ePrescribing in Primary Care

ePrescribing in Primary Care

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The benefits of ePrescribing initiatives are well documented and an increasing number of countries have adopted their use .

A € 36,5 Million European Initiative epSOS ran for 6 years ( 2008 to 2014) aimed to design, build and evaluate a service infrastructure that demonstrates cross-border interoperability between electronic health record systems in Europe.

ePrescribing was identified in the National eHealth Strategy (2013) as a key priority for Ireland.

The eHealth Ireland ePharmacy programme has met with most of the stakeholders and s/w vendors, listened to their concerns and ideas while reviewed the documentation available to look at best way to progress ePrescribing across Ireland in a structured , standardised, coordinated and safe way

 

Recently there have been a number of significant developments...

 

Publication of HIQA Standards 

Further to the GP Messaging Standard currently in use , in 2015 HIQA finalised and in March 2015 published their National ePrescription dataset and clinical document architecture standard  based on the HL7 Clinical Document Architecture &  a Data model for an electronic medicinal product reference catalogue – a National Standard..

 

Active Pilots

Currently there are two  s/w vendor pilots underway around the country.

Clanwilliam Group  are piloting their e-script  initiative 

Cork Health Innovation Hub ( HIH) / Mc Lernons/Complete GP are piloting  their ePrescribing initiative  in Mallow, Co Cork .

 

eHealth Ireland Developments

ePharmacy was been adopted as a strategic programme with a commitment to progressing the ePrescribing agenda in Primary Care.

HealthLink is now part of eHealth Ireland and HealthLink has current status as national messaging broker and has an infrastructure used and trusted by GPs and GP s/w vendors

Work is also proceeding on Individual Health Identifier ( IHI ), Electronic Health Record (EHR) and National Medicinal Product Catalogue.

 

Full ePrescribing or Phased implementation …..


Following discussions and after reviewing the documentation  available, it was decided that the best way to build and test a National ePrescribing  solution in a useful and safe manner is to do it in incremental steps.

 ePrescibing Phased Approach

 Approval has been given to proceed  in 2016 with  an initial phase that will facilitate the electronic transfer of prescriptions. utilising  HIQA standards developed to date and  the National Message Broker HealthLink.

The collaborative initiative ‘ePrescription’ will ensure a standardised transportation mechanism and supporting infrastructure for the safe electronic transportation of a prescription from a prescribing site system to a dispensing site system. .

 The ‘ePrescription’  initiative will reduce rekeying of  prescription information manually which will speed up the dispensing process and minimise errors.  

The development where community pharmacists are utilising the Healthlink infrastructure will be a significant milestone that will open up other possibilities for greater electronic interaction between community pharmacies , GP’s & hospitals.


 eprescribing steps