Realisation i deas for an EPMA project Rick Cooper Lead Pharmacist for Electronic Prescribing Rick Cooper Lead Pharmacist for Electronic Prescribing UHBristol NHS Foundation Trust 1000 bed acute teaching hospital ID: 556164
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Slide1
Benefits Realisation
ideas for an EPMA project
Rick Cooper
Lead Pharmacist for Electronic PrescribingSlide2
Rick Cooper
Lead Pharmacist for Electronic PrescribingSlide3
UHBristol NHS Foundation Trust
1000+ bed acute teaching hospital2 large NHS trusts in Bristol (we are one)Development partnership with PAS provider
EPMA project in build and
config
. stage
Pilot to start in 2016
Rick CooperLead Pharmacist for Electronic PrescribingSlide4
Collect data to show:Reduction of paper
Reduction in chart re-writesImproved audit efficiencyImproved anti-microbial stewardship
Reduction in staff journey time
Improved medicine supply from pharmacy
My role in benefits realisation
Rick Cooper
Lead Pharmacist for Electronic PrescribingSlide5
Improved audit efficiency & anti-microbial stewardship
Rick CooperLead Pharmacist for Electronic Prescribing
Adapted existing
audit tool for
antimicrobial rounds
Measurement of time spent on rounds (to be costed)
Record of proportion of patients seen on roundSlide6
Rick CooperLead Pharmacist for Electronic Prescribing
Improved audit efficiency
Ward rounds should change dramatically with EPMASlide7
Improved anti-microbial stewardship
Rick CooperLead Pharmacist for Electronic Prescribing
An estimated 35 antimicrobial prescriptions are ‘missed’ each weekSlide8
Improved medicine supply from
pharmacyRick Cooper
Lead Pharmacist for Electronic PrescribingSlide9
Improved medicine supply from
pharmacyRick Cooper
Lead Pharmacist for Electronic Prescribing
Data was collected for 4 weeks, over 20 consecutive working days on
our two proposed pilot wards
There were a total of
377
items ordered on 138 unique requisitions
Time 1
Time 3
Time 2
Time 4
Time 7*
Time
requested
Drug
chart seen by pharmacy staff
Item transcribed to order sheet
Order
sheet enters pharmacy
Logged
on to
WebTracker
Checked
*data from
WebTrackerSlide10
Rick CooperLead Pharmacist for Electronic Prescribing
Improved medicine supply from pharmacySlide11
Rick Cooper
Lead Pharmacist for Electronic Prescribing
Reduction in staff journey time
Simple tally chart
for all
wards
with
staff
role
when a drug chart
presented to
dispensary
I then walked from every ward to the pharmacy and back and timed my journey Slide12
Rick Cooper
Lead Pharmacist for Electronic Prescribing
Reduction in staff journey time
2 week data collection
period (incl. weekends)
Total of
491
charts brought to the dispensaryEstimated total journey time of 45 hours (49 days a year)
These 45 hours cost
£
1,018.43
(~£27,000 a year
)
Some limitations with the method but still valuable, and data collection was easySlide13
Adapt any existing audit toolsSmall improvements in time may add up to big savings over the course of a year
Keep it simpleTips for measuring benefits
rick.cooper@uhbristol.nhs.uk
Rick Cooper
Lead Pharmacist for Electronic Prescribing