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  • Update ASHP #Midyear2009

    Today was a good day for informatics at ASHP Midyear.

    Pharmacy 2.0: How the Web is Changing How We Practice
    This was a great session moderated by John Poikonen (@poikonen), PharmD or RxInformatics.com. John defined Pharmacy 2.0 as the combination of ASHP’s practice model, participatory medicine, health reform, and self-reform, i.e. changing the way you work. In an interesting move Poikonen asked the audience how many of them were familiar with the term “hashtag” and mentioned the use of #Midyear2009 as a way to follow the meeting on Twitter. Unfortunately very few pharmacists raised their hand to acknowledge the term. I wish we had a way to quantify the number, but it was only 10-20 in a crowd of a couple hundred. It’s obvious that the crowd had an interest in the subject by their presence, but as I already suspected pharmacy has a long way to go before we can be considered tech savvy.

    Todd Eury (@toddeury) of Pharmacy Technology Resources and Pharmacy Web 2.0 presented on “Healthcare System Communications Evolution: Pharmacy and Web 2.0”. In his presentation he introduced many of the most commonly used social media available today; specifically LinkedIn, Twitter and Facebook. He did an excellent job of defining their role in pharmacy practice and communicating not only their benefits, but pitfalls as well. One thing of particular interest in Eury’s presentation was the need to monitor your online reputation and occasionally “Google yourself”. Try it; you’ll be surprised at what you find.

    Kevin Clauson (@kevinclauson), PharmD of Nova Southeastern University College of Pharmacy presented “A Pharmacist’s Web 2.0 Toolkit for Information Management.” He covered the use of RSS Readers, like Google Reader, PeRSSonalized, and Clinical Reader, as well as Twitter and Evernote as a way for pharmacists to keep up with the ever changing world of information that we have to digest and assimilate. I consider myself pretty well versed in the ways of the web, but Kevin offered up some great pearls of wisdom that I can immediately put into practice.

    The final segment of the Pharmacy 2.0 session was a video presentation by Dr. Daniel Sands (@drdannysands) in which he spoke about physician’s use of social media and the web to communicate with his patients. He also covered ways that patients can get involved in their own healthcare through the use of online societies specific to their condition. Dr. Sands spent several minutes in the video interviewing physicians in his own practice about their views on social media and its impact on their relationship with patients. Not surprising some physicians spoke positively about the technology, while others were not so flattering.

    Pharmacy Informatics Education Networking Session
    This session offered up some of the most interactive discussion that I’ve been involved with during my time here at Midyear. The discussion centered on what informatics education standards should be for pharmacy students and how that should translate into a “qualified informatics pharmacist”. It was interesting to see the difference in opinions from pharmacist to pharmacist. While I won’t go into exactly what was covered I think everyone in that room needs to remember that pharmacists are highly educated clinicians that deserve to practice informatics at that same level. A <insert title here; clinical informaticist, Informatics pharmacist, pharmacy informaticist, clinical informatics pharmacist, medication management informaticist> should not be the guy sitting in a cubicle writing reports day in and day out, or the guy that has to edit each line item in the pharmacy information system because “G” should be “GM”. The <insert title here> should be the individual involved in making sure that systems are designed to include pharmacy workflow, that the reports being written provide the necessary information to be clinically relavent, that current clinical standards are adhered to during implementation of new systems, be the representative at the table during discussions of integration and interoperability of hospital systems, etc. Pharmacy informatics is a young discipline and a step in the wrong direction can harm the profession for years to come.

    Informatics Bytes 2009: Pearls of Informatics
    This session, which is still going on, has a little bit of everything when it comes to pharmacy informatics and patient safety. They announced that the session would be recorded. Maybe they’ll even create a podcast out of it; one can only hope.

  • Exhibit Hall ASHP #Midyear2009

    I finally had an opportunity to roam around the exhibit hall at the ASHP Midyear today. Of course I had to sacrifice a session to attend, but it was worth it. If you’ve never been in the exhibit hall at one of these events you owe it to yourself to check it out.
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  • Update ASHP #Midyear2009

    The first, and most interesting, session I attended today was “Integrating Technology to Improve Medication-Use Patient Safety”. The session was sponsored by Hospira and consisted of three separate speakers covering areas of the medication–use process where breakdowns typically occur. The focus was on closed-loop medication administration. I’m sure there are different opinions on what closed-loop medication administration is, but for our purposes it consists of orders from the time written until the medication is administered to the patient. Many technologies were discussed, including computerized provider order entry (CPOE), bar code medication administration (BCMA), intelligent infusion devices (IIDs), and electronic medication records (EMRs) among others.
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  • Talyst User Group – ASHP #Midyear2009

    Tonight’s ASHP activity consisted of attending the Talyst User Group. It was a pretty big turnout, probably three times the size of the one I attended in Chicago in June.
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  • ASHP Midyear 2009 – “The Plan”

    I’m sitting in the airport waiting for my plane to board and getting my agenda together. Below is my plan of attack for my time in Vegas. Of course it’s all just speculation at this point as I have an affinity to stray from my plans based on what I find interesting.  I also need to find some time for the exhibit hall, where I will undoubtedly waste countless hours wondering around checking out all the cool technology.

    Sunday
    – Talyst User Group, 2:00 – 5:00 PM

    Monday
    – IV Sedation in the Intensive Care Unit: Applying Pharmacoeconomic Principles, 6:15-7:45 AM
    – Opening Session, 9:00-10:30 AM
    – Integrating Tech to Improve Medication-Use and Patient Safety, 11:30AM – 1:30 PM
    – Does the Shoe Fit? Selecting Robotic IV Technology for Pediatric Sites, 2:00-5:00 PM
    – Section Advisory Group on Ambulatory Care Informatics Networking Session, 5:15-6:15 PM
    – Pharmacy OneSource Happy Hour, 5:30-7:00 PM

    Tuesday
    – BCMA: Inpatient & Outpatient Trends, Metrics, and Innovations, 8:00-9:30 AM
    – On the Bleeding Edge of Technology: Overcoming Implementation Challenges with Informatics, 10:00-11:00 AM
    – Section Advisory Group on Pharmacy Operations Automation Networking Session, 11:15 AM – 12:30 PM

    Here’s where it get fuzzy. There are 4 sessions in the 2:00-5:00PM slot that I want to attend; not sure what I’m going to do just yet.

    – Redefining the Practice Model: Where Have We Been, Where Do We Go? 2:00-5:00PM
    – Rule of Thumb: A Look at Positive ID, Secondary Authentication, and Health IT Regulation, 2:00-4:00 PM
    – Powerful Impact of Human Factors Engineering on Medication Safety, 2:30-4:00 PM
    – More Than a Vending Machine: Effectively Planning and Implementing Carousel/Packager Technology, 4:00-5:00 PM

    Wednesday
    – Pharmacy 2.0: How the Web is Changing How We Practice, 8:00-9:45 AM
    – Section Advisory Group on Pharmacy Informatics Education Networking Sessions, 11:15 AM – 12:30 PM
    – Informatics Bytes 2009: Pearls of Informatics, 2:00-5:00 PM

    Unfortunately I return home on Wednesday night, which means I will miss the following sessions that I would like to attend, especially the first one listed.

    Thursday
    – Does Current Technology/Automation Need to Change to Advance Pharmacy Technician Dispensing? 9:30 AM -12 NOON
    – Strategies for Successfully Implementing ADMs and CPOE into the Medication Management System, 2:00-4:00 PM

  • “What’d I miss?” – Week of November 29th

    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

    Entering and making pediatric drips for pharmacists working in an adult hospital can be a real sphincter tightener. Pharmacists that aren’t accustomed to working with pediatric patients feel a little bit uneasy when an order shows up for a customized dopamine, dobutamine, etc. I remember working in a pediatric facility where we did this kind of thing all the time and no one gave it a second thought. We used a combination of two standardized concentrations, hi and low, for each commonly ordered drip. For code blue situations we often used the “Rule of 6’s”, which is now discouraged by the Joint Commission.
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  • Verizon, you gotta love ’em

    eWeek: “Not only did it recently experience a win over disgruntled competitor AT&T, in being allowed to continue airing some cheeky ads, and then enjoy a jump in consumer opinion, but in a Dec. 1 statement, Consumer Reports revealed that Verizon was named the preferred carrier by the people it surveyed in 26 cities for its cell-phone-focused January issue.” – T-Mobile was second, while Sprint and AT&T tied for third. This is consistent with what I’ve heard around the hospital. I was previously assigned a Verizon mobile broadband card. Unfortunately our facility decided to move away from Verizon a couple of weeks ago and go with AT&T and Sprint. I am now using a Sprint 598U Wireless USB Plug and the performance and connectivity are terrible. While in Vegas last week I was unable to connect to the hospital VPN secondary to poor coverage and lack of speed. I couldn’t even check my email. I ended up using the browser on my Droid. My Verizon card never gave me any problems, ever. I spoke with a nurse today in our IT department who was assigned an AT&T mobile broadband card after previously using one from Verizon. Her story was similar to mine; bummer. It looks like I really need to set up my Droid to tether.

  • Quick Hit – “I don’t see the icon”

    blind_computerSeveral times on this blog I have discussed the need to advance pharmacy through the use of new and exciting technologies. Yesterday I experienced something that brings light to the reason pharmacy practice is still in the Stone Age, where it may live forever.

    We had a minor pharmacy system upgrade yesterday. The system was down for about 45 minutes. Although minor, the upgrade required the removal of the previous version of the pharmacy software prior to installing the new version. Overall the process went smoothly. However, within a few minutes of giving the pharmacists the all clear I began receiving phone call after phone call because the upgrade “didn’t work” and they couldn’t “get into Siemens”. The problem: the install client failed to put the shortcut icon for the pharmacy system on their desktop. Seriously, that’s the problem? Wow!

    The “problem” brought the pharmacy to a standstill. So, the next time you talk about carousel technology, automated packaging, or clinical decision support software, remember that many pharmacists still struggle with using a computer; a device that is common in nearly every household in America.

    I bet Steve Jobs doesn’t have these problems. ;-)

  • The tech-check-tech model to improve clinical practice

    pharm_logo2Earlier this year the American Journal of Health-System Pharmacy published “A vision statement by the ASHP Section of Pharmacy Informatics and Technology”. The statement represents thoughts on the current state of pharmacy practice and contains a healthy dose of ideas on how technology can help support and improve pharmacy practice.
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