yeah crazy week
You must have been especially busy too with all your RNZCGP college work!
Do also take care of yourself ![]()
FYI I’ve just published an article on uptake of ePrescribing by GPs https://www.hinz.org.nz/news/501550/New-prescribing-rules-see-increased-uptake-of-NZePS.htm
@andrew.miller
Interested in others experiences . In Northland as a pHE we hear from Pharmacy they having significant difficulties since everyone went NZEePS
Talking to local pharmacist some issues are
GPnstill has “old and non funded “ medication on common or long term list so pharmacy have to change to current Pharmac “drug of the day”. An issue with multiple changes even in generic naming e.g apo cilazapril
Secondly she mentioned that the way GP writes the instructions often has to be modified . Not so sure I am comfortable with Pharmacistbsubsequentlybdecidingbwhat I meant with my instructions .
I have asked the pharmacist to email me with some of these issues so can at least try and fix at local practice level but a national strategy would be better
@martin.wilson where are you guys up to with your medicine reconciliation and mutual list programme?
Thanks
Grahame
The NZePS problems were predictable when you think that some GP’s are still prescribing favourites that have been on their lists since the late 80’s. These will belong to one of three databases. The original Foundation systems (Medtech) supplied database ( don’t laugh other PMS’s let the doctor generate their own database of drugs!!) then there was Pharmac database and then MIMS. Then if it on repeats it will be any database and the directions will be whatever is typed. When Medtech tried to force GP’s to use only current database drugs there was such a hue and cry that they patched it back in under 12 hours. The biggest protest I had was a former pharmacist who had retrained as a Dr where none of his/her regulars were on the current database and he had to re-prescribe everything. Not a good day.
The feedback from local pharmacy has been it is easier to dispense from scratch than use the NZePS.
yes if we were all using NZULM it might be ok but still there have been good reasons why Dr’s may not use the boxes for quantity etc. Personally my sigs are all like 10mg tds and my quantity is X months.
less errors like this and I don’t calculate pill numbers.
Progress with MLOM is very slow because resource is so tight. It is still the vision. We have been too busy making sure CBAC’s have GP systems that share daily records with healthOne. Just as well we had done that development!!
the battle continues
Aren’t you so lucky to have HealthOne South. Wouldn’t we love the equivalent up here in North and eventually HealthOne National!!!
19 posts were split to a new topic: A Health One equivalent for the North Island