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Father of medical informatics, Homer Warner dies

12/06/2012
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Controlled Drugs in State Databases must be made available in Health Information Exchanges

12/02/2012
Two publications this week solidifies the need and methods for States to open up the databases of 

Controlled Substances to State HIEs.  
Having a web view of the data, as some State are doing, will not work in a clinical workflow (period).

*  First this from the ONC — Enhancing Access to Prescription Drug  Monitoring Programs 

(note PDF) Also see the post below.

* This Journal article from the Permanente Journal on ED Docs and Narcotic History. 
http://www.thepermanentejournal.org/issues/2012/fall/4904-emergency-physicians.html

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JAIMA Nov 2012 Packed with RxInformatics Articles!

11/08/2012
Here are some terrific and essential articles in just the latest Journal of Am Medical Informatics Association.  

For all of the pharmacy informatics professionals out there, take a look at AMIA as a place to flex your informatic muscles.  
AMIA.org is a terrific organization that will stretch your knowledge more than any pharmacy organization.  IMHO.

Computerized clinical decision support for medication prescribing and utilization in pediatrics

  • Jeremy S Stultz
  • Milap C Nahata

J Am Med Inform Assoc 2012;19:942953 Published Online First: 19 July 2012doi:10.1136/amiajnl-2011-000798

Standard practices for computerized clinical decision support in community hospitals: a national survey

  • Joan S Ash
  • James L McCormack
  • Dean F Sittig
  • Adam Wright
  • Carmit McMullen
  • David W Bates

J Am Med Inform Assoc 2012;19:980987 Published Online First: 15 June 2012doi:10.1136/amiajnl-2011-000705

  •   OPEN ACCESS!
  • Collaborative knowledge acquisition for the design of context-aware alert systems

    • Erel Joffe
    • Ofer Havakuk
    • Jorge R Herskovic
    • Vimla L Patel
    • Elmer Victor Bernstam

    J Am Med Inform Assoc 2012;19:988994 Published Online First: 28 June 2012doi:10.1136/amiajnl-2012-000849

    Failure to utilize functions of an electronic prescribing system and the subsequent generation of ‘technically preventable’ computerized alerts

    • Melissa T Baysari
    • Margaret H Reckmann
    • Ling Li
    • Richard O Day
    • Johanna I Westbrook

    J Am Med Inform Assoc 2012;19:10031010 Published Online First: 26 June 2012doi:10.1136/amiajnl-2011-000730

    Posted via email

    JAIMA Nov 2012 Packed with RxInformatics Articles!

    11/08/2012
    Here are some terrific and essential articles in just the latest Journal of Am Medical Informatics Association.  

    For all of the pharmacy informatics professionals out there, take a look at AMIA as a place to flex your informatic muscles.  
    AMIA.org is a terrific organization that will stretch your knowledge more than any pharmacy organization.  IMHO.

    Computerized clinical decision support for medication prescribing and utilization in pediatrics

    • Jeremy S Stultz
    • Milap C Nahata

    J Am Med Inform Assoc 2012;19:942953 Published Online First: 19 July 2012doi:10.1136/amiajnl-2011-000798

    Standard practices for computerized clinical decision support in community hospitals: a national survey

    • Joan S Ash
    • James L McCormack
    • Dean F Sittig
    • Adam Wright
    • Carmit McMullen
    • David W Bates

    J Am Med Inform Assoc 2012;19:980987 Published Online First: 15 June 2012doi:10.1136/amiajnl-2011-000705

  •   OPEN ACCESS!
  • Collaborative knowledge acquisition for the design of context-aware alert systems

    • Erel Joffe
    • Ofer Havakuk
    • Jorge R Herskovic
    • Vimla L Patel
    • Elmer Victor Bernstam

    J Am Med Inform Assoc 2012;19:988994 Published Online First: 28 June 2012doi:10.1136/amiajnl-2012-000849

    Failure to utilize functions of an electronic prescribing system and the subsequent generation of ‘technically preventable’ computerized alerts

    • Melissa T Baysari
    • Margaret H Reckmann
    • Ling Li
    • Richard O Day
    • Johanna I Westbrook

    J Am Med Inform Assoc 2012;19:10031010 Published Online First: 26 June 2012doi:10.1136/amiajnl-2011-000730

    Posted via email

    Thoughts on the John W. Webb Lecture

    10/23/2012
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    Last night I attended a hospital pharmacy event that has quite a history.  John W. Webb was the pharmacy director at Mass General Hospital and a legend in the profession.  Every year there is a lecture from a leader in hospital pharmacy that comes to Boston to present in his honor.  There was a certain air of importance, pomp and circumstance that made it kind of cool.

     

    From the web site: “The Webb Award honors health-system pharmacy practitioners or educators who stand apart from others because of their extraordinary dedication to fostering excellence in pharmacy management and leadership.”

     

    I did not have the privilege of meeting John Webb.  His successor, Harry DeMonaco, however was a powerful influence in my career.  The first time I set foot in a hospital pharmacy I met Harry and have had the pleasure to bump up to him a number of times since.   I have not seen him for a while.  He is listed in LinkedIn as Director, Innovation Support Center at Massachusetts General Hospital.  This is a great position for him.  Harry is one of the – no, scratch that — he is THE most innovative and brilliant pharmacist, I have ever met.  While Harry would dazzle the crowd, he has not been nominated for the lecture.  I suspect it is due to his sometime noted contempt for organized pharmacy.   My recent contempt for Am Soc Health-System Pharmaicst (ASHP) is perhaps a spillover from this brilliant man.

     

    Bill Gouveia, a legend of sorts in pharmacy informatics, was the Master of Ceremony.   He introduced one of John Webb’s sons.  Nice.  He talked about this Dad as a patient quiet and gracious leader.  It turns out he loved  Barber Shop Quartet music.  He would have been the leader behind the band not the one to be out front.   Meg Clapp the current Chief Pharmacy Officer at Mass General said a few words as well.  Meg is always a class act.

     

    This year the award went to Toby Clark.  It turns out; Toby is the only Webb lecturer to wear a bow tie that John Webb always wore.  Toby is also a pharmacy informatics pioneer.  This is how I had the pleasure to meet and work with him through the years.   Toby and I have had some major disagreements, but I have always loved his conviction and boldness in his views.  Not unlike Harry Demonaco, come to think of it.  It was great to see Toby and chat a bit before and after his lecture. 

     

    I really do not like it when speakers read from the lectern.  I feel cheated when speakers do this.  It is not fair to the audience and it takes away for the content of the speech.  Toby read his speech.  Bummer.  The content was really great and I highly recommend folks read it when it comes out in the Journal, AJHP( most likely months from now).

     

    One of Toby’s themes was bold leadership.   He made a great case to be bold.  This is a needed element in pharmacy practice and leadership.  He also mentioned the wonderful pleasure of going back and reading past Webb and Whitney lectures.  I have done this from time to time and completely agree, there have been some terrific lectures in the past.  Jim Stevenson’s comes to mind.  This one from John Webb is a classic.

     

    Other random thoughts form the evening:

    •   Max Ray, one of the all-time nice guys and thoughtful minds of the profession was there, gracious as ever.
    • Some of the ASHP intelligencia was there, given my previous rants and contempt; it was a bit hard to be cordial.  They are good people, so I tried.  I noted to Sara White that I will work on that ‘being Bold’ thing.
    • Not as many students as I thought.  It would have been nice to see more.
    • We(I) need to chronicle the early days of pharmacy informatics.  Bill and Toby, are not getting any younger, and capturing their insights, particularly about informatics really should be done.

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    Al Frankin Letter

    09/05/2012
    What it not to love about Al Franken!
    Check out is complete letter at:

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    Stage II of MU for Pharmacists

    08/25/2012
    Well, I am not done reviewing the 1,000+ pages of a couple of documents released Thursday, but here is a quick hit.

    RxNorm is finally going to be mandated!  Yea!  It is about time.  This is a game changer, which I will write more about. Pharmacy organizations such has ASHP and the Pharmacy HIT collaborative have completely missed the boat on this one, btw.  More on that as well later.
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    BCMA by any other name made the cut.  Not over joyed, based on scientific evidence.  Evidence has not stopped ONC in the past.  For example, is there even a single study that has shown better patient outcomes with drug interaction checking versus none?  Do not think so.  DDI CDS is in Stage I and II as well.  As a side note I will be participating in a The Am Medical Informatics Assoc Pharmacoinformatics working group symposium on this very thing in October, fyi.

    Here are some fantastic links of summary and detailed information for those that would like to dig deep.  Thanks to Dirk Stanley, MD, CMIO of Cooley-Dickinson Hospital for ID'ing these Tweet/sources.  It is interesting to note that as soon as I heard the news that the rules were release I too went directly to Twitter for more information as well.  Times they are a-changing.

    and per John Halamka via The Advisory Board  these really nicely done PDFs of the actual rules:

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