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BDM Newsletter, December 2002



Prescriber Order Entry and Wireless Technology Tops Project List with BDM Customers

2002 has delivered the anticipated rise in the activity and profile of Prescriber Order Entry initiatives across BDM’s customer base.

As with every opportunity in health information, the approach to the solution has been varied according to infrastructure preferences, the key players involved, and the resources available at the hospital or hospital group.

From the inception of RxTFC® PHARMACY INFORMATION SYSTEMS, BDM has continued the pursuit of improving patient safety, and providing evidence-based information access at the appropriate point of care. This has been driven by three guiding principals; SYSTEM FOCUS, CONTINUUM OF CARE, and INFORMATION ACCESS. We have long recognized that to provide the right information to health care practitioners, and to avoid the problem of variability in practice, decision support must be aided by technology.

Replacing paper orders with some variation of electronic orders, by itself, will not leverage the benefits of clinical decision support. To overcome this problem, BDM has developed three options to accomplish the task of prescriber order entry, to achieve the real value offered by CPOE. The first option provides bi-directional HL7 order results integration, the second uses API to provide RxTFC® business logic to a third party prescriber order entry solution. The third offering from BDM is a customized RxTFC® prescriber order entry solution.

RxTFC® bi-directional offering receives HL7 standard orders from an order entry system and presents the orders to RxTFC® for verification. Pharmacists then have the ability to approve or change the order.

When RxTFC® is functioning as the business logic module to an order entry system, RxTFC® receives and returns requested data to the order entry system. With this approach, RxTFC® can support the physician’s decision-making process about what to order and how to order it.

BDM’s customized RxTFC® prescriber order entry solution allows institutions to develop facility specific solutions to demanding requirements. If, for example, you have specific requirements for pediatric chemotherapies or other needs, BDM can help you develop a customized solution to your specifications.

Whether you require a complex enterprise wide clinical order entry system that was designed by and for physicians, or a generic interface that will work with various vendors, or perhaps you require a customized solution, BDM will work with you to fulfill your requirements.



A Message from Dallas Howe, President of BDM

Welcome to the close of another year that challenged us all, health care providers and vendors alike, to expand our capabilities and follow through on delivering the best available solutions to patient safety and the efficient management of scarce resources in the pharmacy.

It was particularly gratifying to be part of significant POE projects at several major medical centers, where we worked with clinical specialists to incorporate their workflow/needs, and provided expert integration development services. In recent days, we have also learned of an enthusiastic customer who has initiated a project in which physicians (in addition to pharmacists) will be interacting directly with our RxTFC® pharmacy order entry using wireless workstations. We will watch that with interest and provide our assistance in meeting the physician’s needs within the RxTFC® order entry function.

On the wireless BDM In Motion PDA productivity front, our Inventory In Motion and Pharmacist In Motion products are now installed as pilots at several Canadian and U.S. customer sites, with live implementation scheduled early in the new year. Full RxTFC® functionality is now available on wireless platforms with these and more specialized applications being added for on-line real time access to the client’s RxTFC® database.

Our role, once perceived as solely pharmacy software developer and provider, has evolved and expanded to be a medication POE software provider and a POE systems integrator. Also, for many, the RxTFC® pharmacy information system is the link between multiple automated dispensing devices, systems and organizations. Recognizing the pharmacy as the best data source in the health care organization for patient medication safety, many customers look to BDM to participate as a key resource in their strategic planning and generate desired project deliverables. Our systems, and the results of our R&D efforts, are also looked upon as a recruiting tool for customers striving to maintain, attract, and grow professional pharmacy resources.

If, as part of your pharmacy planning, there is POE on the horizon, or if you are interested in the wireless approach, the flexibility of BDM’s RxTFC® software, our innovative new modules and the expertise of our pharmacy resources will benefit you from the planning stage through to successful live implementation.

Visit us regularly at www.bdm.ca as we continue to offer leading edge tools to meet your pharmacy opportunities and challenges.


Response to BDM MEDADMIN Safety Net Overwhelming

BDM’s invitation for customers to participate as first users of its MEDADMIN wireless decision support tool has met with an overwhelming response across its customer base.

As reported in the October 2002 issue of Pharmacy Practice News, researchers at Auburn University School of Pharmacy have found that nearly 1 of every 5 medication doses in the typical hospital and skilled nursing facility is in error, with 7% of those errors rated potentially harmful. The most frequent errors by category were wrong time (43%), omission (30%), wrong dose (17%) and unauthorized drug (4%).

MEDADMIN is a BDM decision support tool that reinforces nursing staff by providing dosing guides and bar code reconciliation during administration of medication, thereby increasing the identification of medication administration errors. Barcode-enabled point of care technology, in combination with wireless technology, allows for real-time confirmation of patient identification, medication, dose, time and route of administration.

MEDADMIN IN MOTION will verify the five rights of patient medication administration using scanning technology and a wireless network to support the caregiver to:

  • Improve operational efficiencies
  • Reduce medication administration errors
  • Decrease health care cost attributed to ADEs
  • Provide medication administration data to electronic MARs

Ask your BDM sales or account representative for more information on this exciting product.


Did You Know ...

  • BDM biometric security integrates RxTFC® Pharmacy Information System with SecuGen® optical fingerprint scanning devices to offer a dramatic increase in system security, ease of use and minimal maintenance. With this technology only authorized users will have access to the password, their finger. SecuGen®'s products include a biometric mouse, biometric Hamster which is a standalone desktop scanner and a keyboard with an integrated optical fingerprint scanner. (www.bdm.ca/product_biometrics.html)

  • RxTFC® supports the Calgary Health Region's Central Production Pharmacy, which is a 17,000 square foot facility, in which 46 staff members support manufacturing, TPN, CIVA, and unit dose production for the 4 major hospitals and 2000 beds operating in the Region. The facility also handles all buying and inventory needs.

  • BDM PHARMACIST IN MOTION is a powerful handheld system that you can use to access RxTFC® while on the move. This innovative technology provides a wide range of RxTFC® functionality on familiar PDA (Personal Digital Assistant) devices allowing you to perform clinical functions throughout your day. Hot sync processing refreshes patient data on BDM PHARMACIST IN MOTION and adds your clinical input to RxTFC® PHARMACY INFORMATION SYSTEM. (www.bdm.ca/product_inmotion.html)

Gwen Miller
Help Desk Co-ordinator
BDM Support Center

What does a customer expect when they call a help desk? Someone who understands hospital pharmacy, someone who listens, and someone who makes a special effort to communicate with them on the status of their issue as it is being solved. It is a real “bonus” if that person knows your name, and maybe even recognizes your voice before you introduce yourself. BDM customers get it all when they speak to Gwen Miller, BDM’s Help Desk Co-ordinator.

In a former life, prior to joining BDM in 1997, Gwen Miller worked for 18 years as a pharmacy purchasing clerk. “I have come from the days when we did it all”, Gwen jokes. As part of a relatively small staff, she learned pharmacy terminology, hospital work flow, and worked with the hospital pharmacy team to meet the challenges involved in the delivery of pharmacy services to a 500 bed hospital. She also interacted with a help desk from a user point of view.

Gwen loves her role at BDM and takes it seriously. “The most important part of my job is communicating with the customer—the personal part”, states Gwen intently. “Then, I work with our Support Center team to get those support calls closed as soon as we can.” Gwen uses all of the technical means at her disposal and her excellent organizational skills to ensure customers receive a response quickly and are in the loop as issues are being resolved.

In addition to handling the flow of telephone and internet based support incidents, via BDM ClientNET, Gwen also distributes software change advisories to customers, issues reminders and follows up on any software modifications customers may request.

What is the most rewarding part of her job? Without hesitation, Gwen cites the camaraderie developed with BDM customers. “Although I have met some of our customers personally only once or twice, I feel we are best of friends.”

Off the job, Gwen is a wife, mother of two, and a proud grandmother to a five year old and a one year old. She is an avid curler in the winter, (the sport made well known during the 2002 Salt Lake City Olympics) and, last summer, “caught the golf bug”. She and her husband now own a trailer at “the lake” and spend many hours at this new sporting interest.

BDM is proud to have Gwen as an integral part of delivering on our commitment to quality service for our customers.


 

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