Adnan - I've spoken to Meditech and they are supposedly working on allowing
you to pick non-formulary drugs for order entry as long as there isn't a
charge to them (you would pick from a list supplied by a third party
vendor). However, until that happens (if it ever does), here's what I do.
First, we have a dummy entry of NF which we use until I can enter the NF med
into the drug dictionary just like I would any other drug. Make sure that
your people don't bill for the dummy entry and enter an order type (we use
REF) so that it doesn't bill on the cart fill list. Then when you add the NF
drug to the drug dictionary, you can edit the NF and enter the correct drug.
Also, for NF drugs, make sure you put a Y for the restricted prompt on page
8. I have a rule that displays if this is Y and someone choses a NF drug.
Once this drug is out of our stock, I then inactivate the drug in the drug
dictionary, but keep a list in OA of all inactivated drugs so that I can
re-activate them at any time.
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
----- Original Message -----
From: <[EMAIL PROTECTED]>
To: "'Adnan Hamid'" <[EMAIL PROTECTED]>; "'MEDITECH-L'"
<[email protected]>
Sent: Friday, February 16, 2007 11:12 AM
Subject: RE: [SPAM] [MEDITECH-L] PHA: Desiging Drug Database
Hi Adnan-
Not exactly sure what is meant by "...2 separate databases..." - I'm
assuming that means utilizing the "Non-Formulary Dictionary". For many
reasons I would not recommend utilizing that particular dictionary, mainly
for maintenance issues. The option of a unique mnemonic is problematic as
well (example, NF-XXXXX) - I would look at utilizing a separate Drug Type
for these meds. Your flexibility for dictionary lookup, report output,
PHA
Rules for decision support on order entry, etc. are all good reasons. I
firmly believe that the Non-Formulary section in a Pharmacy should be very
small, and think of the issue when something goes from NF to
Formulary...what then? In this example, the Drug Type is changed...
Best of luck - Kevin.
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
www.RPhInformatics.com
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of
Adnan Hamid
Sent: Wednesday, February 14, 2007 1:44 AM
To: MEDITECH-L
Subject: [SPAM] [MEDITECH-L] PHA: Desiging Drug Database
We are in the beginning of designing our dictionaries. One item that
has come up is how to design the drug database. In particular, it is
how to assign non formulary drugs. We are being given two choices
from Meditech:
1. Have two separate data bases- one for formulary items and one
for non-formulary items.
2. Utilize the formulary data base, but have some designation
built into the drug mnemonic to designate a non formulary drug.
Each has its pluses and minuses. I prefer option #1, because it will
allow additional report capability and make drug look up easier.
How have others handled this?
--
Adnan E. Hamid MBA, CPHIMS
I.S. Manager, Applications/Project
Henry Mayo Newhall Memorial Hospital
23845 McBean Parkway
Valencia, CA 91355
Email: [EMAIL PROTECTED]
Phone: 661-253-8375
Fax: 661-253-8327
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