{"id":4083,"date":"2020-09-21T14:44:48","date_gmt":"2020-09-21T14:44:48","guid":{"rendered":"http:\/\/orionhealth-blog.local\/?p=4083"},"modified":"2023-02-02T00:00:24","modified_gmt":"2023-02-02T00:00:24","slug":"a-spoonful-of-medicines","status":"publish","type":"post","link":"http:\/\/orionhealth.com\/uk\/blog\/a-spoonful-of-medicines\/","title":{"rendered":"A spoonful of Medicines"},"content":{"rendered":"\n<p>Medicines management is a hot topic in&nbsp;healthcare, as organisations look to make sure their clinicians have access to&nbsp;a complete and up-to-date medication record&nbsp;to improve safety, speed up discharge, and support integrated care.&nbsp;&nbsp;<\/p>\n\n\n\n<p>In the first of a&nbsp;series of&nbsp;customer&nbsp;webinars,&nbsp;product specialist Aaron Jackson&nbsp;outlined&nbsp;how Orion Health Medicines&nbsp;can be used to address these issues,&nbsp;and how developments to the platform have been given new urgency by&nbsp;the&nbsp;coronavirus&nbsp;emergency.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Orion Health Medicines&nbsp;<\/h2>\n\n\n\n<p><a href=\"https:\/\/orionhealth.com\/\/uk\/products\/medicines\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orion Health Medicines<\/a>&nbsp;is a platform for aggregating prescription data from multiple&nbsp;sources, from where it can be presented to users&nbsp;as a&nbsp;consolidated medication&nbsp;list or timeline or&nbsp;made available to other systems, including&nbsp;Orion Health products&nbsp;designed to support care co-ordination and patient engagement.&nbsp;&nbsp;<\/p>\n\n\n\n<p>The aggregation is extremely complex, but&nbsp;Orion Health has developed a Medicines Viewer&nbsp;to help&nbsp;users&nbsp;take-in a&nbsp;patient\u2019s medications \u201cat a glance\u201d and then drill down for more detail&nbsp;when required.&nbsp;Clinicians can choose to&nbsp;search,&nbsp;filter and group&nbsp;the information in different ways&nbsp;to support a variety of use-cases and care settings.&nbsp;<\/p>\n\n\n\n<p>As Jackson explained: \u201cThe&nbsp;value&nbsp;[of Orion Health Medicines]&nbsp;lies in enabling people to reconcile medicines information from disparate sources and to use it for patient care\u201d and the value of the Medicines Viewer\u2019s features lies in \u201chelping clinicians to find&nbsp;information quickly&nbsp;and to make sense of it.\u201d&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1222\" height=\"720\" src=\"https:\/\/orionhealth.com\/\/wp-content\/uploads\/meds-viewer.png\" alt=\"\" class=\"wp-image-4102\" srcset=\"https:\/\/orionhealth.com\/wp-content\/uploads\/meds-viewer.png 1222w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-viewer-300x177.png 300w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-viewer-1024x603.png 1024w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-viewer-768x453.png 768w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-viewer-18x12.png 18w\" sizes=\"auto, (max-width: 1222px) 100vw, 1222px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">FHIR-ing&nbsp;up integration&nbsp;&nbsp;<\/h2>\n\n\n\n<p>Orion Health is a strong supporter of open standards in healthcare, so Orion Health Medicines&nbsp;naturally supports SNOMED-CT medication terminology and HL7 FHIR application programming interfaces.&nbsp;&nbsp;<\/p>\n\n\n\n<p>In the webinar, Jackson&nbsp;outlined&nbsp;how this&nbsp;had&nbsp;enabled participants in a recent&nbsp;INTEROPen&nbsp;hackathon to&nbsp;meet a challenge set by Andy Hadley,&nbsp;solution architect&nbsp;at the NHS Dorset Clinical Commissioning Group.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Hadley, who is also solution architect for the Wessex local\nhealth and care record exemplar, wanted a single medications record that could\ntrack any changes that were made while a patient was in hospital and package\nthe information into a discharge summary.&nbsp;\n<\/p>\n\n\n\n<p>Over the course&nbsp;of two days, participants&nbsp;at the virtual event were able to achieve this by using FHIR interfaces to pull data from&nbsp;local GP, hospital, e-prescribing and pharmacy systems into a consolidated list that could be ingested by&nbsp;the electronic record systems.&nbsp;&nbsp;<\/p>\n\n\n\n<p>\u201cWe really focused on the question of how to create a single medication record, and on building one using our medicines product,\u201d Jackson said. \u201cGetting this kind of information from third party systems is a challenge, but&#8230; we were able to create a current medications list that other systems could consume.\u201d&nbsp;&nbsp;<\/p>\n\n\n\n<p>Orion Health is now creating a \u2018consolidated medication&nbsp;list\u2019 API that will be available&nbsp;with the next release of Orion Health Medicines, which is due in October.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medicines challenges made sharper by Covid-19&nbsp;&nbsp;<\/h2>\n\n\n\n<p>The hackathon was held to tackle the common problems of junior doctors spending hours piecing together the medication history of patients admitted through A&amp;E, and GPs receiving late or incomplete discharge letters from hospitals.&nbsp;&nbsp;<\/p>\n\n\n\n<p>But the&nbsp;importance of obtaining a full list of a patient\u2019s medications has taken on a new urgency during the coronavirus pandemic,&nbsp;because it can help clinicians working under huge pressure to work out whether their symptoms are due to Covid-19 or have other causes.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Creating fast and complete discharge summaries is also a priority for the NHS, as it focuses on clearing waiting lists and coping with demand this winter.&nbsp;In the webinar, Jackson said post-Covid&nbsp;priorities are being fed into the Orion Health Medicines roadmap.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Alongside the \u2018consolidated medication list\u2019 API, the next release will include an immunisations list or consolidated record of any vaccines and immunisations administered to a patient.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Jackson explained: \u201cWith&nbsp;an expanded flu jabs programme this winter, and&nbsp;Covid-vaccination&nbsp;on the horizon, immunisations need to be part of the Medicines Viewer; and that will also be available from October.\u201d&nbsp;&nbsp;<\/p>\n\n\n\n<p>On a longer timeframe, Orion Health is also exploring ways to enable patients to add information about over-the-counter medications to the system, because these are \u201ca key piece of missing information at the moment\u201d, and at enabling patients to correct or add notes to the record.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medication Management: from meds reconciliation to virtual clinics&nbsp;&nbsp;<\/h2>\n\n\n\n<p>Jackson concluded the webinar with a tour of&nbsp;another add-on to the&nbsp;Medicines&nbsp;solution, Medication Management, and another product to use similar thinking, Problem&nbsp;and Allergies, which creates a consolidated view of a patient\u2019s \u2018problems\u2019 and how professionals are dealing with them.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Medications Management is&nbsp;\u201ca set of smart widgets to drop into workflows\u201d&nbsp;that make it easier to handle&nbsp;complex medicines tasks,&nbsp;such as prescribing and discharge.&nbsp;It&nbsp;has been used by&nbsp;<a href=\"https:\/\/orionhealth.com\/\/uk\/knowledge-hub-old\/press-releases\/nhs-greater-glasgow-and-clyde-implements-orion-health-medicines\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"NHS Greater Glasgow and Clyde to support medicines (opens in a new tab)\">NHS Greater Glasgow and Clyde to support medicines<\/a> reconciliation&nbsp;and to help generate electronic immediate discharge letters&nbsp;since 2019, but it is another feature of Orion Health Medicines that can help organisations in the post-Covid&nbsp;world.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1204\" height=\"710\" src=\"https:\/\/orionhealth.com\/\/wp-content\/uploads\/meds-managemet-1.png\" alt=\"\" class=\"wp-image-4103\" srcset=\"https:\/\/orionhealth.com\/wp-content\/uploads\/meds-managemet-1.png 1204w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-managemet-1-300x177.png 300w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-managemet-1-1024x604.png 1024w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-managemet-1-768x453.png 768w, https:\/\/orionhealth.com\/wp-content\/uploads\/meds-managemet-1-18x12.png 18w\" sizes=\"auto, (max-width: 1204px) 100vw, 1204px\" \/><\/figure>\n\n\n\n<p>Jackson demonstrated how the prescription widget can support prescribing in new settings, such as the virtual clinics that so many healthcare organisations have set up so they can support patients while keeping them and their staff safe at home whenever possible.&nbsp;&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicines management is a hot topic in&nbsp;healthcare, as organisations look to make sure their clinicians have access to&nbsp;a complete and up-to-date medication record&nbsp;to improve safety, speed up discharge, and support integrated care.&nbsp;&nbsp; In the first of a&nbsp;series of&nbsp;customer&nbsp;webinars,&nbsp;product specialist Aaron Jackson&nbsp;outlined&nbsp;how Orion Health Medicines&nbsp;can be used to address these issues,&nbsp;and how developments to the platform [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":15110,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1],"tags":[],"region":[27],"class_list":["post-4083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","region-uk"],"yoast_head":"<!-- This site is optimized with 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