Lessons Learned: What Health-System Pharmacists Can Learn from the VA Informatics Experience
Track:
Educational Sessions
Program Code: 273-L04
Date: Tuesday, December 9, 2008
Time: 2:00 PM to 5:00 PM EST
Location:
S230F
MEETING PLANNING ASSOCIATE:
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Lynn Sanders, PharmD, PBM Director for Clinical Informatics, Department of Veterans Affairs
In my position as the National Pharmacy Benefit Management Director for Clinical Informatics and Pharmacy Re-engineering, I have extensive experience with use of various aspects of pharmacy informatics. These include areas such as, electronic health records, e-prescribing, data analysis and reporting, education and training, medication management (including order entry, and dispensing)and electronic billing.
I also participate with a number of national organizations such as HITSP, working of the development of a national health record in support of the President's plan to complete by 2010.
I have participated with NCPDP SIG groups to develop National terminology standards to improve health care data sharing across organizations.
I am a member of the ASHP Section on Pharmacy Information and Technology Planning Committee for Midyear 2008.
PRESENTER(S):
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Jeff Ramirez, Pharm D., Pharmacy Benefit Management Associate Chief Consultant, Department of Veterans Affairs
Denis (Jeff) Ramirez is the Associate Chief Consultant Pharmacy Benefits Management, Department of Veterans Affairs. He is responsible for the Clinical information systems used by the pharmacies in the Department of Veterans Affairs. He has additional policy responsibilities for Long Term Care, Controlled Substances, and JCAHO liaison. He has served as an alternate and delegate to the House of Delegates and has been on the Council on Professional Affairs. Dr. Ramirez was instrumental in the VA developing and deploying the Bar Code Medication Administration system throughout the VA Health Care System for which the VA was awarded the Pinnacle Award in 2002. As the VA member to the National Coordinating Council for Medication Error Reporting and Prevention he promoted the FDA adoption of Bar Codes on all pharmaceutical packaging.
Dr. Ramirez has been a recipient on two other Pinnacle Award teams for Katrina.org in 2006 and NCCMERP in 2007.
He completed his Bachelors and Doctor of Pharmacy Degrees at the University of the Pacific School of Pharmacy. In 1974 he completed an ASHP accredited residency in Clinical Pharmacy at the VA Medical Center in San Diego. He has served as a Clinical Pharmacist, Residency Director, and supervisor at various VA facilities prior to assuming a management position in Washington, DC.
Lynn Sanders, PharmD, PBM Director for Clinical Informatics, Department of Veterans Affairs
In my position as the National Pharmacy Benefit Management Director for Clinical Informatics and Pharmacy Re-engineering, I have extensive experience with use of various aspects of pharmacy informatics. These include areas such as, electronic health records, e-prescribing, data analysis and reporting, education and training, medication management (including order entry, and dispensing)and electronic billing.
I also participate with a number of national organizations such as HITSP, working of the development of a national health record in support of the President's plan to complete by 2010.
I have participated with NCPDP SIG groups to develop National terminology standards to improve health care data sharing across organizations.
I am a member of the ASHP Section on Pharmacy Information and Technology Planning Committee for Midyear 2008.
Ronald Schneider, RPH, MHA, Pharmacist, Bar Code Resource Office, Department of Veterans Affairs
Ronald Schneider received a BS in Pharmacy and a Masters Degree in Health Care Administration from the University of Maryland. He worked in retail pharmacy for 20 years before joining the VA in 1988. He held many staff positions in the Pharmacy Service in Washington, DC. He was the project manager for Bar Code Medication Administration (BCMA) implementation at the VAMC, Washington DC. He is a member of the VA BCMA Development Team and a national trainer for BCMA. He has presented many presentations to various Pharmacy organizations on patient safety, BCMA and the VA Computerize Patient Record System. In February 2005, he joined the VA Bar Code Resource Office as a Pharmacist Consultant.
Robert Silverman, Pharm D., pharmacist, Department of Veterans Affairs
Rob Silverman is a program manager within the VA's national Pharmacy Benefits Management Clinical Informatics office. He has been involved with several high profile projects for VA, including the June 2008 release of software reports designed to assist with medication reconciliation, and an ongoing cooperative pilot with the DEA to establish electronic prescribing for controlled substances. For the previous nine years, Rob worked as a Clinical Applications Coordinator at Hines VA Hospital near Chicago, IL with involvement beyond pharmacy applications to include the VA's clinical reminders system (electronic guideline and performance indicator monitoring) and the clinical documentation program as well. In the last two years, Rob began hosting a national training program about the M (MUMPS) computer programming language utilized by the VistA electronic medical record, with an aim to help users and IT support personnel communicate at a more common level.
Christopher Tucker, RPH, Director Bar Code Resource Office, Department of Veterans Affairs
Chris L. Tucker, RPh., is the Director of the Bar Code Resource Office (BCRO) within the Veterans Health Administration Office of Information (VHA OI). His office provides strategic direction for both Bar Code Medication Administration (BCMA) and other bar code applications such as Clinical Laboratory, Anatomic Pathology, and Blood Administration. He received his pharmacy degree from Kansas University in 1979 and a Masters Certificate in Project Management from George Washington University’s School of Business and Public Management in 2003. Mr. Tucker was an Industry Adviser in the Prescription for Change Series, First Do No Harm for the Clinical Initiatives Center of the Advisory Board Company, Washington, DC. He is also a member of the Executive Council for the Patient Safety Reporting System administered by the National Aeronautics and Space Administration (NASA) Ames Research Center, and co-chairs a Global Trade Identification Number (GTIN) Healthcare Users Group for GS-1 (formerly the Uniform Code Council). He has been involved in software development for medication administration bar coding since 1994.
LEARNER OUTCOMES:
Describe how the intertwining of bar code technology throughout the VA pharmacy and medication administration system benefits and medication management and patient safety.
Describe how VA uses alerts, templates, consults, clinical reminders, and interventions for optimizing treatments, medication reconciliation, and the prevention of drug-associated adverse events while improving patient outcomes.
Describe the VA's approach to identifying defects, deficiencies, and new requirements that resulted in system enhancements and improvements.
Describe the VA's formulary process, approvals, restrictions, use, and monitoring through the VHA information system.
List two clinical decision support tools that can be incorporated into an electronic order entry and medication management system.