This system should be centered around EMR and clinical processes consisting of ward-related, Nursing Information Systems (NIS) and the non-ward-related Departmental Information Systems (DIS) like Radiology Information Systems (RIS), and Pharmacy Information Systems
The realities of evolutionary clinical IT implementation are keeping CIOs, CMI0s, and pharmacist informaticists very busy these days as meaningful use and healthcare reform mandates push healthcare IT leaders to more fully integrate pharmacy information systems
with their core EHR/CPOE systems.
Integration with other McKesson solutions alerts pharmacists anytime a nurse overrides a patient's profile to dispense medications (from AcuDose-Rx unit-based cabinets) so the dispensing can be recorded in the pharmacy information system
Holy Name Hospital, a 361-bed acute care hospital in Teaneck, N.J., was developing its own pharmacy information system
and wanted to buy just clinical support databases from a vendor.
First, there were significant problems in the first 48 hours with the interfaces between the pharmacy information system
and the Pyxis dispensing cabinets.
PACMED Server+ integrates with the Pharmacy Information System
and unit-based cabinet system to process patient orders, manage inventory and report packaging activity, including sending reports via e-mail.
Today, a clinical pharmacist enters the order into the pharmacy information system
that feeds the dispensing cabinetry, also located on the clinical floors, so meds are readily available for nurses to administer.
Using scanners and e-files, the physician order is sent to the pharmacy information system
. These standalone systems only transmit the order in an image format, but the scanners are very high resolution and allow a pharmacist to zoom in for detail.
When used with the RxScan pharmacy information system
, the RxScan 3800LR NDC bar code scanner scans bar codes on manufacturers' labels and automatically inserts the National Drug Codes for those medications into the pharmacist's prescription-filling system, eliminating keypunching errors and saving time.
With the automation products that we offer - robotic technology and point-of-administration scanning systems just like we see in the retail world and our HIS pharmacy information system
- we can integrate pharmaceutical care so that at the point of prescribing the physician can do a drug utilization review, and at the point of administration the nurse can scan the product to make sure it is the right medication for the right patient at the right time.
Secondly, we anticipated difficulty in interfacing a CPOE system with our pharmacy information system
. Also, we felt the product would be easy to implement and simple for nurses to use.
The products purchased include Cerner's pharmacy information system
, as well as the applications for order management and provider documentation.