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Positioning a Paediatric Compounded Non-Sterile Product Electronic Repository (pCNPeRx) within the Health Information
1Meds4Kids Research Collaborative, Ltd, Edmonton, AB T6M 2J9, Canada. rhparrish2@yahoo.com.
Insights
Electronic health records face challenges in transmitting pediatric medication information and managing therapy. This study proposes integrating an electronic repository for compounded non-sterile products into health information technology (HIT) infrastructure to improve medication management and e-prescription fulfillment.
Area of Science:
- Pharmacy informatics
- Pediatric medication management
- Health Information Technology (HIT)
Background:
- Current medication use systems have significant gaps in transmitting electronic, standardized extemporaneous formulations.
- A uniform approach to medication therapy management (MTM) for pediatric patients is lacking.
- The Pharmacy Health Information Technology Collaborative (Pharmacy HIT) identified six key components for pharmacy practice in pediatric medication use.
Purpose of the Study:
- To discuss optimal placement of an electronic repository for pediatric compounded non-sterile products (pCNP) within HIT infrastructure.
- To facilitate and maintain the transmission of electronic prescriptions (eRx) from initiation to fulfillment.
- To propose requirements for maximal interoperability of electronic medication management systems.
Main Methods:
- Literature review and analysis of existing HIT infrastructure components.
- Identification of key positions for housing an electronic repository for pCNP.
- Development of proposed placement requirements for enhanced interoperability.
Main Results:
- Gaps in current systems hinder standardized electronic transmission of pediatric medications and MTM.
- An electronic repository for pCNP within HIT can improve medication management.
- Optimized placement and interoperability are crucial for seamless care transitions.
Conclusions:
- Addressing HIT infrastructure gaps is essential for effective pediatric medication management.
- Implementing an electronic repository for pCNP can streamline e-prescription processes.
- Standardized HIT solutions are vital to minimize disruptions in pediatric care.
Abstract:
Numerous gaps in the current medication use system impede complete transmission of electronically identifiable and standardized extemporaneous formulations as well as a uniform approach to medication therapy management (MTM) for paediatric patients. The Pharmacy Health Information Technology Collaborative (Pharmacy HIT) identified six components that may have direct importance for pharmacy related to medication use in children. This paper will discuss key positions within the information technology infrastructure (HIT) where an electronic repository for the medication management of paediatric patients' compounded non-sterile products (pCNP) and care provision could be housed optimally to facilitate and maintain transmission of e-prescriptions (eRx) from initiation to fulfillment. Further, the paper will propose key placement requirements to provide for maximal interoperability of electronic medication management systems to minimize disruptions across the continuum of care.
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