What is Telepharmacy?
Telepharmacy is a branch of telemedicine that integrates pharmacy software, remote controlled dispensing units and telecommunications technologies to enable the provision of pharmaceutical services from a distance.

• What is the Telepharmacy West SM program?
Telepharmacy WestSM is a nonprofit organization funded by a grant from PacifiCare/UnitedHealthCare.
Telepharmacy WestSM works closely with small and rural healthcare institutions to provide compliant, cost-effective and efficient pharmacy services.

• How does Telepharmacy work?

Telepharmacy WestSM maintains a pharmacy staff campus at Adventist Health Medical Center (GAMC) that exclusively serves participating small and rural hospitals. Hospitals continue to use their existing Pharmacy Information Systems (PIS) but now that is supported by connectivity to the Telepharmacy WestSM program. Nurses send order entries via order origination devices such as a fax machine or a digital sender to the Telepharmacy service center. Our pharmacists match the order entry to the patient record by accessing the remote hospitals’ PIS. The pharmacist reviews the patient’s medication profile for drug interactions and other potential problems before approving the order to be filled. More On Services>

• How do we know if the Telepharmacy West SM program is right for our hospital?
Telepharmacy WestSM will perform a free initial assessment including a cost effectiveness analysis and a telecommunications and information systems readiness, based on the program’s technical specifications.

• What does the grant* funding provide for rural hospitals?

The grant* to Telepharmacy WestSM helps small and rural hospitals create sustainable pharmacy improvements. As a first step, Telepharmacy WestSM staff will work with rural hospitals to help determine readiness for participation in this remote pharmacy solution.

 

THE INITIAL REVIEW INCLUDES:

• Telecommunications and
Information Systems Compatibility

— Ensure fax and phone systems will support remote service.
— Assess pharmacy computer software for remote access and patient information review.

• Cost Effectiveness
— Identify potential for operational reimbursements.
— Review medication formulary to help manage inventory expense.
— Assess risk for medication errors and liability exposure.
— Assess opportunities for Federal funding of capital improvements (i.e. automated medication dispensaries, etc.).

• The grant* also pays for Site Service Set-Up:
— HIPPA compliance solutions.
— IT interfacing solutions.
— Video conferencing from nursing units.
— Staff training.
— Program management including Quality Improvement and Monthly Reports.
— Grant writing support for integrated equipment procurement and upgrades.

• What if our hospital is interested in integrating an automated drug dispensary with the program?
Telepharmacy WestSM will assist your hospital with acquiring federal and private funds through grant writing for the purchase of the equipment and also assist with the implementation of the dispensary.

• What if our hospital pharmacy needs assistance developing a formulary?
Telepharmacy WestSM will provide the framework for a management program that can generate additional cost savings and quality improvement. In addition, a pharmacy formulary may significantly contribute to managing inventory control.

• What is the turn-around time our staff can expect from the order entries?
Telepharmacy WestSM will meet or exceed industry standard turn-around times for stat orders (no more than 15 minutes) and routine orders (no more than 90 minutes).

• How difficult is it for our nurses to access the remote Telepharmacy service?

The location of the remote service center is transparent to the user. The service allows seamless integration with clinical systems and the use of video conferencing will allow face-to-face interaction between the pharmacist and user.

• How do our nurses communicate with the Telepharmacy Team?
Physician orders are sent in by fax or scanned electronic transmission. Our pharmacy staff is also available by either phone or video conferencing. We can provide the video connectivity for your hospital, as needed.

• What are the qualifications of the Telepharmacy Team?
The Telepharmacy team consists of licensed, highly qualified, service-oriented pharmacists and pharmacy technicians that serve the needs of hospitals in this program exclusively.

• What is the service quality that we can expect?
Telepharmacy WestSM will exceed industry standards of 1 error in 1,000 for order entry, offering outstanding service quality and reduced liability exposure. (The pilot is 4.3 per 1,000,000.)

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• What hours of operation are available?
The Telepharmacy service is available 24 hours per day, 365 days per year.

• How does Telepharmacy WestSM help with CDPH and Joint Commission compliance?
According to Barclays California Code of Regulations (Title 22 70261) enforced by the California Department of Public Health (CDPH) and The Joint Commission (MM.4.10), all medication orders need to be appropriately reviewed before they are administered to a patient. By providing a 24/7 pharmacy service to your hospital, the Telepharmacy WestSM program will help bring your patient pharmacy into compliance.

• How does Telepharmacy support the National Patient Safety Goals?
Telepharmacy WestSM will assist hospitals in achieving the following 2009 National Patient Safety Goals: to “Improve the Safety of Using Medications”, “Reconcile Medications” and “Improve the Effectiveness of Communication Among Caregivers”.

• How does Telepharmacy WestSM safeguard patient privacy?
The Telepharmacy WestSM program is contracted to your hospital with additional terms as outlined in the Health Insurance Portability and Accountability Act (HIPAA). The IT systems are also encrypted to ensure appropriate safeguards to protect the confidentiality, integrity and availability of electronic health information.

• How are program costs determined?
The cost is typically based on the average daily census of participating hospitals and is prorated by shifts or selected hours of service.

• How is the Telepharmacy WestSM program sustainable?
The Telepharmacy WestSM program offers a customized solution for each hospital with real dollar savings. Funding provided for start-up and initial implementation as well as federal cost reimbursement subsidies and a formulary cost management program can create a combination of revenue and savings.

• What kind and how often will we receive activity reports?
Monthly performance reports generated for your hospital will include:
— Turn around time details.
— Errors or exceptions.
— Billing statements.

• How do we schedule the initial assessment or obtain additional information?
To schedule an assessment or for more information on the Telepharmacy WestSM program,
please contact us at:

Adventist Health Medical Center
Telepharmacy West
1509 Wilson Terrace
Glendale, CA 91206-4007

(818) 409-8022
Solutions@CATelepharmacy.org


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