Positioning a Paediatric Compounded Non-Sterile Product Electronic Repository (pCNPeRx) within the Health Information Technology Infrastructure.

Richard H Parrish Ii

doi:10.3390/pharmacy4010002

Abstract

Numerous gaps in the current medication use system impede complete transmission of electronically identifiable and standardized extemporaneous formulations as well as a uniform approach to medication therapy management (MTM) for paediatric patients. The Pharmacy Health Information Technology Collaborative (Pharmacy HIT) identified six components that may have direct importance for pharmacy related to medication use in children. This paper will discuss key positions within the information technology infrastructure (HIT) where an electronic repository for the medication management of paediatric patients’ compounded non-sterile products (pCNP) and care provision could be housed optimally to facilitate and maintain transmission of e-prescriptions (eRx) from initiation to fulfillment. Further, the paper will propose key placement requirements to provide for maximal interoperability of electronic medication management systems to minimize disruptions across the continuum of care.

Highlights

Often, paediatric patients receive medication therapy with products that are not commercially available until pharmacists prepare these products extemporaneously for dispensing [1]
Of the 10 goals recommended in the Pharmacy health information technology (HIT)’s roadmap, six of these have direct importance for clinical pharmacy practice related to paediatrics patients [5]
The purpose of this paper is to identify key positions within the health information technology infrastructure where an electronic repository for medication management related to paediatric compounded non-sterile products and information exchange would be inserted optimally to facilitate and maintain transmission of e-prescriptions from initiation to fulfillment

Summary

Introduction

Paediatric patients receive medication therapy with products that are not commercially available until pharmacists prepare these products extemporaneously for dispensing [1]. Work with policymakers, including state Medicaid agencies, ONC, CMS, HHS, and other members of the health care industry, to promote the importance of pharmacist participation in HIEs. The purpose of this paper is to identify key positions within the health information technology infrastructure where an electronic repository for medication management related to paediatric compounded non-sterile products (pCNP) and information exchange would be inserted optimally to facilitate and maintain transmission of e-prescriptions (eRx) from initiation to fulfillment. Production of the informational infrastructure for health care was stimulated in 1994 through focused program competition sponsored by the US National Institute for Standards and Technology with an estimated budget of $185 million USD over five years [6] The purpose of this private-public partnership was to enable enterprise-wide integration of information among all sectors of healthcare [7].

Initiation and Generation of eRx from the Provider

Transmission from Provider to Intermediary

Emulation at the Intermediary

Where in the Infrastructure could a pCNP Repository Be Inserted?

Findings

Conclusions