Benefits Realisation and Implementation of ePMA at Harrogate NHS Trust
Learn about the successful implementation of an electronic prescribing and medication administration system at Harrogate District NHS Foundation Trust. Discover the approach to determining benefits, projected outcomes, baseline data, planned benefits, and more. Dive into how ePMA enhances patient safety, staff productivity, and overall efficiency in healthcare delivery.
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Presentation Transcript
ePMA - Benefits Realisation at Harrogate Paul Golightly Acting ePMA Lead Pharmacist Harrogate District NHS Foundation Trust
Objectives Describe implementation of ePMA solution at HDFT Describe the approach to determine benefits at HDFT Projected benefits Baseline data Key Messages
Implementation ePMA solution (MedChart) implemented at HDFT during 2012 Initial ward went live April 2012 Rapid roll-out Go-live on a new ward approx. every two weeks Most wards/departments live by Nov 2012 Only ED and Outpatients not live Baseline data collected prior to initial go-live Simple approach to measuring benefits
Planned Benefits Avoidance of harm (inc. Cost) Clarity of prescribing etc. Reduction in missed doses Increased Staff Productivity Allergy documentation Prescribing Quality Benefits Antibiotic Stewardship Decision Support etc.
Baseline Data Incident reports Prescribing incidents Administration incidents Particularly allergy incidents Productivity Time taken for charts to go to pharmacy Time taken for charts to be re-written Time for lost charts Baseline Audits Missed doses Allergy documentation Antibiotic Prescribing
Incident Reports How many incidents reported on DATIX? Classified by actual/potential harm Look for a reduction in incidents. Aimed for: Zero incidents of Fatal potential harm Zero incidents of Major actual harm 50% reduction in potentially harmful admin errors 20% reduction in potentially harmful prescribing errors Specifically monitor Allergy Incidents Aim for zero allergy incidents (of known allergies)
Staff Productivity Problems with paper drugs charts Lost on the ward In pharmacy Only last 2 weeks Time and motion studies carried out to assess the time taken up with activities related to the above 912 hours/year doctor time rewriting drug charts 2190 hours/year nursing time looking for lost drug charts 1460 hours/year nursing time taking charts to/from pharmacy 45,000 per year Further benefits to pharmacy around productivity Activity on wards Charts, discharge prescriptions etc.
Audits Missed doses 80% reduction in missed doses 16,600 pre-ePMA, 3,300 post-ePMA Allergy Documentation Paper charts audit 95% completed ePMA 100% completed Antibiotic Stewardship Trust standards are for Indication & Duration to be documented on the prescription for all antibiotics Paper charts 35% (Indication) & 40% (Duration) ePMA 95% (Indication) & 80% (Duration)
Future Developments Significant benefits in reporting from the system Audits Investigations Performance monitoring Targeting activity Currently working with information services to develop reports from the system
Summary/Key Messages Benefits of ePMA solutions are readily apparent Safety, clarity of prescribing, full unambiguous medication record Simple approach to measuring benefits Choose easily measurable benefits Simple approach to measure benefits Simple approach helps buy-in from consultants etc. Easily understand the benefits Focus on the positive Remember - it will NOT be worse than pen & paper!
