Jerry Fahrni

Author: Jerry Fahrni

  • Great Prezi on Evidence Based Health Informatics

    Thanks to Tim Cook over at Google+ for the lead on this one.

    I’m familiar with Prezi’s, but have never created one. I played around with the technology once, quickly became frustrated, and gave up. Anyway, the Prezi below from Dr. Robert Hoyt - Evidence Based Health Informatics » Replacing Hype with Science – has a lot of great information in it.

    Update 3/13/2013: Looks like the presentation was pulled down. Not sure why, but the link is dead. Unfortunate as it was a great presentation.

    Update 8/21/2013: The presentation is back! Dr Hoyt left a comment on this post letting me know that the presentation is up with new and improved content.

    You can see the full presentation here or view it below.

  • Saturday morning coffee [March 9 2013]

    MUG_genericSo much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts….

    The coffee mug to the right isn’t one of my personal mugs. Instead it’s the kind of generic mug you get in cheesy hotel restaurants. And that’s because I’m not at home. I’m in Las Vegas for my daughter’s volleyball tournament. In lieu of that, and the fact that I had to crawl off into a “quiet” corner to open my laptop, I’m going to make this quick.

    Jack the Giant Slayer was #1 at the box office last weekend. Not a big surprise as again there was little in the way of competition at the box office for a second week in a row. Jack brought in a measly $27 Million on its opening weekend. Not too bad, but when you consider the $195 Million production budget that makes it a flop. Yikes! My family and I saw Jack over the weekend. We enjoyed it. Identity Thief continues to do well as it came in second place for weekend box office totals.
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  • CPOE reduces likelihood of error by nearly 50% [article]? I’m skeptical

    There’s quite a bit of talk floating around the internet about a recent article in JAMIA that looks at reduction of medication errors in hospitals secondary to CPOE adoption (J Am Med Inform Assoc doi:10.1136/amiajnl-2012-001241). The article is available for free so I read through it last weekend. By the end I was looking at something that wasn’t all that impressive. The authors use a lot of sleight of hand, i.e. statistical models to tell a story about how CPOE “decreases the likelihood of error on that order by 48%”, which ultimately could potentially lead to a reduction in medication errors by approximately 12.5%”. That would be great, except that the entire thing is based on statistical models, assumptions, survey data and a great big meta-analysis.

    ChiefStatistian
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  • #1 thing to consider when buying pharmacy automation and/or technology…

    There are a ton of things to consider when you’re thinking about putting new technology in the pharmacy. You have to consider the cost, the impact on your operations, the reputation of the company that you’re buying from, what type of technology you’re going to buy, and so on and so forth ad infinitum.

    However, the number one thing you must consider before taking the plunge is whether or not the technology fits your dispensing model. Do you still do a cart fill? Are you completely decentralized? Are you using a just-in-time dispensing model? Will the technology that I’m looking at fit what I hope to accomplish? You need to think about that long and hard before making a decision.

    It’s like buying a new vehicle. You certainly don’t buy a Toyota Prius if you need to pull a 24 foot Centurion Enzo SV244 – a really nice boat – to the lake on weekends. No, instead you buy a new Ford Super Duty truck. I know that makes perfect sense to you, yet I hear people frequently say “it doesn’t fit the way we work” when talking about pharmacy automation and technology. When they say that, the first thing that pops into my mind is “then why did you buy it?”. It’s a question that needs serious consideration because some of this stuff is expensive.

    I experienced this firsthand in my previous role as an IT pharmacist. We installed new technology that didn’t really fit our distribution model all that well. We tried to cram the technology into an manual process. Didn’t work. I fought it for a few months until the light bulb finally went off. Once we got out act together we redesigned the process around the technology. We took advantage of the automation and filled in the gaps where necessary. It fundamentally changed the way we did things, and in the process improved the overall distribution process.

    So before you go and buy a robot, or a carousel, or a high-speed packager, or a compounding machine, make sure you ask yourself how you’re going to use it.  This stuff isn’t top secret. Do a quick Google search. Watch some videos. Talk with hospitals that do the same things as you.

    In a nutshell do your homework before taking the plunge because once you take the plunge and decide you’ve made a mistake you can only do one of two things: 1) change automation, or 2) change the way you work.

  • MedFolio, more medication compliance technology

    Seems like everyone has some piece of technology designed to help patients with medication adherence and/or compliance.

    What’s interesting to me is the number of different approaches there are out there to solve the problem. MedFolio looks similar to the old style medication organizers. It’s probably the most labor intensive solution I’ve seen, but then again it may be the most useful. Hard to say. From the videos I found on YouTube it looks like it’s been around for a while.
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  • Computers, bags and TSA screening

    TPassTag

    Mobile Health Computing: “Electronic devices that are smaller than a standard laptop can stay in your bag. There is no need to pull them out. The TSA told us this back in 2010.” Good to know.

    I was told by TSA that anything with an SSD (vs. a standard HD) can remain in your bag; iPad, Android tablet, eReader, etc. I tried to apply this logic to my laptop, but it didn’t work. The TSA is inconsistent with how they apply the rules. I only travel about 20 times a year, but it can be different from one airport to another. Most handle things the same way, but it’s not 100% across the board.
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  • Saturday morning coffee [March 2 2013]

    MUG_WisconsinWelcome to March everyone. So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts….

    I picked up the coffee mug to the right in Fitchburg, WI last summer while on a business trip. I drove there from Chicago after stopping off to visit a hospital in Winfield, IL. Wisconsin was a pretty nice place to visit in the summer. I wasn’t able to do a bunch of touristy stuff, but I did get a chance to see a movie at one of the nicest movie theaters I’ve ever been in. The theater was big, and it had a piano in the lobby. Strange thing about Wisconsin, they have the nicest highway rest stops I’ve ever used. If you’re ever in California I’d avoid the rest stops; good place to skip.
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  • Cool Pharmacy Technology – AdhereTech “smart pill bottle”

    AdhereTechI came across this today, the AdhereTech “smart pill bottle”. Not sure exactly how it works as the information on the website is a bit vague, but it appears to utilize sensors inside the bottle to measure content. What’s cool about it is that the bottle will provide information on both oral solids as well as liquids. That’s unique in the products that I’ve seen in the past.

    “Our bottles measure the exact amount of pills or liquid in the bottle in real-time, wirelessly send this HIPAA-compliant data into the cloud, and remind patients to take their medication via automated phone call or text message.”

    Medication adherence is a hot topic in healthcare these days, and AdhereTech is obviously trying to take advantage of it. Their blog is full of articles related to the topic.

    I would like to have provided more information on the AdhereTech bottle, but information on the product is scarce. I couldn’t find a single video explaining the product in detail.

    According to Josh Stein, the co-founder and CEO the company is preparing for several pilot projects to test the efficacy of their bottles compared to standard medication vials. The tests are scheduled to start in Q2 of 2013 at Walter Reed Army Medical Center and The University of Pennsylvania.

    One other cool thing about AdhereTech is that they have an open API. “AdhereTech can integrate with all existing apps, programs, and adherence solutions.”

    I’ll be keeping an eye out for updates on this product. It’s an interesting concept. I hope to see it in the wild very soon.

  • Patient collected information and the role of pharmacists

    I had an interesting phone conversation this morning with Kevin Sneed, Pharm.D.(@DeanSneed), Dean at the University of South Florida College of Pharmacy (USF COP). I’ve been trying to connect with Dr. Sneed for a while now, but as you can imagine his schedule is pretty full. Fortunately for me I was able to grab about 30 minutes of his time this morning. And what a great 30 minutes it was. I was so impressed with what he had to say that I’m planning to visit USF COP sometime in the next couple of months to continue the conversation and get a first hand look at what’s going on there.

    While I could expound on our conversation for several pages, one comment that Dr. Sneed made struck me as so profound that I thought I would quickly share it.

    During the conversation we started talking about data, and where it’s coming from. Pharmacy is a data driven science, but never has the data come from so many directions. Dr. Sneed commented that patients are taking control of information these days, and not only are they more informed, but they are generating much of the information that will be used in their care. Patients are becoming connected more and more. This is especially true with the advent of mobile technologies that wirelessly transmit tons of data for everything from exercise regimens, to weight, glucose readings, heart rate measurements, and so on. Dr. Sneed sees a future where patients will present this information not only to physicians, but other healthcare professionals such as pharmacists as well; it will be used as currency to start conversations and facilitate care. I’ve heard people in healthcare refer to data as currency before, but I never really made the connection until now.

    It’s clear that we’re in a new age of heatlchare, and pharmacists need to be prepared to collect this information and utilize it to provide better pharmaceutical care. This may sound superficial on the surface, but it is a very important point. Think of a time, not so far in the future, when pharmacists will have a lot more information about patients at their fingertips. This will likely occur across all pharmacy environments, i.e. outpatient, long term care, acute care, etc. This information will give pharmacists an ever increasing role in direct patient care.

    Something to think about as pharmacists prepare for a future healthcare model that is rich in information provided by their patients. Exciting opportunities lie ahead if we’re prepared to accept them.

  • Saturday morning coffee [February 23 2013]

    So much happens each and every week that it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts….

    MUG_MinneapolisThe coffee mug from the right is straight out of the Twin Cities area, i.e. the Minneapolis-Saint Paul in Minnesota. I picked it up at a Caribou Coffee shop in Minneapolis. Apparently Caribou Coffee is a locally owned business in the Twin Cities area. I have no idea really, but that’s what I was told and the website does list a local address (3900 Lakebreeze Ave N., Minneapolis, MN 55429). The coffee is pretty good I thought the mug looked cool. It was the first time I had ever been to the Minneapolis area. I don’t recommend it as a tourist spot in the winter. It was cold boys and girls. The first night I was there it was a cool 0 (zero) degrees F. One neat thing about the trip was that I got a chance to go to the Mall of America. Impressive place.
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