m general speaking about things related to pharmacy because that’s what I know, the basic principles can be applied to almost anything.
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Categories: Pharmacy Informatics | Tags: Bad, Musings

Quick Hit – CPOE, a pharmacist’s time and laughter

Posted on July 26, 2010 by Jerry Fahrni
10 Comments

We’ve finally stepped off the curb and are moving full speed ahead with our CPOE implementation. As a result I spent quite a bit of time last week with our Siemens assigned CPOE consultant. He’s a pharmacist which makes things nice because we understand each other and speak the same language.

The goal of one of the meetings I attended last week was to discuss the resources necessary to implement a CPOE system. Needless to say the project is going to be resource heavy. When it came time to tease out the IT pharmacist part of the project I was a little surprised at what I heard. The time requirements weren’t surprising – several hundred hours – but where the pharmacist fits into the entire scheme was.
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Categories: CPOE, Pharmacy Informatics | Tags: Bad, CPOE, IT Future, Pharmacy Informatics

“What’d I miss?” – Week of July 4, 2010

Posted on July 9, 2010 by Jerry Fahrni
2 Comments

As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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Categories: What'd I miss | Tags: Bad, box office, iPad, iPhone, Tablet PCs, Therapeutics

“What’d I miss?” – Week of June 20, 2010

Posted on June 25, 2010 by Jerry Fahrni
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As usual there were a lot of things that happened during the week, and not all of it was pharmacy or technology related. Here’s a quick look at some of the stuff I found interesting.
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Categories: What'd I miss | Tags: Android, Bad, box office, Pharmacy, Smartphone, Tablet PCs
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