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Telepharmacy at
Texas Tech
Jon Phillips,
Associate Director of Telemedicine
Senate Bill 65—Legislation
Enabling Telepharmacy

A “telepharmacy system” means a
system that monitors the dispensing of
prescription drugs and provides for
related drug use review and patient
counseling services by an electronic
method, including the use of these
technologies



Audio and video
Still image capture
Store and forward
S.B. 65 continued



Telepharmacy services provided by a Class A
or Class C pharmacy to a health facility at a
distant location
Distant telepharmacy site may not be located
in a community in which a Class A or Class C
pharmacy exists
Required to be under the continuous
supervision of a pharmacist (electronic
supervision by audio and video
communication)
S.B.65 continued

Directs the Texas State Board of Pharmacy
to develop rules to govern the operation of
telepharmacy services
TSBP Telepharmacy Rules


Remote pharmacy services—storage &
dispensing of prescription drugs, drug regimen
review, and patient counseling at a remote site
Sites eligible for remote pharmacy services



Rural health care clinic
Health care center
Health care facility located in a medically underserved
area
TSBP Rules cont’d

Each pharmacist at the central pharmacy
may supervise—electronically—no more
than three remote sites that are
simultaneously open (exceptions may be
granted)
Texas Tech Telepharmacy
Pilot Project
Collaborative project
 Texas Tech
 Sid Ontai – private physician
 Health Care Visions, Inc.
Texas Tech Telepharmacy


Pharmaceutical Care Center at Texas Tech
Medical Center Southwest (TTMCSW) serves
as the demonstration central pharmacy
Evaluating the project



Health professional student education and
training in rural care
Economic feasibility to provide services to
rural communities
Evaluation of current law to determine if it
allows maximum potential of the system
Funding

USDA RUS grant to Dr. Ontai for
equipment and operations

Texas Tech for research and monitoring
Texas Tech Telemedicine
service area
Telepharmacy service area
Project Objectives
Field
test telepharmacy
Propose rule changes and improvements
Enhance access to medications
Training/education
Project information
•
The Turkey Telepharmacy site site is staffed with an
Emergency Medical Technician (EMT) from 8:00 AM to
12:00 noon Monday through Friday.
•
Medications available for dispensing at the the Turkey
Telepharmacy site were determined by a committee
composed of Dr. Ontai and the Director of the Texas
Tech Pharmaceutical care and Infusion Center.
•
To conform to security standards, medications at the
the Turkey Telepharmacy site are stored in approved,
secured medication blister packs
Project information
•
The central computer maintains separate sets of
computerized data files. This allows each
extended pharmacy to have its own NABP
number, drug formulary, inventory, patient,
doctor, and prescription files.
•
Communications between the TTMCSW and
the Turkey Telepharmacy site are conducted
through an encrypted DSL connection.
Educational opportunities
-Rural Clerkship
One day with Dr. Ontai in his office in
Plainview, Texas.

One day at central pharmacy at TTMC SW.

Three days with mid-level practitioner at
Turkey Rural Health Clinic.
Progress Report
247 total prescription transactions completed as of March 31,2003
40
35
30
25
New
Refill
20
15
10
5
0
Se pt
Oct
Nov
De c
Jan
Fe b
March
Telepharmacy Technology
•
RX filled at a central location, RX label and monograph
printed at remote location
•
Thumbnail of medication and scanned NDC / quantity
used for verification at Remote Site
•
Final approval of RX completed by pharmacist utilizing
Rendezviewer
•
POS Transaction completes sale and records sale
Rendezvous and Rendezviewer
•
Uses store and forward technology
•
Review episodes from you home, office, airport or
anywhere you have access to the Internet
•
Proven reports for audits and compliance
•
Allows episodes to be forwarded to multiple healthcare
professionals for review and comments
Audit and Reporting Features
•
Inventory Control for Central and Remote
•
Centralized Drug Ordering
•
Cash Register Audit Report
•
Voided Prescription Report
•
Pharmacist Review Time and Date Tracking
Patient Compliance Reporting
First Telepharmacy Prescription
in the State of Texas
Texas Tech
Medical Center SW
Lubbock, Texas
Turkey Medical Clinic
Turkey, Texas
September 18, 2002
PATIENT SATISFACTION
SURVEY QUESTIONS
Question # 1
I would rather see a pharmacist on the telepharmacy system than travel
to see him or her
6
4
2
Strongly
disagree
Somewhat
disagree
No opinion
Somewhat agree
Strongly agree
0
PATIENT SATISFACTION SURVEY
QUESTIONS
QUESTION # 2
If the Telepharmacy system were not available, I would receive my
medicine by mail or internet pharmacy
4
3.5
3
2.5
2
1.5
Strongly
disagree
Somewhat
disagree
No opinion
Somewhat agree
1
0.5
0
Strongly agree
PATIENT SATISFACTION SURVEY
QUESTIONS
QUESTION # 3
I felt the pharmacist counseling was not adequate because the pharmacist
was not showing me my medicine in person
5
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0
Strongly
disagree
Somewhat
disagree
No Opinion
Somewhat
agree
Strongly
agree
PATIENT SATISFACTION SURVEY
QUESTIONS
QUESTION # 4
If the Telepharmacy system were NOT available, how many miles would
you have to have travel one way to get your prescription?
5
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0
Less than 20
miles
20 to 30 miles
30 to 40 miles
40 to 50 miles
over 50 miles
Project status




Project will continue
Results very positive
Sound science and technology
Considering expansion/additional sites
Questions?