Wednesday, March 14, 2018
It Looks Like We Have A Little Way To Go On Real-Time Prescription Monitoring Just Yet.
This appeared last week:
It will be less than seamless compared with Victoria's system, say pharmacists
8th March 2018
The Federal Government’s real-time script-monitoring system to tackle opioid misuse will not be integrated with GP software, raising fears it will become a workload headache.
The system is being rolled out this year and aims to give all doctors access to information on S8 drugs prescribed and dispensed.
However, it will be based on the Tasmania system — known as DORA — where doctors have to log in to a state government website and view a record of what a patient has been prescribed.
Concerns about the proposals were raised in a TGA consultation on curbing opioid misuse.
In a submission, the Pharmacy Guild of Australia said there were also concerns about whether a nationwide system would be able to cope with tracking details of 25 million patients, given the DORA software was designed for just 500,000 Tasmanians.
“I’m not here to criticise [the Tasmanian system] in any form, but for larger populations, the query is scalability,” the president of the guild's Victorian branch, Anthony Tassone, said.
The guild said the Federal Government should look to adopt the real-time prescribing system developed for Victoria — SafeScript.
SafeScript is due to come online this year.
There is more detail about the Guild’s preferred system here (from their submission):
Victoria is much further progressed with implementation than any other mainland state and has thoroughly investigated what is required to implement a high performing system on a Victorian and national scale. A feasibility study commission by the Victorian Government revealed a better alternative to address the limitations of the Commonwealth software which in its current state will not meet the needs of clinicians, nor will its interface with clinical systems encourage high uptake. As a result, Victoria has made the decision to develop SafeScript, based on contemporary technology. It will source data from Prescription Exchange Services (PES) - technology that is already used in the majority of pharmacies and medical clinicsto facilitate electronic transfer of prescriptions. This approach will have significant advantages. SafeScript will be high performing from the outset, and as it will be developed using modern cloud-based architecture, it will be scalable to an increasing volume of prescriptions.
By comparison, significant redevelopment work would have been necessary before the Tasmanian software could have supported Victoria's prescription volume, let alone at a national level. Most importantly, SafeScript will be designed around clinicians' needs and will offer a better user experience and cause minimal disruption to clinical workflow. Clinicians will receive pop - up notifications from their desktops within seconds after a prescription has been issued or dispensed which will prompt clinicians if a review of the records in SafeScript is necessary. The notification will also provide a direct link to the patient's record. The Commonwealth software does not provide these workflow features for clinicians.
Here is the link to the submission:
If indeed the SafeScript system is more scaleable and provides better work-flow support then I suspect the Guild has a reasonable case assuming there are no buried commercial nasties.
We really do need to get this system in place ASAP.
Posted by Dr David G More MB PhD at Wednesday, March 14, 2018