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A Pharmacy Blueprint for Electronic Medical Record Implementation Success.
David S Bach1, Kenneth R Risko2, Frank K Zaran3
1Corporate Vice President, Pharmacy Services, Detroit Medical Center , Detroit, Michigan ; Associate Professor, Pharmacy Practice, Eugene Applebaum College of Pharmacy and Allied Health Sciences, Wayne State University , Detroit, Michigan.
This study outlines pharmacy
Area of Science:
- Health Informatics
- Pharmacy Practice
- Healthcare Systems Engineering
Background:
- Electronic Medical Records (EMR) integration aims to enhance patient safety and quality.
- Limited reports exist on pharmacy's role in multihospital EMR implementation.
- Key EMR components include CPOE, pharmacy verification, eMAR, barcode scanning, and CDS.
Purpose of the Study:
- To detail the pharmacy department's experience in implementing an integrated EMR system across a multihospital network.
- To provide insights into the design, build, deployment, and maintenance phases from a pharmacy perspective.
Main Methods:
- A 9-month planning and build phase followed by a 13-month rollout across 8 hospitals.
- Analysis of medication workflow, drug database management, and clinical order set development.
- Examination of labor requirements and impact on pharmacy practice models.
Main Results:
- Identified critical success factors and guiding principles for EMR implementation.
- Discussed challenges and strategies for medication workflow, database integration, and barcode scanning.
- Evaluated the impact on pharmacy practice and revenue.
Conclusions:
- Adherence to outlined principles can aid pharmacy in EMR development, implementation, and maintenance.
- Incorporating presented practices can facilitate a smoother and more successful EMR integration process.
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