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Interoperability remains a major challenge in e-prescribing. How can healthcare organizations balance the need for seamless data exchange with privacy and security concerns in prescription management?

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A Preliminary Scoping Review of the Impact of e-Prescribing on Pharmacists in Community Pharmacies

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A Preliminary Scoping Review of the Impact of e-Prescribing on Pharmacists in Community Pharmacies

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We are sharing this article because it highlights both the benefits and challenges of e-prescribing in community pharmacies. While it reduces handwriting-related errors, it also introduces new issues like missing information and workflow disruptions. This aligns with our LEAN Project: E-prescribing workflow redesign, emphasizing the need for system improvements, better training, and enhanced system integration to improve efficiency and patient safety.

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The Evolution of Health Information Technology for Enhanced Patient-Centric Care in the United-States: Data-Driven Descriptive Study

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The Evolution of Health Information Technology for Enhanced Patient-Centric Care in the United-States: Data-Driven Descriptive Study

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We're sharing this article because it explores the evolution of health information technology (health IT) and its impact on patient-centered care, interoperability, and e-prescribing. It highlights key advancements in electronic health records (EHRs), data exchange, and public health reporting, while also addressing ongoing challenges like data security, usability, and accessibility. This aligns with our E-prescribing workflow redesign project, emphasizing the need for improved system integration and efficiency in digital healthcare.

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The Evolution of Health Information Technology for Enhanced Patient Centric Care

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Technology Solutions That Drive Healthcare

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HIMSS24: How to Optimize EHR Workflows with AI, Interoperability and More

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The documentation burden is leading to clinician burnout. As a result, healthcare organizations are turning to solutions and processes to create workflow efficiencies in the electronic health record.

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Learn FHIR Resources Fast: 7-Minute Guide to Patient Workflow in Health Informatics #HealthIT #fhir

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HL7 Tutorial for Beginners (eHealth / Clinical Informatics): ADT, ORM, ORU Message Triggers  #hl7

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Lean Enterprise Institute. (n.d.). Lean thinking and practice [Digital image]. Retrieved from https://www.lean.org/lexicon-terms/lean-thinking-and-practice/

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Lean principles focus on eliminating inefficiencies, but unexpected challenges often arise during implementation. What potential barriers do you foresee in integrating Lean methodology into e-prescribing workflows, and how could they be mitigated?

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A five-step thought process proposed by Womack and Jones in 1996 to guide managers through a lean transformation. The five principles are:

1. Specify value from the standpoint of the end customer by product family.

2. Identify all the steps in the value stream for each product family, eliminating whenever possible those steps that do not create value.

3. Make the value-creating steps occur in tight sequence so the product will flow smoothly toward the customer.

4. As flow is introduced, let customers pull value from the next upstream activity.

5. As value is specified, value streams are identified, wasted steps are removed, and flow and pull are introduced, repeat this process again and continue it until a state of perfection is reached in which perfect value is created with no waste.

(Adapted from Womack and Jones 1996, p. 10.)
In 2007, Womack and Jones simplified the five steps to these-Purpose, Process, People:

Purpose: The primary purpose of any organization and first step in any lean thought process is to correctly specify the value that the customer seeks in order to cost-effectively solve the customer's problems so the organization can prosper.

Process: Once purpose is clarified, focus on the process (value stream) used to achieve this objective. This is generally the combined result of three processes: product and process development, fulfillment from order to delivery, and support of the product and the customer through the product's useful life. These primary processes are made possible by many secondary, support processes inside the organization and upstream.

The ideal process is one in which every step (action) is:

Valuable: Meaning that the customer is willing to pay for the step because it creates value and would object if the step was deleted.

Capable: Producing a good result every time.

Available: Being able to operate whenever needed.

Adequate: Having the capacity to keep production in continuous flow.

Flexible: Permitting a range of products within a product family to move through a process without batching and delays.

In addition, in the ideal process the steps are linked by:

Flow: So the good or service proceeds immediately from one step to the next without stopping.

Pull: So the next downstream step obtains just what it needs from the next upstream step when continuous flow is not possible.

Leveling: From some pacemaker point to smooth the operation of the process while still addressing the needs of the customer.

People: After identifying the primary and support processes needed to create value for the customer, make someone responsible for each value stream. This value-stream manager must engage and align the efforts of everyone touching each value stream to move it steadily toward the customer while elevating performance from its current state to an ever-better future state. Doing this requires:

A master plan for the enterprise, often called strategy deployment.

Frequent improvement cycles for each process, often performed with A3 analysis embodying value-stream maps.

Standard work with standard management for every step in each process.

See: A3 Report; Strategy Deployment; Toyota Production System; Value Stream; Value Stream Mapping

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Lean Thinking and Practice - Lean Enterprise Institute

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A five-step thought process proposed by Womack and Jones in 1996 to guide managers through a lean transformation. The five principles are: Specify value from the standpoint of the end customer by product family. Identify all the steps in the value stream for each product family, eliminating whenever possible those steps that do not create [...]

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Agency for Healthcare Research and Quality

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Agency for Healthcare Research and Quality

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https://digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/independent-pharmacies

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Centers for Medicare & Medicaid Services

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Centers for Medicare & Medicaid Services

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https://www.cms.gov/medicare/regulations-guidance/electronic-prescribing

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E-Prescribing - a prescriber’s ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point-of-care - is an important element in improving the quality of patient care.

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Optimizing Hospital Electronic Prescribing Systems_ A Systematic Scoping Review

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We're sharing this article because it provides a systematic review of optimization strategies for hospital electronic prescribing (ePrescribing) systems. It explores how stakeholder engagement, system redesign, technological innovations, and training can improve prescribing safety, efficiency, and quality. This aligns with our LEAN Project: E-prescribing workflow redesign, emphasizing the need for system improvements and workflow enhancements to maximize the benefits of digital prescribing.

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Optimizing Hospital Electronic Prescribing Systems_ A Systematic Scoping Review (1)

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We're sharing this article because it touches on advancements in healthcare technology. It covers how healthcare management systems are evolving and how healthcare workers must continually evolve with health information technology (HIT) systems. This applies to our workflow redesign project as it emphasizes the importance of continuing staff education on system and data changes to ensure accuracy and safety regarding electronic healthcare processes.

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Recent Advancements in Emerging Technologies for Healthcare Management Systems: A Survey

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In recent times, the growth of the Internet of Things (IoT), artificial intelligence (AI), and Blockchain technologies have quickly gained pace as a new study niche in numerous collegiate and industrial sectors, notably in the healthcare sector. Recent advancements in healthcare delivery have given many patients access to advanced personalized healthcare, which has improved their well-being. The subsequent phase in healthcare is to seamlessly consolidate these emerging technologies such as IoT-assisted wearable sensor devices, AI, and Blockchain collectively. Surprisingly, owing to the rapid use of smart wearable sensors, IoT and AI-enabled technology are shifting healthcare from a conventional hub-based system to a more personalized healthcare management system (HMS). However, implementing smart sensors, advanced IoT, AI, and Blockchain technologies synchronously in HMS remains a significant challenge. Prominent and reoccurring issues such as scarcity of cost-effective and accurate smart medical sensors, unstandardized IoT system architectures, heterogeneity of connected wearable devices, the multidimensionality of data generated, and high demand for interoperability are vivid problems affecting the advancement of HMS. Hence, this survey paper presents a detailed evaluation of the application of these emerging technologies (Smart Sensor, IoT, AI, Blockchain) in HMS to better understand the progress thus far. Specifically, current studies and findings on the deployment of these emerging technologies in healthcare are investigated, as well as key enabling factors, noteworthy use cases, and successful deployments. This survey also examined essential issues that are frequently encountered by IoT-assisted wearable sensor systems, AI, and Blockchain, as well as the critical concerns that must be addressed to enhance the application of these emerging technologies in the HMS.

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We've chosen this article to share how e-prescribing has emerged as an intervention promoting patient care safety and quality. The intervention of e-prescribing has assisted in decreasing the number of medication errors and healthcare costs and has promoted productivity among providers.

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Here is our E-Prescribing workflow redesign presentation, for your viewing and reviewing pleasure! 

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Here is our E-Prescribing workflow redesign presentation, for your viewing and reviewing pleasure! 

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NUR 585_Group 2_Collab Lean Presentation

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This is a breakout of our PDSA for the project. It has more details than the one shared in the PowerPoint. This was useful to identify the goal, define success and plan how to test our changes to the "as is" workflow. 

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This is a breakout of our PDSA for the project. It has more details than the one shared in the PowerPoint. This was useful to identify the goal, define success and plan how to test our changes to the "as is" workflow. 

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PLAN DO STUDY ACT CYCLE- Group 2 NUR 585

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The Joint Commission: Transitions of Care: Managing medications

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The Joint Commission: Transitions of Care: Managing medications

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https://www.jointcommission.org/resources/news-and-multimedia/newsletters/Newsletters/quick-safety/quick-safety-issue-26-transitions-of-care-managing-medications/transitions-of-care-managing-medications

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Quick Safety 26: Transitions of Care: Managing medications (Updated April 2022)

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Safe, quality transitions of care can serve as safety nets for accurate medication management and good quality outcomes for patients.

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National Committee for Quality Assurance (NCQA): Transitions of Care (TRC)

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National Committee for Quality Assurance (NCQA): Transitions of Care (TRC)

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https://www.ncqa.org/hedis/measures/transitions-of-care/

They redesigned the website and removed the Transitions of Care section this week. Sorry about that.

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Transitions of Care is the percentage of discharges for members 18 years of age and older who had each of the following during the measurement year.