John Poikonen's blog

HIMSS Pharmacy IT Symposium Summary

Last weekend HIMSS sponsored a pharmacy symposium the day before all of the other festivities. Here is a brief summary and links to the PPTs.

First, thanks goes out to Michael McGregory PharmD, MBA for Chairing the event.  I had the honor and privilege to serve with him on the planning committee. 

First up was the Opening Keynote Address: Incorporating Evidence into Decision Making by the wonderful Anne Bobb.  For those of you that do not know her, she is a informatics pro from Northwestern Memorial Hospital in Chicago, but hails from the Great State of Maine.  She had the best line, not only of the day, but of the entire HIMSS week.  Here is a Tweet that was ReTweeted many times through out the week. It only got better from there as she outlined the awesome evidence of CPOE and other interventions with pearls along the way.

Btw, I was live tweeting throughout the day. For a view of what caught my attention during the events check out my Twitter stream that has the hash tag #himss10

 We then had a joint session with our Nursing colleagues for a romp around the medication use process and informatic interventions, entitled Multi-Disciplinary Joint Session: Medication Process, Closing the Loop

Banning Social Media in Hospitals - dumb idea

I came upon this blog post from the CEO of Beth Israel Deaconess Medical Center, Paul Levy.  I would recommend this blog as a very good regular read as well.

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Feedly - Google Chrome extension

Extensions > Feedly

Feedly by @feedly

(2071 Ratings) - 65,888 users - Weekly installs: 13,634

Feedly organizes your favorite sources in a magazine-like start page.

HIStalk Interviews Charlie Harp - Great Read

I share a lot of items around clinical and pharmacy informatics.  While I post these on Twitter, my blogcollaborative blog and public Evernote site, every once in a while a piece comes by that encapsulates multiple thoughts and is just so good it needs to be publicized.  This is one of those times.  Here is an interview of a gentleman I have had the pleasure to speak with a lot lately.  This interview is very good. 

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No More NUPOR Mooing and Musing #8 post

It has been a while since the last muse on NUPOR; that would be Near Universal Pharmacists Order Review.

At the HIMSS Pharmacy IT Symposium, Stan Kent talked very briefly about a feature in an HIS that caught my attention.  While he only mentioned it in passing, it turns out to be very important, perhaps a peak into a potential trend and pharmacy practice model.

There is a ranking algorithm for each drug order that is presented to the pharmacist for review.  It turns out that this algorithm can be ranked by any number of factors.  They use it to prioritize orders for review.  The exact way it is calculated is a mystery at the moment.  I will need to learn more.

While inquiring around, it also turns out that The Netherlands use this algorithm to rank drugs as well.   There is a score under a pharmacist does not need to review the drug order at all!  

This is very interesting and needs confirmation.  So if anyone can shed light on the way The Netherlands handles this, that would be great.

This would be central to looking at a new pharmacist practice model in the U.S.

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The Innovator's Prescription

Jason Hwang  The Innovator's Prescription
  Jason Hwang, MD(20 minutes)  watch video
  • How disruptive innovation may lead to a cure for our ailing health system
  • How decentralization leads to accessibility
  • The futility of adding new technologies to old models
  • The 3 universal business models, and how hospitals don't fit any of them

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BetterHealthLLC's Channel

Here is a quick segment of HIMSS 2010. What I want to point out is that Dr. Val (twitter @drval) is emerging as a Web 2.0 Medical Media guru. This youtube channel and her excellent blog of physicians is well worth checking out.
http://getbetterhealth.com/
http://www.youtube.com/user/BetterHealthLLC

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::Great new Webinars on Patient Safety

New Web-based Continuing Pharmacy Education Activities

As presented at the 44th ASHP Midyear Clinical Meeting & Exhibition

Three Current Topics -
Outstanding Web-based Continuing Pharmacy Education

Integrating Technology to Improve Medication-Use Patient Safety

Begin Activity

For complete activity information, visit ashpmedia.org/symposia/technology

Improving IV Medication Safety: Identifying the Risk Points

Begin Activity

ePatientDave and Omnicell interviews from HIMSS

Just a sample of the diverse and interesting live streaming at HIMSS.   Be patient with the feeds, it is easier than flying to Atlanta.

http://www.ustream.tv/channel/live-from-himss-what-s-hot-in-health-it

 

 

Ominicell

 

 

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Podcasts from AJHP!

More than a year ago. I lobbied AJHP to consider podcasts.  I even went to the extreme to enter a resolution to the House of Delegates to include podcasts.  In a series of public and private communications the Editor of AJHP had 'poor me' reasons why they can not possibly produce podcasts; too expensive, no staff, no expertise, oh poor me. Dude: Newsflash, print media is on life support. I am overjoyed that he was overruled and someone saw the light.  

AJHP Podcasts Feature Authors of Upcoming Articles

Readers may now listen to AJHP podcasts that feature brief interviews with authors of upcoming AJHP articles. Each podcast is 10-15 minutes long and provides additional details about the authors' work and its implications on practice. Readers may listen to these podcasts as streaming audio at www.ajhp.org or subscribe to them through iTunes. Feedback or comments regarding this service can be sent to the Journal's editorial staff at ajhp@ashp.org

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HIMSS 2010 Better Health social media coverage

Yea, Baby!!! Will be tweeting LIVE from HIMSS on Sunday and Monday! Tweets appear in the "News Feed" in the link above, and of course on Twitter http://twitter.com/poikonen and http://friendfeed.com/pharmacy-informatics

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Using YouTube for e-Patient Communications

YouTube ebook  Using YouTube for e-Patient Communications
  Free 40-page e-Book. Click to download
  • Case studies from Ethicon Endo-Surgery, American Cancer Society, Mayo Clinic, US Dept. HHS
  • YouTube tutorial for beginners

FDA Considers Regulating Safety of Electronic Health Systems

FDA Considers Regulating Safety of Electronic Health Systems

First Posted: 02-23-10 08:02 PM   |   Updated: 02-23-10 08:30 PM

Scary possibility from the Huffington Post. I have heard 3 reports from my vendor contacts that this is for real. One FDA official allegedly said that the vendor should not use the term "Clinical Decision Support" as that would trigger an FDA regulation of the software. Ghezzzzz.

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Let's stick to science, please - BCMA and grocery store rebuttal

I really like reading the PointOfCareForum.com, Mark Neuenschwander’s musing.  I enjoy reading John Grisham as well, but would not base the practice of pharmacy on either.  Mr. Neuenshwander’s latest in a long line of non-disclosure of conflict musings on BCMA is entertaining.   While admitting it is trite to compare grocery stores to medication administration he writes an entire article about it.  When it comes to advocating practice, I think it is time to stick to science and leave the emotion, conjecture, and trite analogies to the Pulpit.

Here are some ‘science based’ comments on the points made in the muse.

“Lesson One: Everything does not have to be bar coded to get value from implementing BPOC for medication administrations.”
- This is an excellent point.  It would be extremely interesting to see outcome studies of limited BCMA on IV medications.   I have always wondered the ROI and real outcome, or lack there of, to bar code everything to insure that a patient's lisinopril is given on time.

Evaluation of the Impact of a tele-ICU Pharmacist


Here is a fantastic pharmacist practice model for the future that is here and now at UMass Memorial Medical Center.  I have the honor and privilege of knowing these folks. Their impact goes way beyond ventilator management.

The Coming Revolution Data-Driven, Patient-Centered Health Care

One 2 One Health Media. Prescriptions as easy as 1-2-1.


To follow up on Joe Lassiter's post from http://rxinformatics.com/content/can-texting-improve-care-patients

Here is a innovative service from an old buddy of mine. Check it out, while focused at Pharma, it was some lessons to learn.

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The Checklist Manifesto - Atul Gawande on The Daily Show

For more information and some checklist references here is a link to my Pharmacoinformatics reference list where a "checklist" search has 31 references.

John@Poikonen.NET or
mailto: jp@rxdoc.org | (617) 329.1774 (Google Voice) | http://www.multiurl.com/la/RxInformatics

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Practicing Medicine in the Web 2.0 Era and Wiki's & Blogs in education

Somewhere between, or beyond, these two items lies Pharmacy Practice & Education.
  • The Efficient MD - Life Hacks for Healthcare: Practicing Medicine in the Web 2.0 Era http://ff.im/-f6v97
  • Wikis and blogs: consider the possibilities for education... [J Contin Educ Nurs. 2009] - PubMed result http://ff.im/-f6vg8

Thanks to @Berci via Twitter for both of these.

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