IMPLEMENTING EPMA Experience at Kings College Hospital

1. IMPLEMENTING EPMA Experience at Kings College Hospital Caroline Anderson Principal Pharmacist EPMA November 2009

2. King’s - Overview EPMA system = iSOFT iCM EPMA integral to EPR system Joint pharmacy & ICT project Multidisciplinary Project Board Pilot started November 08 Roll-out completed on 6 wards Expansion of the EPMA team to meet roll-out demands

3. Choosing a Pilot Area Key considerations

4. King’s Choice GENERAL MEDICINE

5. Pre-pilotAssessment Types of drug charts used Commonly prescribed items & particulars Identify ward staff and visiting teams Timings of shifts, visits and drug rounds Identify regular ward or team meetings Drug trolleys, POD lockers or both Hardware, network and software Gauge what users want & expect

6. Hardware ?

7. RISK Prescribing standards Error rates Missed doses Allergy recording PROCESS Time taken to prescribe Length of drug rounds Finding drug charts Pre-pilot Audits

8. Training • Identify different user-groups • Design and compile different lesson plans • Training documentation and user guides • Dedicated training rooms • Pre-training training (e.g. Computer skills) • Scheduling staff • ‘Ad hoc’ and emergency training • Video scripts and intranet links **Maintenance**

9. Getting to and past ‘Go-live’

10. ‘Go-Live’ = GO-LIVE

11. King’s roll-out plan • 18 month Trust roll-out plan • Aiming for 2 wards per month • Additional time allowance for complex areas (e.g. A&E, Critical Care, Specialist Medicine) • Current plan excludes Paediatrics ON TARGET!

12. DRUG CATALOGUE ENHANCEMENTS Review configuration of all items Additional items Drug-specific information Order-sets USING NEW FUNCTIONALITIES Allergy checking Duplicate checking Dose-calculation forms Reports ContinuingDevelopment OTHER:Reports, audit, additional training documentation, super-users, sharing experiences

13. Any Questions? carolineanderson1@nhs.net