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College of Dental Hygienists AGM
Nova Scotia’s
Drug Information System
May 24, 2015
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Dr. Rod Wilson, Physician Advisor
Judy Sampson, Change Management Lead
ER
Community Pharmacy
Specialist
GP / NP
Optometrist
Midwife
Dentist / Dental
Hygienist
Other Health Care
Providers
Today
Patient:
Ms. Clark
Silos of Patient Medication Information
Hospital
Community Pharmacy
Optometrist
Midwife
Dentist / Dental
Hygienist
DIS Practice Model Contributing and Consuming Patient
Medication Information
Drug Information
System
Patient Medication
Profile
…the future…
Physician / Nurse
Practitioner
What is the Drug Information System
The Drug Information System is made up of two components:
1. A provincial ‘repository ‘ of medication information that lives in
SHARE (Stream 1)
– The repository contains a medication profile for every Nova
Scotian (and others) who has a prescription filled in a community
pharmacy in the province that is connected to DIS
2. A ‘portal’ to access the medication profile in the provincial
repository (Stream 2)
– The Drug Information System Portal is used to:
• Add information to or update information in a patient’s medication
profile
• Prescribe medications electronically (e-Prescribe)
Repository
DIS Portal
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Drug Information System - Access
The Drug Information System medication profile can also
be accessed through:
1. The SHARE Clinical Portal (Stream 2)
– See information in a patient’s medication profile (view-only access)
• A new tab in SHARE: ‘Community Med Profile’
2. Community Pharmacy Systems (Stream 1)
– Add information to or update information in a patient’s medication
profile
3. Electronic Medical Record Systems in Physician offices
(Stream 3)
– Add information to or update information in a patient’s medication
profile
– Prescribe medications electronically (e-Prescribe)
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Dental Hygienists Access
• Dental Hygienists will access DIS through
the DIS Portal
– Initially will only be able to view the patient profile through the
DIS Portal
– Eventually will be able to:
• Add information to or update information in a patient’s medication
profile
• Prescribe medications electronically (e-Prescribe)
Access will be available in hospitals and in Private Healthcare Organizations (e.g., Physician clinics)
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DIS Medication Profile
• The medication profile will automatically include:
– Prescriptions Dispensed by Community Pharmacies connected to the
DIS
– e-Prescribed Drugs & Devices
• If entered by a healthcare provider*, the medication profile may also
include:
– Other Medications (e.g., OTCs, Drug Samples, Natural Products)
– Allergies & Intolerances
– Adverse Drug Reactions
– Immunizations
– Medical Conditions
– Patient Observations
– Patient Notes
– Pharmacy Professional Services (e.g., smoking cessation) – entered by
community pharmacies only
* Dispensary staff in community pharmacies and healthcare
providers with access to the DIS Portal.
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DIS Rollout Streams
Stream 1 – Connecting Community Pharmacies• Dispensary staff access DIS through their pharmacy software• Rollout start: November 2013 • Rollout end: All community pharmacies must be connected by
June 30, 2016 (149 connected @ May 13, 2015)
Stream 2 – Access in Hospital and in Community• Healthcare providers access DIS through the DIS Portal or the
SHARE Clinical Portal• Rollout start: Late summer/fall 2015• Rollout end: Ongoing as healthcare providers request access
Stream 3 – Connecting with Physician EMRs• Physicians and their staff access DIS through the Electronic
Medical Record (EMR) system in the Physician’s clinic• Rollout start: Dependent on EMR vendors• Rollout end: Ongoing as physician clinics request connection
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Stream 2 - Rollout Approach
DIS Access in Hospital and in Community
Phase 1 – Pilots (Specific Communities & Users)• Pilot DIS access in two rural communities• Will include a small number of healthcare providers in hospital and in the
community• Will include e-Prescribing with the local community pharmacies
Phase 2 – Targeted Communities• Roll out DIS in specific targeted communities; will include e-Prescribing• Communities targeted will be those where the majority of community
pharmacies are connected to the DIS• Will be available to all healthcare providers in private healthcare organizations
in the targeted communities• Will be available to all healthcare providers in hospital as determined by the
hospital/zone
Phase 3 – DIS available across Nova Scotia• Will occur once all pharmacies are connected to DIS• Will include e-Prescribing• Available to all healthcare providers in hospital and in
community as requested
DIS Portal SHARE Clinical
Portal (Community Med Profile
tab)
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