Diapositiva 1

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ELECTRONIC PRESCRIBING
ELECTRONIC PRESCRIBING AND APPLICATION OF NEW
TECHNOLOGIES IN THE SPANISH PHARMACY
Carmen Peña López Secretary General. General
Spanish Council of Pharmacists
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ELECTRONIC PRESCRIBING
Spanish pharmacists have always backed the use
of Communication and Information Technologies in
benefit of the quality care TO PATIENTS The new
technologies have been incorporated on demand for
the new projects and professional challenges
INTRANET PRIVATE VIRTUAL NETWORKS
PRESCRIPTION INVOICES
INTERNET
SECURITY
COMPUTERISATION OF COMMUNITY PHARMACIES
CORPORATE PORTALS INFORMATION INSTRUCTION COMMUNI
CATION
ELECTRONIC PRESCRIBING
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ELECTRONIC PRESCRIBING

• Electronic prescribing consists of incorporating
  the new information and communication
  technologies into the prescription, dispensing
  and invoicing processes for medicines, aimed at
  optimising the systems quality in the patients
  benefit.

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IMPROVEMENTSREGARDING TRADITIONAL PRESCRIBING
ELECTRONIC PRESCRIBING

• For the patients
• Improvement in quality care and therefore, the
  safety and efficiency of the patients
  treatments.
• Chronic patients will avoid unnecessary visits
  and paperwork for the doctors surgeries in order
  to renew prescriptions.

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IMPROVEMENTSREGARDING TRADITIONAL PRESCRIBING
ELECTRONIC PRESCRIPTIONS

• For the Administration
• Control of the prescription
• Decrease in bureaucracy
• Knowledge in real time of the evolution of
  expenditure on medicines.
• Promotion of the rational use of medicines.
• Safe, fast, reliable and confidential
  transactions.

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ELECTRONIC PRESCRIBING
IMPROVEMENTSREGARDING TRADITIONAL PRESCRIBING

• For the pharmacist in the community pharmacy
• The mistakes made when reading prescriptions are
  eliminated.
• Active participation in pharmaceutical care and
  drug-monitoring plans.
• Efficiency in the costs produced by management
  and invoicing.
• Implication in new technologies.
• Rapid information exchange with the doctors.

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ELECTRONIC PRESCRIBING
Regulatory Framework

• Royal Decree 1.910/1984 (26-09) on medical
  prescriptions.
• General Law 15/1999, of the 13th of December on
  personal data protection.
• Law 41/2002, of the 14th of November, basic
  regulator of the patients autonomy and on the
  rights and obligations on the subject of clinical
  information and documentation.
• Law 16/2003, on Cohesion and Quality of the NHS,
  which establishes the regulation and development
  framework within the National Health System.
• Royal Decree 183/2004, of the 30th of January,
  which regulates the individual healthcare card.
• Law 29/2006, of the 26th of July, on guarantees
  and rational use of medicines and healthcare
  products.

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ELECTRONIC PRESCRIBING
Promoting electronic prescribing (I)

• Law 16/2003, on Cohesion and Quality of the NHS,
  which establishes the regulation and development
  framework within the National Health System, for
• a) The error-free identification of users and
  patients (Healthcare Card).
• b) The exchange of healthcare information between
  organisms, centres and services.
• c) Electronic Prescribing.
• d) The Communications Network (NHS Intranet)
• The development of these provisions and of the
  technical functionalities for their performance
  is a competence of the Spanish Ministry of
  Health.

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ELECTRONIC PRESCRIBING
Promoting electronic prescribing (II)

RED.ES It promotes the development of the
Information Society with the producing of
programmes defined in the Plan Avanza for the
convergence with Europe and between the different
Autonomous Regions.
Quality Plan for the NHS (2006) HEALTHCARE
ON-LINE (141 mill . For 2006-07) (Healthcare-indu
stry framework agreement)
The Autonomous Regions may benefit from the funds
committed within the framework agreement for
cooperation through the bilateral agreements
signed between each Region and the organisation
Red.es, in coordination with the National
Ministry of Health.
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Situation in Spain
ELECTRONIC PRESCRIBING

• Electronic prescribing is already a reality in
  Spain
• Andalusia Prescription XXI
• Data for Seville in January 2007
• 606 community pharmacies (76 of the total)
• 47 health centres. 679 doctors (53 of the total)
• Since May 2006 1,000,000 electronic
  prescriptions dispensed.
• There are different Electronic Prescription
  projects, promoted by the Autonomous Regions,
  which are evolving at different rates and using
  different models, from the technological,
  functional and even operational points of view.
• The Official Colleges and the Autonomous
• Councils of Pharmacists ensure the quality of
• the system on a dispensing level.

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Situation in SpainFunctional Model for
electronic prescribing
ELECTRONIC PRESCRIBING
HEALTH CENTRE
COMMUNITY PHARMACY
Pharmacist
Prescribing Doctor
Pharmacists electronic signature
Dispensing
Prescribing Doctors electronic signature
Prescription Database
Dispensing-invoicing Database
AUTONOMOUS HEALTHCARE ADMINISTRATION
OFFICIAL COLLEGE OF PHARMACISTS
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Role of the Pharmacists College Organisation in
Electronic Prescribing (I)
ELECTRONIC PRESCRIBING

• 1 To guarantee the Universality, Quality and
  Accessibility to all community pharmacies
• 2 Tools Facilitators for the project

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Role of the Pharmacists College Organisation in
Electronic Prescribing (II)
ELECTRONIC PRESCRIBING

• 1 Guarantees of Quality
• The Pharmacists College Organisation plays an
  active role since it tries to move the
  representation and coordination task of the
  community pharmacists over to the field of the
  new technologies.
• The dispensing process will be clearly affected,
  therefore the Pharmacy Colleges will monitor it
  to ensure its quality.

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Role of the Pharmacists College Organisation in
Electronic Prescribing (III)
ELECTRONIC PRESCRIBING

• 2. Facilitators of the project
• Accrediting the identity of the professionals
  electronic signature.
• Providing a secure pharmaceutical corporate
  network and suitable technological equipment for
  the community pharmacies.
• Organising instruction activities for the
  adaptation of the pharmacists to the new
  technologies.
• Supplying value added services over the network
  (Pharmaceutical Care, Long distance training,
  college services and medicine database).
• Working as an operational back up for possible
  specific incidences in equipment and
  communications.
• Arranging grants.

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Role of the General Spanish Council of Pharmacists
ELECTRONIC PRESCRIBING

• SUPPORT FOR THE PHARMACIST COLLEGES TO UNDERTAKE
  THE ELECTRONIC PRESCRIBING PROJECT ON A NATIONAL
  SCALE.
• TECHNOLOGICAL SOLUTIONS NETFARMACIA National
  Pharmacists Corporate Network

Ensuring the inter-operability of pharmacy
services between the different Autonomous Regions
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Role of the General Spanish Council of Pharmacists
ELECTRONIC PRESCRIBING

• NETFARMACIA Pharmacists Corporative Network

It is set out as a large scale pharmacist
corporative network that integrates the
different networks of provincial colleges
encouraging the interoperability on the
dispensing level.
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REFLECTIONS
ELECTRONIC PRESCRIBING

• Electronic prescribing is already a reality in
  Spain.
• Homogenous criteria are needed to be set down in
  order to promote the interoperability between the
  different models guaranteeing the healthcare
  service regardless of the geographic mobility.
• The Pharmacists College Organisation guarantees
  the universality, quality and accessibility of
  the dispensing in the patients benefit.
• The Pharmacists College Organisation holds a key
  role as FACILITATORS of this system from the
  point of view of representing the pharmacist
  profession and as facilitators of the necessary
  technological infrastructure.

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ELECTRONIC PRESCRIBING

• THANK YOU VERY MUCH