Technology enhancements and implementations for 2016 were:
Quantifi, utilized by the Pharmacy Enterprise is a web-based documentation
tool for pharmacist’s and pharmacy technician’s activities,
medication errors and adverse drug reactions. The program standardizes
data collection and allows the health care system to analyze trends and
make important decisions regarding pharmacist and pharmacy technician’s
impact on clinical and economic outcomes. Pharmacists and pharmacy technicians
are encouraged to document their activities within the tool after completing
their activities. This program was most recently implemented at Jersey
City Medical Center and RWJ New Brunswick Campus.
Sentri7 Expansion and Upgrade
Sentri7 is a real-time clinical surveillance and decision support web-based
platform that pulls information in real-time from disparate hospital information
systems and alerts pharmacists about possible intervention opportunities.
Sentri7 aggregates data from our Electronic Medical Record, lab and other
clinical systems on a continuous basis, so potential issues are flagged
quickly and pharmacists can focus on improving care rather than analyzing
data feeds. It is also customized to mirror system-wide and individual
workflows, and provides a platform to aggregate data analysis.
Sentry 340B Optimization
Sentry DS 340B Software: To manage the program, our 340B eligible facilities
track data feeds such as inpatient or outpatient status, patient and prescriber
eligibility, clinic location, Medicaid status, drug identifier, quantity
dispensed and sends these data to the Sentry DS 340B software program.
This software uses logic based on configurations chosen by RWJBarnabas
Health to virtually separate 340B from non-340B transactions after they
occur. The software determines from which account each transaction should
be reordered. In 2016, the health system completed an extensive optimization
program allowing for seamless auditing functions to maintain the highest
compliance standards as mandated from Health Resources and Services Administration.
Simplifi 797: USP 797 is an enforceable federal guideline which provides
comprehensive quality standards for the procedures used in sterile compounding
areas. Increased attention to USP 797 compliance in the wake of several
major, well publicized investigations of compounding facilities has elevated
the stakes for pharmacists and pharmacies that compound sterile medications.
RWJBarnabas Health utilizes Simplifi 797, a comprehensive web-based quality
management system which helps meet the requirements of USP 797. It facilitates
the ongoing compliance of training, procedures and documentation essential
to patient safety and risk mitigation. In 2016, the decision was made
to expand this program to all facilities within Robert Wood Johnson Affiliates.
Pharmacy Medication Replacement Program
Pharmatek is a vendor who provides a technology-driven drug recovery program.
This was implemented across several affiliate hospitals in June 2016 for
our uninsured patient population. New workflow processes were also rolled
out including collaboration between Corporate Pharmacy and the system
business office, IT&S Revenue Cycle and the affiliate sites to ensure
eligible accounts are identified appropriately to maximize drug recoveries.
Pharmacy Charge Reconciliation Program
PharmaLink is an integrated technology platform that identifies potential
medication billing discrepancies. This was fully implemented across several
affiliate hospitals in July 2016. A new process was developed to flag
any existing accounts that have already been internally identified to
avoid any duplication of efforts.
LifeCare Patient Controlled Analgesia (PCA) Pumps
LifeCare Patient Controlled Analgesia (PCA) Pumps were purchased and fully
implemented by May 2016 which included MedNet “smart pump”
software and the ability to set-up standard concentrations, dosing units
and dose/rate limits. The pharmacy team developed a drug library integrating
hard and soft limits to improve drug library compliance and prevent programming
errors. The team also created customized vial label templates for the
acute care service line hospitals to optimize barcode scanning accuracy.
Executive Pharmacy Council Share Drive
Executive Pharmacy Council Share Drive was established on the network drive
in 2016. This share houses pharmacy enterprise documents to offer a secure
and central location for storing information and files. It also allows
multiple members to access and maintain data on a spreadsheet or database.
Pyxis MedStation ES
Pyxis MedStation ES is an automated dispensing cabinet system that was
rolled out throughout 2016 across several Acute Care Service Line facilities
with over 228 MedStations converted from legacy Pyxis 4000. Pyxis MedStation
ES has a user-friendly touchscreen that improves overall nursing workflow
by reducing time to first dose. These devices facilitate accurate cart-fill
dispensing and improve inventory management.
Sunrise Clinical Manager (SCM) Conversion
Sunrise Clinical Manager (SCM) Conversion Acute Care Service Line facility
RWJ Somerset converted from Cerner Millenium to Allscripts Sunrise Clinical
Manager in October 2016. The pharmacy team at Somerset and New Brunswick
assisted with the formulary build and order set creation, 24/7 support
during the first week post go-live and implemented an NDC crosswalk to
automate the Medicaid and Managed Medicaid NDC billing requirements. Corporate
Pharmacy worked with Decision Support to develop and review a daily charge
monitoring report used to provide pre and post go-live charge analysis
across all departments. This report quickly helped identify areas of focus
where charges may be missing or charging inaccurately. The Corporate Pharmacy
team also provided on-site and remote support post go-live and worked
collaboratively with the Somerset pharmacy department, Revenue Integrity
and Patient Accounts to ensure that any medication billing issues were
resolved in a timely manner.