Angliss Box Hill Healesville & Maroondah Peter James Wantirna Yarra Ranges Yarra Valley Turning Spectrum Hospital Hospital District Hospital Hospital Centre Health Health Community Health Point

OPPORTUNITIES AND CHALLENGES TO INTEGRATING MEDICATION RECONCILLIATION INTO AN ELECTRONIC MEDICAL

RECORD

Maryanne Molenaar – Eastern Health, Victoria

CERNER IN VICTORIA

HealthSMART = Cerner + DoH + 4 Agencies

CERNER IN VICTORIA

ehCare – Eastern HealthCLOVER – Peninsula Health

ROMEO – Austin HealthCerner- RVEEH

ehCare

• Discharge and outpatient prescriptions for all 5 sites: BHH, MH, AH, PJC, WH

• Inpatient MAR for 2 sites: PJC and WH

Medication Reconciliation in Cerner

In Cerner, Medication Reconciliation is the

process of:

• converting Home Medications onto the

MAR • converting medications from the MAR onto

a discharge prescription

Medication Reconciliation Challenges

• Drugs with a duration• The option to CONTINUE a medication

does not produce a prescription• No quantity for medications on conversion

to a discharge prescription• Incongruity between dose unit and

dispense quantity

Medication Reconciliation Challenges

• Current medication catalogue build does not have state Hide / Show rules applied

Drug Catalogue

Primary

M-Synonym = Primary + strength + form

Y-Synonym = M-Synonym + pack size

Brand / Trade

N-Synonym = Trade + strength + form

Z-Synonym = N-Synonym + pack size

Medication Reconciliation Challenges

• Current medication catalogue build does not have state Hide / Show rules applied

• Medications in CareSets and Power Plans

Opportunities from Challenges• Eastern Health is keen to make Medication

Reconciliation happen

• Start with Discharge Medication Reconciliation

• Electronic Medication Reconciliation would benefit the Pharmacy with their communication about patients transferred between sites.

Opportunities from Challenges

• Pressure on DoH to implement HIDE /

SHOW rules

• Prompt of ‘duration’ for medications with a

duration

• Training for prescribers to ignore the

‘CONTINUE’ options

• Review medications in CareSets and Power

Plans

• Find a solution to the blank quantity

challenge

Thanks to…

Melina Kung and Laura Fanning

Megan Zigomanis