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Introduction to ePrescribing - Shared screen with speaker view
Rachel Gaggin
32:09
Hi Rachel Gaggin Penguin Tas we are the Tas trial region.
Jane Connolly ACRRM
33:23
Hi Rachel - great to have you onboard
Rawa
34:19
best practice software , on IP at San Remo-Victoria
Jane Atkinson
34:58
Hi All, Jane here from Baywest in Brisbane.
Rachel Gaggin
38:49
Sorry but getting in early
Rachel Gaggin
39:29
oops I tried to do anS8 script on escript and needed to reenter my password--which isn't my prescriber and wondering what this is??
Jane Atkinson
44:27
Not sure what you mean by greater choice.
Andrew Matthews
45:28
Hello Rachel. Congrats on being part of the EP Community of Interest in Penguin. A software conformance requirement for S8 is "The system SHALL require the user to re-authenticate prior to submitting a Schedule 8 medicine" (Clarifying point::Note: Prescriptions for Controlled Drugs warrant additional measures to ensure that the prescription is being created by an authorised prescriber.). Different systems may do be different in teh way they do authentication but it should be again your log in password.
Rachel Gaggin
46:09
thank you. I will chase up the guys who set me up
Jane Atkinson
50:11
But what does 72 year old James do with it? Not computer literate?
Jane Atkinson
51:15
Information security yet to be demonstrated- there will of course be hackers and holes.
Andrew Matthews
51:53
Thansk Jane. An important point. If you have doubts about the patient's digital literacy, then preference would be to provide a paper prescription...paper prescriptions will continue to be an option.
Jane Connolly ACRRM
53:38
Paper scripts will continue to be available - like the airline ticketing system it will be a choice by the patient to have an ePrescription if that's convenient for them
Andrew Matthews
54:03
Agree. But there also many elderly who of course are technologically savvy and would be comfortable with a digital option.
Rachel Gaggin
54:21
when travel is again allowed --will Tasmanian tokens be ok to be dispensed in Victoria etc etc?
Andrew Matthews
55:03
A printed token is also an option.
Frank Clark
56:18
How is a printed token or paper script going to work for a remote consultation? Could the token not be sent direct from Dr to pharmacy?
Andrew Matthews
56:22
Both ZedMed and Best Practice are now conformant software
Rachel Gaggin
57:22
I am wondering about the sending of eScripts directly to the pharmacy for (a) nursing home patients and (b) webster pack patients...…..
Andrew Matthews
57:44
Yes. Apps are being updated to accommodate medication management via the token.
Jane Atkinson
58:50
I do hope the "State-based agents" ( Scott Morrison's words) won't have too much fun with this.
Andrew Matthews
59:37
Unlike the interim arrangement for 'image based medicines supply (prescriptons by telehealth) it is a requirement that the token is sent to the patient...who can forward the token to their pharmacy (remotely)
Rawa
01:00:35
do we need a consent from the patient for e-prescription ?
Dr Naomi Houston
01:01:22
The question about e prescriptions for nursing home patients and patients on webster packs is a good one. Andrew can you comment on this?
Rachel Gaggin
01:03:37
I have found that at the pharmacy end there is an ipad where they are scanning the 'script' and then getting patients to fill in quite a number of questions which is deterring some of the older patients
Jane Connolly ACRRM
01:04:15
Wow Carmon....paper medical records in 2020 :-(
Rawa
01:13:12
great technology, especially when we have options to offer for patients
Jane Atkinson
01:13:45
Does the token show the names of all drugs prescribed at the consult?
Hannah Manuel
01:15:22
Hi Rachel, the questions that they are asking your patients would most likely be the fields the software is prompting them to complete. The questions would likely be 'are you coming back to collect or waiting', 'what time will you be collecting', 'generic or brand drug', 'is this the first time you've used this medication' etc. Of the pharmacy software demonstrations that I have seen, I agree that the questions become quite timely in a real world scenario and I am sure the staff in the pharmacy would agree, particularly when they are pinched for time. Also in rural and remote areas these questions can feel invalid and impersonal. My prediction is that the vendors may create other options after some trial and error.
Rachel Gaggin
01:15:22
it is actually very easy to use
Jane Connolly ACRRM
01:15:54
That's good to hear Rachel that ir's easy to use
Dr Naomi Houston
01:16:29
There was another question early on about information security and the ability for this system to be ‘hacked’ by prescription shoppers etc. I assume e prescriptions will be safer than paper prescriptions from this point of view but do we know how ‘safe’ the e prescriptions will be from ‘hackers’?
Jane Atkinson
01:17:51
Yes Naomi, the "State-based agents"...
Rachel Gaggin
01:18:00
hi Hannah thanks Yes I agree it is very new and they are learning too
Jane Atkinson
01:20:30
So there is discretion to use the script repeats when and if you like?
Dr Naomi Houston
01:27:56
Hi Bridgit. I assume it would be the same as if you do this for a paper prescription for a patient.
David Murtagh
01:30:51
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Rawa
01:31:28
thanks all
David Murtagh
01:32:21
ACRRM will be sending information about the progress of the ePrescribing rollout through Country Watch Articles and a new webpage for rural doctors
Jane Connolly ACRRM
01:32:55
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Jane Connolly ACRRM
01:33:24
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Jane Atkinson
01:33:41
Thanks all.
Jane Connolly ACRRM
01:34:17
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Paul Mackinder
01:35:16
Thank you
Vimbai Kapuya
01:35:26
thank you
brian spooner
01:35:33
Thank you all
Simon perrin
01:35:49
Thank you. Much Appreciated