Missouri USDA Funds Rural Hospital District's Telepharmacy Program

Last month, the Rural Development division of the Missouri USDA announced funding for telecommunications, distance learning and telemedicine projects in the state. Among those was:

Citizens Memorial Hospital District, in the southwest Missouri community of Bolivar, received $457,500 for implementing a telemedicine program that centralizes the management of medications. The tele-pharmacy allows rural residents to connect to a pharmacist during evening hours and from remote locations and computerizes the management of prescriptions which greatly improves the timely review of medication orders plus generally improves the efficiencies in all aspects of a pharmacy operation.

Several other telehealth grants were awarded but they didn't specifically mention whether their projects included anything pharmacy specific.

ASCP 2011 Spring Conference Provides a Telepharmacy "Education Session"

The American Society of Consultant Pharmacists' Spring Conference & Exhibition is running from May 17th through 19th, 2011 in Las Vegas, Nevada. Among their education sessions is an entire lecture about remote pharmacy called "Telepharmacy - A Future Alternative," held from 2:00 PM - 3:15 PM on Tuesday, May 17:

This session describes the operation of a telepharmacy medication dispensing system that provides medication dispensing services among a network of six community health clinics. After attending this session, participants will have a clear picture of how telepharmacy technology can be applied to dispensing of medications and may be able to apply some of the knowledge and practice experiences learned in this session into their dispensing practices. At the conclusion of this activity, the participant will be able to: 1. Describe the operational components of a telepharmacy system; 2. Identify the regulations and protocols that enable a telepharmacy to operate; 3. Describe the advantages and challenges of using a telepharmacy for dispensing services in an ambulatory/community setting; 4. Review potential telepharmacy error sources and suggest methods to reduce dispensing errors; 5. Discuss telepharmacy service patient satisfaction and service outcomes. Universal Activity Number: 0203-0000-11-009-L04-P; 1.25 contact hours

Minnesota SBP Grants More After-Hours ROE variances

After a host of after-hours order entry variances from the Minnesota State Board of Pharmacy recently, more hospitals requested and recieved variances in their March 9th, 2011 meeting:

Mayo Health System hospital pharmacies – remote after hours order entry –

Variance Committee recommends approval

o Fairmont Medical Center 200992-002

o Lake City Medical Center 261637-001

o Springfield Medical Center 200325-001

o St James Medical Center 200891-001

o Waseca Medical Center 200753-1

o Immanuel St Joseph Hospital 200743-001

European Association of Hospital Pharmacists 2011 Vienna Congress Lecture Will Touch on Telepharmacy

The 16th Congress of the European Association of Hospital Pharmacists is taking place starting at the end of this month, March 30th through April 1st, 2011 in Vienna, Austria. At least one of the lectures, "A need for hospital pharmacist specialization?" will touch on "Providing telepharmacy services to rural and remote areas."

Ontario Hospitals Request Bids for Remote Medication Order Review

The Wellington Health Care Alliance in Ontario, Canada has posted a request for proposal for a 1 year contract for a Canadian firm to do order review and entry for three sites for 1 year:

Notice Description:

Telepharmacy Coverage for Wellington Health Care Alliance

Wellington Health Care Alliance is a relationship between North Wellington Health Care and Groves Memorial Community Hospital. We operate three sites:

Louise Marshall Hospital, Mount Forest
Palmerston District Hospital, Palmerston
Groves Memorial Community Hospital, Fergus

Term of Contract will be 1 year from May 1, 2011 to April 30, 2012

Service Requested
• To provide telepharmacy coverage for 2 corporations and 3 hospitals that includes medication order review and pharmaceutical advice to staff and physicians

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.

Colorado State Board Approves Telepharmacy, Remote Dispensing in Rural Hospital

The article from the Lamar Ledger from the beginning of the month says it all:

The Prowers Medical Center Board of Directors approved obtaining USDA grant funding to place a tele-pharmacy service at the Holly Medical Clinic. The tele-pharmacy will allow people who receive treatment at the Holly Medical Clinic to get medicine from the tele-pharmacy. Described as similar to an ATM, the machine will be located in the Clinic and will allow those who receive treatment at the Clinic to get their medications in Holly, rather than driving 30 miles to Lamar to refill or obtain new authorized prescriptions. The machine will require identification and will be a benefit to those who live a long distance from Lamar, Prowers Medical Center CEO Jim Fairchild said. It is not the hospital's goal to take business away from pharmacies, he added. Installing the tele-pharmacy machine will simply benefit those patients who can't make the trip to Lamar, Fairchild said.

DrugTopics has Suggestions for State Boards, Praises Remote Chemo Prep

The newest issue (Feb 15th) of DrugTopics has two articles about telepharmacy. The first is by Ned Milenkovich, PharmD, JD. He has some suggestions for the state boards who haven't written telepharmacy rules yet: Get with it, and do look to other states. Excerpt from Page 2:

Many state pharmacy laws and regulations are devoid of language regulating this area. Telepharmacy is still a novelty, and there is a lag in implementation of new laws after professional and technological innovations are deployed.

Moreover, in the few states where telepharmacy laws exist, there is a lack of uniformity among the various states' measures. Implementation of comprehensive and uniform state laws and regulations would provide a more certain medium for telepharmacy for the marketplace and patient population.

With regard to state laws and regulations in the telepharmacy arena, establishing requirements that any technology used must be able to electronically link drug product at the remote site back to the original packaging from the drug manufacturer would ensure patient safety and offer a de minimus chance of medication dispensing error. By electronically sending the drug product's bar-code information from the remote site back for comparison with the manufacturer's bar code, the electronic indicia of the drug can be confirmed without human intervention.

Similarly, laws and regulations should require that captured images of the drug product and prescription that are labeled and dispensed at the remote site must be retrievable and reviewable by the pharmacy and pharmacist at all times.

Finally, telepharmacy laws and regulations should provide for proper counseling by means of video technology that enables pharmacist and patient to interact directly.

The second article is by Fred Gebhart, called "Technicians key to telepharmacy success in North Dakota" and it praises technicians' roles in telepharmacy. The article's section that might be new to my readership also comes on the second page:

Techs prepare chemotherapy and other IV medications in a typical sterile facility; the supervising is pharmacist linked electronically.

"Even if the pharmacist is sitting in the next room, telepharmacy can give you a higher level of oversight than you have with a traditional sterile-prep situation," he said. "Telepharmacy gives you clear, visual records of drugs, bar codes, syringes — every step of the preparation process."

Rural Washington Hospitals Awarded Telemedicine Grant, Will Upgrade Telepharmacy Equipment

The US Department of Agriculture's Rural Utilities Services, Distance Learning and Telemedicine Grant Program recently awarded $487,000 to the North Central Washington Health Collaborative (NCWHC), which includes Lake Chelan Community Hospital, as well as other rural public hospitals in Leavenworth, Brewster, Omak, Quincy and Goldendale. From the Kozi Community Radio station article:

The hospital, along with its partners, will receive $487,000 to upgrade and expand their telemedicine network to improve access and bring new healthcare services to the rural communities they serve.

As the coordinating facility in the North Central Washington Health Collaborative (NCWHC), LCCH's award will fund a new ultrasound machine, additional computerized radiology equipment and telepharmacy equipment for the hospital's childbirth and surgical center departments.

TrinityHealth Outfits North Dakota Hospital with Telepharmacy Equipment

Trinity Health's Foundation just released their "Report to the Community" for the fiscal year 2010, which ended June 30th. They received "nearly $700,000 in gifts" and dispersed this among their hospitals. A North Dakota hospital received part of it. From the release:

Kenmare Community Hospital

Exercise equipment for patients

Telepharmacy equipment to better serve the community

Unfortunately there are no more details.