John Poikonen's blog

Pharmacogenomics 101 Podcast

At the Am Medical Informatics Association meeting in Nov 2011, I had the pleasure of meeting Yohan Lee, PhD, an energetic and knowledgeable genomic researcher.  We had a conversation on some general principles on pharmacogenomics and pharmacogenetics via Skype recently.  Here is a podcast of that conversation.

Direct link to Podcast
 
Link to iTunes download

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Fifty Usability Ideas for Pharmacy inspired by iTunes

It seems that this is the year of usability in medical applications.  There are lots of studies and examples of how better usability impacts patient care and workflow.   A couple of years ago Allen Flynn from the Univ of Michigan Hospitals and pharmacy informatics extraordinaire, presented this concept of a pharmacy profile, a la iTunes.  This is awesome and a classic.  Thanks to Allen Flynn for allowing to share his brilliant ideas.   A pdf of the entire iTunes pharmacy profile is attached.

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Fifty Usability Ideas for Pharmacy inspired by iTunes

1. Pharmacy Department’s on-screen message box

2. Patient selection via Venue -> Unit -> Name

3. Updating counts of orders to be verified in parenthesis (y)

4. Drug information summary box updated for current drug
5. Contextual hyperlinks to drug info databases as buttons

6. On-screen clock

7. Large name panel with age, sex, weight, CrCL

Dennis Tribble's Acceptance Speech - Distinguished Service Award

While we disagree on the value and integrity of ASHP, I agree with everything in this speech.  He is an unbelievable pioneer and innovator in pharmacy informatics.  Congratulations to Dennis!

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Podcast with Terry Seaton, Pharm.D.

Dr. Seaton is the incomming AMIA Pharmacoinformatics Working Group Chairperson.  
Here is a podcast introducing him with his background and terrific ideas for pharmacy informatics and more.
  • iTunes <LINK> to RxInformatics Podcasts
  • iTunes <LINK> to this episode
  • Direct <LINK> to this episode

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The Pharmacist by Michael Cassidy due out in early Dec here is the trailer

ACCP Address includes CDSS

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Lawrence Cohen is the incoming President of the American College of Clinical Pharmacy.  His inspiring address entitled 

Boldly Positioning Clinical Pharmacy in Volatile Times specifically singles out clinical decision support. <LINK>  It is great and reassuring to see a pharmacy leader that "gets it".

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ASHP: Continually in pursuit of hypocrisy. Part II

Since this hypocrisy has to do with informatics, it is posted here.  Other professional society craziness can be found on Google Plus in the links below.

The Am Society of Health System Pharmacists (ASHP) CEO report has a number of hypocritical and delusional aspects. Part I <LINK> addresses ASHP’s patient safety policy and handling of the State of Ohio’s “lynching” of a pharmacist. This one addresses ASHP's  claim to being at the right table when policy is made. Subsequent posts will deal with the financial management and leadership aspects in the 2011 CEO report.  Part III on taking unpopular positions is here <LINK>.

Under the heading of “Being at the right table” the ASHP CEO pounds his chest about being at the right table on health care policy and information technology issues. He notes the Pharmacy HIT Collaborative as an example. In the HIT and health reform land grab ASHP was no where near the table and are struggling to nibble on crumbs. There is not even a mention of pharmaicsts in any of the HITECH, ARRA or any health reform legislation. They seem to be coming to the table for scraps after everyone else has had a feast. 

These legislative initiatives were the equivalent of the Oklahoma land give away, GI bill and moon shot for health information technology. Pharmacists, the most connected health professionals, should have been at least part of the HITECH act to be “eligible providers” around electronic prescriptions and CPOE. As it stands there is not even a requirement to receive eRx’s and CPOE orders electronically. So claiming to be at the right table is, well, hypocritical. It borders on delusion. 

The Pharmacy HIT Collaborative is generally a very positive strategic initiative. It desires some thoughtful consideration. Please take a look at those efforts. Even at its best, this initiative does not put ASHP at the table at all. At its worst that it puts pharmacy farther down the hall by taking a counter productive approach to EHR involvement. The specific tactics of the collaborative are a bit confusing that I will address in a separate post. 

What say you?

2011 Report of the Executive Vice President and Chief Executive Officer: ASHP: Continually in pursuit of truth (right) 

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Google Plus discussion group from the UK on Hospital eRx and Admin

Google Plus is the real deal for social networking.  That is a topic for another post.  +Pauline Sweetman is a pharmacist informatics guru in the UK that is a must follow person in your RxInformatics circles.   She points out a Google + site that will be of interest to this group.

There is now a Google+ page on UK Electronic Prescribing and Medication Administration.  Another good site to add to your circles.

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Bar Code Comments needed (add RxNorm)

Your comments are needed.  Please see this for the specifics:

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Most of the questions revolve around the technology requirements.  The real issue and need is to get rid of the NDCs (or supplement them) and add RxNorm Codes for product identification.  My 2 cents.  Better people than me can comment on the pure technology issues.

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We will miss you

The best commercial ever made.

Pharmacy: What It Is and How It Works, Third Edition

Honored to be acknowledged in Bill Kelly's definitive book on Pharmacy used in many schools world wide.

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What was the first?

 

This terrific post on the 15 Intriguing Facts about the History of  Informatics from an interesting informatics site Masters in Health Informatics, got me thinking about the following:
 
 

Clinical Informatics Becomes a Board-certified Medical Subspecialty

Clinical Informatics Becomes a Board-certified Medical Subspecialty Following ABMS Vote

September 22, 2011

AMIA to offer prep courses for clinicians who sit for Board Exam

Wow. Meanwhile pharmacy org and pharmacists are left in the dust. There are some dedicated people that have made a go of making Pharmacy Informatics a specialty. It remains in the distant future. It is my hope that this kicks us in the behind....

The knowledge base that the certification will be based on was outlined in an article -- Gardner, RM, et al., "Core Content for the Specialty of Informatics", JAMIA, Mar/Apr, 2009 (p153).

More important than Informatics - Courage

Some things are more important than informatics.  Yes I know for this group that is hard to believe. 
Please take the opportunity to see this months editorial in Hospital Pharmacy, entitled "Having the courage to do the right thing".  I was deeply moved by it.
Now, consider the non-actions and mis-directions of one of pharmacy's professional organizations, ASHP, elaborated in this piece: Continually in pursuit of hypocrisy. Part I
I welcome your comments.

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The Pharmacy e-Health Information Technology Collaborative

Readers of this web site should be aware of a wide collaborative effort from many pharmacy organizations.  Here is a brief overview.  It is highly recommended to understand what this effort is doing.

The Pharmacy e-Health Information Technology Collaborative (Collaborative) launched a new website www.pharmacyhit.org.
The primary work of the Collaborative is to assure the meaningful use of standardized electronic health records (EHR), which support safe, efficient, and effective medication use and continuity of care, as well as facilitates access to the patient care services of pharmacists and other members of the interdisciplinary patient care team.  The website is designed to showcase the Collaborative’s objectives and the work of its members.

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Inch by Inch

 

With an HIS go live event and football just around the corner, this seemed like a good inspirational speech.

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The Pharmacist Film gets funded via Kickstarter

I am glad to see this film about pharmacy and technology get the needed funding to start production.

Yale Medical School Graduation Address

The health system I work for circulated this fantastic speech by Donald Berwick.   It is well worth reading.

http://www.apm.org/library/pdfs/BerwickYaleMedSchoolGradAddress5_10.pdf

AMIA 2011 Symposium Pharmacoinformatics sessions of interest

I was going through the AMIA 2011 Symposium final program, in October.  I cut and pasted the really cool sessions and posters for pharmacoinformatists in the Google Doc link below, for your pleasure.

 

Pharmacoinformatics Session of interest at the AMIA 2011 Symposium.  Already getting excited.... (Ok, I know, get a life:))

 

We are working to get Pharmacist CE for this years sessions.  Stay tuned.

 

John Poikonen | john@ePharmD.Net |

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National Television Features for Dr. Sam & the Managed Care Blues Band ®

National Television Features for Dr. Sam & the Managed Care Blues Band ®

More diversion. Dr. Sam is one of the nicest gents in the industry. I had the pleasure to hang with him while at Eclipsys. The blues and HITECH -- what could be better.

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