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Pharmacy Information System

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It is required to be a pharmacy information system to include : medication administration record, patient profiles, I.V. and TRN tables, medication charges, inventory control, automated admissions and reporting capabilities.
It should help pharmacists to process orders , check drug interactions, maintain inventory levels, check lab test results, create order rules, and comply with government regulations
The Pharmacy module should allow for the setting up of drug formularies, dispensing prescriptions, production of labels and comprehensive reporting for patient profiles and stock consumption. The module should be integrated with the stock control management module.
Furthermore, the Pharmacy module should help pharmacists across the Hospital, process orders, maintain inventory levels, check drug interaction, check lab test results, create order rules and comply with controlled substance regulations

The Hospital may define charge formulas to control percent mark-ups, minimum charges, and handling fees.

 
The following has been extracted from a recent RFP. I've included it here for your reference. It may prove useful for anyone preparing such a document.
Please feel free to comment on this list, and propose any items that you think should have been included in this list. 

 

Pharmacy Module

Description
Pharmacy Module
It is required to be a pharmacy information system to include : medication administration record, patient profiles, I.V. and TRN tables, medication charges, inventory control, automated admissions and reporting capabilities.
It should help pharmacists to process orders , check drug interactions, maintain inventory levels, check lab test results, create order rules, and comply with government regulations
The Pharmacy module should allow for the setting up of drug formularies, dispensing prescriptions, production of labels and comprehensive reporting for patient profiles and stock consumption. The module should be integrated with the stock control management module.
Furthermore, the Pharmacy module should help pharmacists across the Hospital, process orders, maintain inventory levels, check drug interaction, check lab test results, create order rules and comply with controlled substance regulations

The Hospital may define charge formulas to control percent mark-ups, minimum charges, and handling fees.


>>> General
 
1   Maintain accurate, online patient profile
2   Checks for drugs and allergy interactions
3   Prints hospital-defined labels and medical administration records
4   Updates inventory levels and schedules refills
5   Calculates the dose(s) to be dispensed, I.V.drip rates, patient charges, and body surface area ( based on height and weight )
6   Generates drug utilization, revenue, and workload statistics
7   Tracks clinical interventions
8   Generates management reports on demand
9   Accommodates inventory control for multiple facilities
10   Automates drug administration and provides an on-line history
11   Reports recent lab results when a pharmacist or technician enters a medication order
12   Allows flexible order entry
13   Ability to perform patient search for verification purposes ( ex: name, ward and clinic searches)
14   Ability to view patient’s medical history
15   Ability to display alerts and allergies
16   Ability to handle multiple sub-pharmacy departments in the Hospital
17   Allow other authorized departments to view the dispensed drugs/items
18   Support entry of all patient types ( ex: Inpatient , Outpatient , Emergency , Operating Rooms)

>>> Dispensing
 
19   Ability to differentiate between inpatient and outpatient prescriptions (scripts)
20   Ability to generate dispensing labels in English and Arabic
21   Ability to produce the following types of labels :
22   Inpatient labels
23   Outpatient labels
24   Discharge labels
25   Pack labels
26   Automatically calculate quantities required for dispensing , with override capabilities
27   Handling of repeat prescriptions
28   Check for previous quantities dispensed and display warning messages
29   Record drug interactions and appropriately deal with
30   Dispense drugs by batch
31   Handling of bedside prescriptions
32   Ability to dispense narcotic drugs with full authentication
33   Maintain audit trail of dispensed drug
34   Automatically check new I.V. admixture orders for conflicts with patient’s allergies
35   Display online all interaction, duplicate therapy, and incompatibility conflicts for patients
36   Support online acknowledgement of interactions with override control ( and audit trail ) by authorized user
37   Support designation of natural or special medication groupings within formulary
38   Provide online formulary lookup using soundex search method
39   Maintain drug mnemonics in formulary
40   Support option to use bar code readers
41   Support option to maintain and print standard drug specific administration directions on labels
42   Maintain audit trail of persons making changes to I.V. orders
43   Allow online entry of multiple standing IV orders from a single screen
44   Print IV summary update worksheets showing new orders since last printing of worksheet
45   Support varying dosage scheduling methods ( ex: q6h, qid, M>W>F )
46   Allow online changes, suspension and renewal to medication orders without having to re-key all order information
47   Maintain predefined standard order sets ( ex: pre-op medications ) by physician for quick order entry
48   Automatically check and warn of duplicate medication orders
49   Print pharmacist and technician initials on prescription label
50   Provide ability to manually assign prescription numbers by key entry
51   Provide ability to perform price checks without filling the prescription
52   Maintain patient prescription data including : number of days supply
53   Provide ability to override discontinue date
54   Provide ability to increase number of refills
55   Provide ability to detect early refills ( ex: for suspected overuse)
56   Provide ability to specify number of days checked for clinical edit checking
57   Maintain refill data including : days supply
58   Maintain refill data including :co-pay amount ( ex: social security 90% , self 10% )
59   Provide alert for price change when performing refills
60   Provide ability to change drug brands when performing refills
61   Provide ability to accept returns and adjust billing
62   Allow utilization of non-formulary drugs ( under testing )

>>> Patient Demographic Data
 
63   Edit and display of demographic data ( in conjunction with registration module )
64   Automatic transfer of patient’s height, weight, allergies, and other details from the order entry module
65   Ability to define multiple patient profile types
66   Automatic calculation of body surface area

>>> Inpatient Medication Orders
 
67   Schedules medication administration
68   Updates a patient’s active profile and refill lists
69   Checks for drug interactions, drug allergies, incompatible I.V. ingredients, and duplicate medication orders
70   Discontinues orders according to recorded stop dates and times
71   Calculate patient charges, doses to dispense, and I.V. drip rates
72   Updates central, floor stock, and satellite sub-pharmacy inventory levels
73   Allows order entry and final verification by nurses and technicians
74   Allow users to combine medications, dosages, and directions into standard orders
75   Identifies stock medications at all stock locations
76   Identify formulary medications by generic or trade name, NDC number, or mnemonic
77   Checks newly-entered medication allergies against existing medication orders
78   Documents Adverse Drug Reactions ( ADR ) on the patient record independently of allergies
79   I.V. ordering capabilities:- Calculate intravenous ingredient volumes
80   I.V. ordering capabilities:- Calculate nutritional values of Hyperalimentation Fluids (HAF) , ‘custom I.V.s’ and ‘I.V.drip’
81   I.V. ordering capabilities:- Provide dose and volume of drugs to be ordered in cardiac emergency
82   I.V. ordering capabilities:- Produce a Patient Information Leaflets (PILs) , in English and Arabic
83   I.V. ordering capabilities:- Provide option to automatically charge patients at time of order entry
84   I.V. ordering capabilities:- Allow override of standard price in order entry process for special circumstances
85   I.V. ordering capabilities:- Support tracking of charges by user-defined categories ( ex: DRG, antibiotics, floor stock )
86   I.V. ordering capabilities:- Provide ability to change or add to patient coverage without leaving prescription filling screen
87   I.V. ordering capabilities:- Provide ability to price by regular or MOH rates , referencing patient NSSF number
88   I.V. ordering capabilities:- Provide ability to compare inpatient medication profile with discharge prescriptions to detect omissions or inconsistencies
89   I.V. ordering capabilities:- Calculation of charges for each medication order
90   I.V. ordering capabilities:- Assign billing codes for formulary items
91   I.V. ordering capabilities:- Billing inquiry and list
92   I.V. ordering capabilities:- Automatic transfer of charges to billing / account receivable modules
93   I.V. ordering capabilities:- Billing summary by patient
94   I.V. ordering capabilities:- Ability to bill manually for non-formulary drugs ( drugs under research )

>>> Outpatient Prescriptions
 
95   Display profile of active medications
96   Check for drug interactions and drug allergies, incompatible I.V. ingredients, and duplicate medication orders
97   Calculate amount to dispense and update inventory
98   Automatically calculate charges with user-defined charge formulas
99   Produce labels and update profiles
100   Debit / credit outpatient orders
101   Accommodate I.V. order entry
102   Support user-defined outpatient categories for proper outpatient pricing

>>> Drug Details
 
103   Provide online drug formulary details
104   Is the drug formulary BNF standardized
105   If the drug is not BNF standardized can the drug formulary be set up on the system
106   Ability to assign separate drug codes for each type and strength of drug ( ex: Amoxicillin 250 mg as AMOX1 and AMOXICILLIN 500 mg as AMOX2)
107   Ability to support stock particulars and details
108   Allow for accessing drugs using generic as well as trade names
109   Provide ability to query if a drug is covered by third party payer without filling the description ( MOH list of drugs )

>>> Stock Control / Inventory
 
110   Display stock details online
111   Allow stocks to be grouped together ( ex: IV fluids, narcotics etc)
112   Display stock on hand
113   Allow for pack sizes to be clearly identified
114   Stock prices based upon unit of issue
115   Stock prices based on 2 decimal places
116   Allow for batch controls
117   Support automated stock-take procedures
118   Account for full as well as part units for dispensing
119   Handle multiple pharmacy store around the hospital
120   Account for maximum, minimum re-order levels and critical stock levels
121   Warn if stocks are low
122   Warn if drugs are about to expire
123   Accept definition and handling of Donations
124   Produce Stock medications reports to help floor nurse account for drug usage
125   Monthly nurse station charges
126   Drug usage/revenue by location
127   Debit/credit stock medication

>>> Requisition
 
128   Support online inquiries for viewing the status of requisitions at ward/clinics
129   Allow for checking backorders
130   Produce picking slips
131   Account for stock returns
132   Allow for canceling requisitions once ordered
133   Handle inter pharmacy requisitions
134   Accept prices from Ministry Table ( by file )
135   Interface to purchasing / receiving system

>>> Imprest
 
136   Maintain an automated imprest lists for the wards/clinics
137   Automated issue of imprest stock to wards
138   Display maximum stock levels for wards
139   Maintain and record stock levels at wards
140   Support the use of barcodes
141   Create requisitions and picking slips

>>> Query
 
142   Support medication and drugs searches
143   Support selection of inpatient / outpatient for inquiry by ‘scrolling’ through patient names listed on screen
144   Provide online drug lookup screen by trade or generic name within I.V. order processing
145   Online edit/display of all medication orders and profiles
146   Ability to debit or credit, activate or deactivate, and/or discontinue or reschedule orders
147   Up-to-date display of patient’s demographic data
148   Online inquiry of dispensed amounts ( ex: drug orders , refill amounts , dosage , etc.. )
149   Online inquiry of formulary medications ( ex: drug types , vendors , etc..)

>>> Reports
 
150   Print drug utilization review report to analyze drug therapy usage trends and costs
151   Print about to expire list of drugs with user defined period ( ex: one month before expiry date )
152   Print revenue analysis report listing revenues and costs of goods by order type
153   Print suspicion of lost drug report
154   Print drug pricing report
155   Print detailed prescription register report by third party plan
156   Print daily controlled substances report meeting Government requirements
157   Print profit reports with percent margin and profile detail
158   Print drug ranking analysis report listing drugs in activity order by number of prescriptions filled
159   Print prescription transfer report
160   Print drug list in NDC number order
161   Print report showing variance between usual charge and third party allowed charge
162   Automatically update inventory quantities upon posting receipts of ordered drugs
163   Print critical re-order report of items below minimum quantities
164   Print daily controlled substances dispensed report by location
165   Print exception report of significant supplier cost increases or decreases
166   Print vendor performance analysis of orders, back orders, unfilled orders, and turnaround time
167   Drug reports :- Drug profiles per patient
168   Drug reports :- Drugs formulary
169   Drug reports :- Drugs listing by pharmacological classification
170   Drug reports :- Drugs listing by trade names
171   Drug reports :- Drugs listing by generic names
172   Drug reports :- End of month reports
173   Drug reports :- Financial costs of drugs
174   Statistical reports :- Most used drugs
175   Statistical reports :- Least used drugs
176   Statistical reports :- Current year to date figures
177   Statistical reports :- Workload statistics
178   Stock reports :- Stock catalogues
179   Stock reports :- Non stock catalogues
180   Stock reports :- End of month reports
181   Stock reports :- Stock usage
182   Stock reports :- Departmental usage
183   Stock reports :- Current year to date
184   Stock reports :- Audit trails
185   Stock reports :- Price variations
186   Stock reports :- Stock movements with critical levels
187   Inpatient Reports :- I.V. refill lists
188   Inpatient Reports :- Initial orders list
189   Inpatient Reports :- Billing lists with debit/credit transactions
190   Inpatient Reports :- Anticipated medication expiration list
191   Inpatient Reports :- Medication administration record (MAR)
192   Inpatient Reports :- Nurse station worksheets
193   Inpatient Reports :- Debit/credit transaction log
194   Outpatient Reports:- Log of outpatient activity
195   Outpatient Reports:- List of prescriptions awaiting pick-up
196   Outpatient Reports:- List of outpatient charges
197   Outpatient Reports:- Refill list for outpatient locations, same day surgery

>>> Integration
 
198   Interface to an online inventory management system
199   Master patient index
200   Financials
201   Radiology
202   Laboratories
203   Admissions, transfer & discharge
204   Outpatients
205   Purchasing ( procurement ) material management


Last Updated ( Tuesday, 28 October 2008 01:02 )  

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