Nova Scotias Drug Information System College of Dental Hygienists - - PowerPoint PPT Presentation

College of Dental Hygienists AGM

Nova Scotia’s Drug Information System

May 24, 2015

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• Dr. Rod Wilson, Physician Advisor

Judy Sampson, Change Management Lead

ER Community Pharmacy Specialist GP / NP Optometrist Midwife Dentist / Dental Hygienist

Other Health Care Providers

Today

Patient:

• Ms. Clark

Silos of Patient Medication Information

Hospital Community Pharmacy Optometrist Midwife Dentist / Dental Hygienist

DIS Practice Model

Contributing and Consuming Patient Medication Information

Drug Information System

Patient Medication Profile

…the future…

Physician / Nurse Practitioner

What is the Drug Information System

The Drug Information System is made up of two components:

1. A provincial ‘repository ‘ of medication information that lives in SHARE (Stream 1)

– The repository contains a medication profile for every Nova Scotian (and others) who has a prescription filled in a community pharmacy in the province that is connected to DIS

2. A ‘portal’ to access the medication profile in the provincial repository (Stream 2)

– The Drug Information System Portal is used to:

• Add information to or update information in a patient’s medication

profile

• Prescribe medications electronically (e-Prescribe)

Repository

DIS Portal

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Drug Information System - Access

The Drug Information System medication profile can also be accessed through:

1. The SHARE Clinical Portal (Stream 2)

– See information in a patient’s medication profile (view-only access)

• A new tab in SHARE: ‘Community Med Profile’

2. Community Pharmacy Systems (Stream 1)

– Add information to or update information in a patient’s medication profile

3. Electronic Medical Record Systems in Physician offices (Stream 3)

– Add information to or update information in a patient’s medication profile – Prescribe medications electronically (e-Prescribe)

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Dental Hygienists Access

• Dental Hygienists will access DIS through

the DIS Portal

– Initially will only be able to view the patient profile through the DIS Portal – Eventually will be able to:

• Add information to or update information in a patient’s medication

profile

• Prescribe medications electronically (e-Prescribe)

Access will be available in hospitals and in Private Healthcare Organizations (e.g., Physician clinics)

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DIS Medication Profile

• The medication profile will automatically include:

– Prescriptions Dispensed by Community Pharmacies connected to the DIS – e-Prescribed Drugs & Devices

• If entered by a healthcare provider*, the medication profile may also

include:

– Other Medications (e.g., OTCs, Drug Samples, Natural Products) – Allergies & Intolerances – Adverse Drug Reactions – Immunizations – Medical Conditions – Patient Observations – Patient Notes – Pharmacy Professional Services (e.g., smoking cessation) – entered by community pharmacies only

* Dispensary staff in community pharmacies and healthcare providers with access to the DIS Portal.

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DIS Rollout Streams

Stream 1 – Connecting Community Pharmacies

• Dispensary staff access DIS through their pharmacy software
• Rollout start: November 2013
• Rollout end: All community pharmacies must be connected by

June 30, 2016 (149 connected @ May 13, 2015) Stream 2 – Access in Hospital and in Community

• Healthcare providers access DIS through the DIS Portal or the

SHARE Clinical Portal

• Rollout start: Late summer/fall 2015
• Rollout end: Ongoing as healthcare providers request access

Stream 3 – Connecting with Physician EMRs

• Physicians and their staff access DIS through the Electronic

Medical Record (EMR) system in the Physician’s clinic

• Rollout start: Dependent on EMR vendors
• Rollout end: Ongoing as physician clinics request connection

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Stream 2 - Rollout Approach

DIS Access in Hospital and in Community

Phase 1 – Pilots (Specific Communities & Users)

• Pilot DIS access in two rural communities
• Will include a small number of healthcare providers in hospital and in the

community

• Will include e-Prescribing with the local community pharmacies

Phase 2 – Targeted Communities

• Roll out DIS in specific targeted communities; will include e-Prescribing
• Communities targeted will be those where the majority of community

pharmacies are connected to the DIS

• Will be available to all healthcare providers in private healthcare organizations

in the targeted communities

• Will be available to all healthcare providers in hospital as determined by the

hospital/zone Phase 3 – DIS available across Nova Scotia

• Will occur once all pharmacies are connected to DIS
• Will include e-Prescribing
• Available to all healthcare providers in hospital and in

community as requested

DIS Portal SHARE Clinical Portal (Community Med Profile tab) 7

Questions/Comments

Contact us: DIS@novascotia.ca See our website: novascotia.ca/dhw/dis

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