DAWN AC Medications Interface with EPIC and its

Benefits

Sally Stansbury, PharmD, CACP

November 20th, 2015

Objectives

� Review interfaces between Dawn AC and the Brigham and Women’s Hospital

� Outline the benefits seen by the medication interface with EPIC

Brigham and Women’s Anticoagulation

Service (BWH AMS)

� Currently have ~3,300 outpatients

� 10 pharmacist on staff

� ~400 patients per pharmacist

� 4 pharmacy student interns

� ~7,000 INR’s dosed each month

� ~250 new patients each month

� Primarily phone based

AMS Icon

Laboratory Interface

EMPI (Demographics) Interface

Daily Tasks

� Call Labs

� Call “not dones”

� Check the medication tab

� Dose INR’s

� Call dosed patient’s

Medication Interface

Drug Tab

Medication Interface

Possible Obstacles

� Over correction

� Decrease in patient reporting

� List may not be all-inclusive

In Summary

� AMS Icon

� Laboratory Interface

� Demographics Interface

� Medication Interface

What’s Ahead?

� Integrate Televox: automated reminder calls

� Incorporate more labs into laboratory interface (i.e. Alere)

� Drug-Drug interaction guidelines

� Adding the detailed interaction for each drug

� Texting and emailing through DAWN

Questions?