Author: Jerry Fahrni

  • Hypatia research study only states the obvious

    EMR Daily News: “Hypatia Research, LLC today released a report entitled “What Healthcare CIOs Need to Know About ARRA & EHR: Healthcare Technology Solutions & Service Providers”. Beyond the obvious value of centralized access to patient data, Hypatia Research discerned that electronic records systems provide health providers with multiple benefits: 1. ACCURACY& ERROR-CHECKS; 2. REPORTING; 3. MEDICAL NOWLEDGE-BASE; 4. NEAR-TIME ACTIONABLE INSIGHT” – If your CIO needs a research firm to understand what an electronic records system should provide, then you’re healthcare system is in deep doo-doo. This is all basic stuff that should have been on the radar long ago.

  • Cool Technology for Pharmacy

    It’s not uncommon for our pharmacy to unit-dose liquid medications from a bulk bottle; 5mL Donnatal oral syringes, 20mL SMX/TMP and 15mL chlorhexidine unit-dosed cups, etc. Pulling up oral syringes and filling unit-dose medication cups is a manual and time consuming process.
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  • Thoughts on speech recognition in pharmacy

    I still work in the pharmacy on occasion. It keeps me up to date with changes that I’ve made to various pharmacy systems and gives me the opportunity to make sure my pharmacist skills haven’t evaporated. One thing it doesn’t do is get me away from my current technology related duties. In fact it puts me closer to the action and even more accessible to pretty much everyone, which means I spend a majority of my “staffing” time dealing with things related to our automation; carousel picks and loads, packager fills, compunder checking, labeler input and checking, minor troubleshooting, etc. It’s not that someone else can’t do it, but that’s the way it works out.
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  • Sabotaging an idea – hybrid clouds?

    InformationWeek: “What if, instead, applications throughout the data center could run at closer to 90% utilization, with the workload spikes sent to cloud service providers (a process called “cloudbursting”)? What if 85% of data center space and capital expenses could be recouped, with a small portion of that savings allocated for the expense of sending those bursts of computing to the public cloud? This tantalizing possibility–enterprise IT organizations managing an internal cloud that meshes seamlessly with a public cloud, which charges on a pay-as-you-go basis–embodies the promise of the amorphous term cloud computing. Step one with virtualization has been server consolidation. The much bigger benefit will come with the ability to move workloads on and off premises. “Anyone can build a private cloud,” says Rejesh Ramchandani, a senior manager of cloud computing at Sun Microsystems. “The gain comes if you can leverage the hybrid model.”” – So much for the purity of the cloud. I’ve read several articles lately that refer to “hybrid” or “private” clouds. Crud, my hard drive at home is a “private cloud”. I can partition it, virtualize it, and grant other users access to it. The very idea of a dynamically scalable and virtualized service over the internet disappears quickly when you begin to tie these services to local infrastructure. Having data reside locally for a short period of time to improve retrieval makes sense, but that information should eventually move to the cloud where it stays until needed again. The article above goes on to talk about the lack of standardization in the development of the cloud model. It sounds like everyone is headed in a different direction. I really hope the trend doesn’t continue as I think carving the cloud up into different models to suit your needs will only dilute a really good idea. Creating hybrid and private clouds will ultimately lead to another group of segregated services and a complete waste of the theoretical advantages of the cloud.

  • Best iPhone / iPod Touch Applications for Pharmacists

    iPhone_pharmappsThe iPhone and iPod Touch have created quite a wave in healthcare, and along with the wave has come a plethora of healthcare applications. The user interface on the iPhone/iPod Touch combined with the ease of accessing applications on Apple’s iTunes store and the relatively inexpensive nature of most applications, have made these devices a favorite among healthcare professionals.

    With the volume of healthcare related applications available, I’m surprised at how few I actually use. I spend quite a bit of time surfing the app store looking for new applications that I can apply to pharmacy. I’ve downloaded numerous applications, but have deleted most for one reason or another.

    My “research” has led to the list below of applications that I find most useful as a pharmacist.

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  • “What’d I miss?” – Week of September 6th

    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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  • Cool Technology for Pharmacy

    The Capsule Machine

    profill_capmachineCapsule machines don’t exactly automate the process of filling capsules from scratch, but they sure do speed up the process. Anyone that has spent time punching capsules by hand will appreciate what a capsule machine can do for you. They are a real time saver.

    Devices like these are used almost exclusively by compounding pharmacies and typically make up to 100 capsules at a time. Sure there are bigger capsule machines out there, but they typically aren’t used in community based pharmacies. I spent many hours in just such a pharmacy using capsule machines to make all sorts of things for both human and animal consumption. I don’t know how many thousand capsules I made, but rest assured it was a lot.
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  • Pediatric labels for bar code medication administration (BCMA)

    One of the questions marks surrounding BCMA, known as MAK in Siemens language, is how to label pediatric oral syringes. Unlike most adult unit-dosed medications, pediatric dosages come in a variety of sizes. Where an adult patient may receive 25mg of captopril, a pediatric patient may receive a range of doses based on weight (0.15-0.3 mg/kg/dose for infants). The captopril tablet used by adults is barcode ready from the manufacturer. The pediatric dose, on the other hand, is not. For pediatric patients we compound a 0.75mg/mL oral suspension and pull the doses into oral syringes based on the provider’s order. Captopril is only one example as we do the same for hydralazine, spironolactone, propranolol, sildenafil, etc.
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  • “What’d I miss?” – Week of August 30th

    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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  • Cool Technology for Pharmacy

    medminder_mayaMaya from MedMinder looks like and ordinary medication organizer with 28 separate compartments representing a week’s supply of medication (7 columns = 7 days/week x 4 rows = AM/Noon/PM/HS). The device uses wireless technology to update MedMinder’s central database with the patient’s medication activity. Patients and caregivers can access this information via the web or receive emails and text messages with reminders and reports.
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