VA to "Soon" Roll Out Telepharmacy Services in Butler, Pennsylvania

In an article about their tele-dermatology program, VA Butler makes a quick mention that they "will soon expand to include Tele-Smoking Cessation and Tele-Pharmacy." No real information as to whether they'd be providing the service or receiving the service seems to be available.

VA Soliciting Bids for After-Hours Telepharmacy Service at Maine Hospital

The Federal Business Opportunities website has an offer from the Department of Veterans Affairs to remotely staff the Togus VA Medical Center in Augusta, Maine. Details as follows:

The Togus VA Medical Center in Augusta, ME requires after hours telepharmacy services for inpatients. This entails the vendor providing drug knowledge resources and pharmacist medication order review and entry services. This will include review of authorized physician medication ordered during "after hours" time periods that are scanned, sent, transmitted to or accessed by vendor. Pharmacists will enter via remote access, orders into VAMC medication order entry system. This contract is needed to relieve the present system of after hour's pharmacy orders. This work is presently being performed by VAMC TOGUS staff pharmacists on call and on overtime.

Solicitation Information: This telepharmacy contract will include a base year with 4 option periods at an estimated amount between $50,000 and $100,000 annually. The solicitation documents will be posted at the Federal Business Opportunities website (http://www.fbo.gov) on or about February 15, 2011.

So far there have been nine bids by providers from around the country, mostly from the Northeastern states.

VA and IHS to Enhance Access through Development of Telepharmacy

The Department of Veterans Affairs (VA) and Indian Health Service (IHS) released a Memorandum of Understanding (PDF) that they signed to "foster an environment that brings together the strengths and expertise of each organization to actively improve the care and services provided by both." The memorandum states they will:

...enhance access through the development and implementation of new models of care using new technologies, including:
a. Tele-health services such as tele-phychiatry and tele-pharmacy.

Army, Navy, VA use of Kiosks, Automated Dispensing, Telepharmacy on the Rise

Christopher Prawdzik from the latest edition of Military Medical Technology wrote a review of the newest pharmacy technologies in use at various military pharmacy facilities called "Less Time to Fill: Advances In Pharmacy Automation Cut Costs, Improve Accuracy And Leave Pharmacists With More Time For Patient Care":

For example, the Navy’s Pensacola, Fla., command has about 11 remote sites in addition to the Pensacola Naval Hospital. Using ScriptPro’s Telepharmacy system, any pharmacist on duty at any of these sites can accept a call at a station and verify that prescriptions are accurate. This includes verifying pictures of individual drugs with the actual filled prescription.

One big bonus of such systems is that instead of spending exorbitant amounts of time on what are essentially administrative or inventory matters, the technology allows pharmacists to do what they were trained to do. That includes understanding the medication needs of patients and ensuring that drug combinations, if multiple drugs are involved, do not lead to adverse interactions.

He talks about automation in use (Omnicell) at Walter Reed, unmanned kiosks where patients pick up prescriptions, and the telepharmacy system in the above quote from the article.

Two quick Telepharmacy updates

Photo by Tammy Lawson

First, Tammy Lawson of the Times Republican reports that the US government is building a new Veterans Affairs (VA) clinic in Marshalltown, Iowa whose pharmacy will be serviced by remote pharmacists. This no doubt sprung from their other work in Iowa where they identified the program as one of their best and most efficient.

Second, an update on Comprehensive Pharmacy Services' newly acquired remote pharmacy division, now with a new name, comes from a small article buried in Memphis' Commercial Appeal online magazine:

Rx Remote Solutions

Comprehensive Pharmacy Services has renamed its newly acquired remote-order-entry division to Rx Remote Solutions.

Memphis-based CPS bought Napierville, Ill.-based RxKnights Inc. in June for an undisclosed amount.

Rx Remote Solutions employs pharmacists at a call center who answer calls from health care facilities including hospitals, nursing homes and behavioral health centers.

The pharmacists will have access to the facilities' patient files and will be able to review and approve medication orders even late at night.

It will be interesting to see how they do entering the remote pharmacy market around the US. You can bet the Telepharmacy Blog will be covering it.

VA to do Remote Order Entry from smartphones?

At the Washington DC VA Medical Center, chief of staff for informatics, Dr. Divya Shroff has been ushering in the use of smartphones for a few functions around the hospital normally performed by people at computers. One thing she sees in their future is Remote Order Entry via smartphones like BlackBerrys or the iPhone. From the ComputerWorld article:

Dr. Shroff sees many of the tasks currently being performed on laptops in medical settings making their ways to smartphone platforms as well. Possible future uses for mobile applications for physician's include remote order entry, remote chart changes, and the ability to read and make notes in real-time on medical materials from anywhere, to name a few, Dr. Shroff says.
...
DCVAMC is already working on an iPhone application for patients, though Dr. Shroff didn't share specifics.

This would be an absolutely amazing and revolutionary use of mobile phone technology for use in the healthcare setting. Here's to hoping they develop the application.

VA hints at retail telepharmacies for rural Alaskans

In a press release issued by the senior US Senator from Alaska, Lisa Murkowski, Secretary of Veterans Affairs, Eric Shinseki, spoke at a hearing of the Senate Appropriations Veterans Affairs Subcommittee and responded to questions about the VA's future approach to delivering prescription health benefits to veterans in rural areas of the state:

Cross said the VA could help Alaska through “outreach clinics,” such as those slated for Juneau and Homer, and rural health initiatives, including telemedicine programs and prescription deliveries by mail so that veterans don’t have to visit a pharmacy.

“We have much to learn and much innovation to bring forward in regard to our veterans in Alaska and we look forward to working on that,” he said.

Considering that the VA has a good idea of what telepharmacy can offer, and the head of the VA is testifying that this is more or less what they have in mind to the Senators who are going to appropriate the money, it's a good bet it will happen.

VA implements telepharmacy, "Safety, efficiency, and patient satisfaction improved"

In their OIG report, they claim "Safety, efficiency, and patient satisfaction improved with the implementation of the telepharmacy program".

In his post New Reports From the VAOIG, Mike Fielder says "We identified the telepharmacy program and QM program redesign as organizational strengths."