CIO Connect Brief - December 2023
December 2023 – CIO Connect Brief Activation and implementation PharmNet and Barcode Medication Administration (BCMA) go live across Banner Ambulatory
Throughout 2023, PharmNet has been successfully implemented at the following locations: • Feb. 16: BHC Mercy Pediatrics • March 9: BHC Gilbert Health Center • March 23: BHC Gateway General Surgery & Bariatric, Orthopedics & Sports Medicine, Podiatry as well as BHC Higley Pediatrics
Banner IT is implementing both PharmNet and Barcode Medication Administration (BCMA) across Ambulatory. This project’s first activation began with Chandler Cardiology in August 2022. These project efforts will go through the 2024 calendar year as this project team implements PharmNet and BCMA across all Ambulatory and Urgent Care clinics within the Banner network. Activating PharmNet lays the groundwork for the implementation of BCMA. PharmNet utilizes Auto-Product Assignment (APA) and Auto-Verification (AV) in the background logic of the Cerner Millennium database to match a fitting product (technical representation of a physical medication) to an orderable medication on the patient’s profile. Once PharmNet is in place, BCMA will be implemented, which allows for the scanning of the matched product to the orderable on the patient profile. The benefits of implementing PharmNet and BCMA: • In the acute setting, we’ve been utilizing scanning technology to ensure patient safety for decades to reduce medication errors and meet the rights of medication administration. We’re now making strides to bring those safety practices into the ambulatory setting to service and give the same quality treatment in all aspects and settings in which Sofia receives care • Improved accuracy for reporting and billing as the National Drug Code (NDC) scanned will now be captured instead of the current state where the primary NDC is submitted for billing • Aids in inventory and formulary management of the products purchased and stocked at the clinics • Future state after CIRRC (Cerner Integrated Registration and Revenue Cycle is implemented). When a product is scanned, several of the required documentation fields will be filled based on the information attached to the barcode (reducing documentation burden) Impact to clinician’s workflow: • Scanning of inventory coming into the clinic upon arrival to ensure the product is built and available to the facility to scan • Administering clinician will need to take a scanner and laptop with them (if there’s no computer in the administration room) to document and complete the scanning process
• July 25: East Mesa, Queen Creek, Chandler and Maricopa • Oct. 24: A total of 56 clinics across the West Valley Region BCMA implementations: • Aug. 15, 2022: Chandler Cardiology Clinic • Aug. 8, 2023: Higley Pediatrics • Oct. 31, 2023: Goodyear Estrella Pediatrics and Family Medicine clinics
.Feedback from ambulatory clinicians who have already adopted this workflow has been great in stating this has sped up their administration process, adds additional safeguards and has been easy to adjust to. For example, Higley Pediatrics, who went live in March 2023, has done a remarkable job of scanning patients and medications so far. In the second week of adoption, scanning patient identifiers are at rate of over 98% and medications over 99%. Clinicians at the site have been reporting the ease of workflow and that BCMA is increasing their efficiency. We expect to keep hearing more positive feedback as rollouts continue as ambulatory clinics have been asking for scanning for some time, and those requests are now becoming a reality.
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