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Kim,
We have MicroMedex, not
FDB but we have major issues with the way the formulary service loads in
RXM. We haven't gone live yet and it took 6 loads with MT changing
suggested parameters to get 'everything' to load. We then discovered that
this included thousands of medical devices, bandages, etc that the physician
would never order; we were told to inactivate these manually and don't
worry they won't be loaded again "it's a one time thing" - we started with
46,000+ items and got down to 23,000+ before MT agreed to try and write a
loop to inactivate all the ones we had not updated and filed (ie the ones we
want to keep). Every issue we bring up (and we have many) Meditech
is telling us that they haven't heard these issues from other clients so our
requests basically get put on the back burner.
Please, please, if you
have issues, complain. Bring them to the attention of your HIS
coordinator, be the squeaky wheel. With enough 'noise', perhaps MT will
take these issues seriously. I find this list very helpful, but I
think we need to put more pressure on MT to resolve our issues.
By the way- we have RXM
as part of the LSS practice package but MT programmers (from PHA) wrote
RXM/AOM. They make us go thru LSS but it's MT that has to address the
programming problems.
Marge
Usher
Clinical Systems Manager
The New York Eye & Ear
Infirmary
310 E 14th Street
New York, NY 10003
212-979-4134
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kimberly Fischer Sent: Thursday, September 14, 2006 2:15 PM To: [email protected] Subject: [MEDITECH-L] RXM with Formulary Service Vendor Loads I am looking for sites that use RXM along with First Databank for a
Formulary Service Vendor.
Our system seems to be crumbling beneath us and I need to find out what
anyone or everyone else is doing to make this work. Some months ago, we started
seeing that with each First DataBank Update (which we do quarterly), volumes of
drugs in our formulary get INACTIVATED. This means the next time the provider
(unknowingly) goes to renew one of these drugs, they are stopped dead in their
tracks, advising them to select another "another drug" and rewrite the script.
You can't even see the previous script at this point, to know what strength or
sig the previous script had. There IS a list that can be printed at the
end of each Update, that tells you what meds have been inactivated. Then you can
research which NDC to reactivate in its place...a tedious process.
This time mine had 6000 drugs on it. There's another FTE we need, just to
manage that list!!!
We are not really getting any workable solutions yet from LSS/RXM, but
either we are doing something terribly different than the software was designed,
or the software was not designed with the prescribing physician in mind.
Can anyone offer insight?? Is anyone making this work?
Kim Fischer
Clinical Analyst, SMMC IS Dept. |
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