Download Developing an Informatics Learning Experience for Learners

7/6/2016
TRADITIONAL INFORMATICS ROTATION
2016 ANNUAL MEETING
Developing an Informatics
Learning Experience for
Learners
SEAN PARK, PHARM.D
• Observational
• Watch preceptor do work
• Go to meetings
• Shadow different team members
• Topic Discussions
• Talk about different pharmacy information systems
• Clinical Decision Support (CDS)
• Data Analysis
• Run reports
• Make spreadsheets and graphs
2016 ANNUAL MEETING
DISCLOSURE
TRADITIONAL INFORMATICS ROTATION
I do not have (nor does any immediate family
member have) a vested interest in or affiliation with
any corporate organization offering financial support
or grant monies for this continuing education
activity, or any affiliation with an organization whose
philosophy could potentially bias my presentation
PROS
CONS
• Rigid Curriculum
• Rigid Curriculum
• Easy to Onboard
• Boring for Students
• Less Time Consuming for
Preceptors
• Passive Learning
• Difficult for Students to
Apply Concepts
2016 ANNUAL MEETING
GENERAL OBJECTIVES
PHARMACY OPS – KNOWLEDGE GAP
1. Review the student experience in a traditional pharmacy
informatics rotation and identify pros/cons to this student
experience model
• What happens in the pharmacy
once meds are ordered via
CPOE?
2. Identify knowledge gaps in pharmacy operations and
clinical workflow which contribute to a steeper learning
curve
3. Describe how to model a more interactive and hands on
pharmacy informatics rotation for APPE students
2016 ANNUAL MEETING
• How and when are medications
distributed?
• Why are meds distributed the
way they are?
Pharmacy
Ops?
+
Institutional
Institutional
Yes
1
0
No
5
5
A Little
5
2
• How does the pharmacy
manage inventory throughout
the hospital?
2016 ANNUAL MEETING
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7/6/2016
CLINICAL WORKFLOW – KNOWLEDGE GAP
SHORTEN THE OPS/CLINICAL GAP
• Pharmacist
• Pharmacy Operations
• What are inpatient pharmacists checking for while verifying patient
medications?
• Spend a day in central pharmacy working with:
• Pharmacy director or operations manager
• How are pharmacists controlling med dispenses?
• Various technicians
• What follow ups and documentations are being done?
• Nursing
• Automated Dispensing Cabinet lead
• Clinical Workflow
• How does nursing administer the med?
• Shadow both central and decentralized pharmacists
• What and where are nurses documenting patient progress?
• Shadow nurse during med pass and during documentation
• Observe CPOE process during order entry
• Providers
• What are providers evaluating after the medication is given?
• How are providers ordering medications and is it effective?
Discuss learning expectations with student prior to on-site
experience!
2016 ANNUAL MEETING
HOW CAN WE IMPROVE?
2016 ANNUAL MEETING
ANCILLARY SYSTEMS
• Pharmacy Information System
• Drug Formulary Build
• Medication Distribution (Batches vs. Cabinets)
• CDS Modules
• Automated Dispensing Cabinet
• Formulary Build
• CDS Modules
• How is this linked to the pharmacy information system?
• Others (Laboratory/Finance)
• How is this linked to the pharmacy information system?
2016 ANNUAL MEETING
START BUILDING
• Establish Baseline
• What has the student learned from school/rotations
regarding informatics?
• No student is the same – customize experience
• Discuss Concepts
• Start small and build up
• Cover ancillary systems and tie into EMR
• Hands On Experience
• Provide students access to testing domain
2016 ANNUAL MEETING
CPOE AND THE EMR
• CPOE Order Build
• Facility specific differences?
• How to link pharmacy formulary to CPOE orders
• User experience
• IV Set Build
• Cover basic math concepts (mmol, mEq, mOsm)
• Focus on administration
• Order Set Build
• Build an order set using previously learned concepts
• Assign practical tasks and projects
2016 ANNUAL MEETING
2016 ANNUAL MEETING
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7/6/2016
RECAP
THINGS TO AVOID
• Forcing Progress
• Data Overload
Clinical/Operational
Knowledge
Ancillary Systems
CPOE
Everything Else
• Impatience
• Not Providing Feedback
• Not Receiving Feedback
Continue to tie in prior concepts to reinforce learning
2016 ANNUAL MEETING
SAMPLE SCHEDULE
• Being Stagnant
2016 ANNUAL MEETING
QUESTIONS?
• Week 1
• Orientation, IT/medical terminologies, pharmacy operations, clinical
operations, intro to EMR
• Week 2
• Skills eval (hardware, MS Office, HTML, SQL, etc), pharmacy information
system build, discuss how law/finance/pharmacy ops affects informatics in the
hospital
• Week 3
• CPOE build (orders, IVs, tying pharmacy to CPOE), BCMA troubleshooting
• Week 4
• Order set build (both basic and complex), work tickets
2016 ANNUAL MEETING
2016 ANNUAL MEETING
KEEP IN MIND…
• No students is the same
• Learning
• Skillset
• Goals
• Use the schedule as a guide
• Cover the basics
• Adjust as necessary
• Emphasize the importance of
professionalism!
2016 ANNUAL MEETING
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