IHS Pharmacy Policies and Procedures

1. IHS Pharmacy Policies and Procedures Pertaining to RPMS Pharmacy 7 and EHR Pharmacy

2. IHS Pharmacy Policies and Procedures • IHS Manual, Part 3, Chapter 7 • Outlines all policies and procedures, many which are not within the scope of this training. • Standards of Practice: • http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p3c7_ap_a • Whole chapter: • http://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p3c7&thisTN=1

3. EHR and Standards of Practice • Standard 1: Assure Appropriateness of Therapy • Signed note • Drug-Drug & Drug Allergy Checks • Complete medication orders • Complete all visit elements • Current Health Maintenance & Wellness • Pharmacists can document their activities

4. EHR and Standards of Practice • Standard 2: Verify That patients understand their medications and appropriate outcomes of their drug • Patient education resources • Drug education resources • Patient Wellness Handout • Medication Histories

5. EHR and Standards of Practice • Standard 3: Assure Availability, Preparation and control of medications • Controlled Substance Management Reports • Drug Accountability Package • Prepack system in Pharmacy package

6. EHR and Standards of Practice • Standard 4: Provide Drug Information Drug Therapy Consultation and Staff Education Relating to Drug Therapy • Drug Text • EHR Training using demo patients

7. EHR and Standards of Practice • Standard 5: Provide Health Promotion and Disease Prevention activities relating to drug use and preventive drug therapy • Chart Reviews for health maintenance activities (ie. Pap, immunizations, etc.) • Screening for appropriate drug therapy previously diagnosed diseases • Compliance on documentation standards

8. EHR and Standards of Practice • Standard 6: Manage Therapy for Selected Patients in whom drugs are the principal method of treatment • Anticoagulation clinics • Hypertension clinics • Other Pharmacy-Only clinics

9. Group Activity • Enumeration of some local EHR/RPMS Policies and procedures • RTS Procedures • How many days • Narcotics • Refill after RTS – procedure if it was original fill • Allow providers to order “Refill” through EHR? • Write a note with refills?

10. Group Activity • More Group Discussion of local policies & procedures

11. Questions?