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ProScript User Guide

1. 17 Rx Systems 2012 DMR ProScript You will be taken to the Part 2 tab on the DMR window As you initially selected Medicines changed during admission you will be taken to the Discrepancies tab where you can select whether or not the issue was resolved Consent amp Eligibility Part 1 16 03 2012 16 00 Part 2 15 03 2012 12 28 Consent Withdrawn Please checkto see ifthe patient still consents to sharing the data B Yes to GP and NHS LHB Yes to GP only No 21 Reason Part Service E with patient at pharmacy with carer amp with patient at pharmacy without carer E a a with patient by telephone with carer at pharmacy without patient 28 S 2 with patient at home Discrepancies Part 2 Review Medicines Dose Restarted in Discor is tinued Cr jntinued E Contin tinu ed Continued Duplicated Other J Pen 7 queriesissues the inthe but at wrong but at wrong but in wrong prescribed after after generic discharge discharge name Use As Directed By Alternative is The Prescriber prescribed Neovent25mceg Take ONE puf Should be A 120 dose inh twice a day J J prescribed as CFC hl m L Ll Li Serevent L L You must choose
2. Ve Ji oM Select Yes You will be taken to the Part 2 tab which defaults to display the Discrepancies tab first The records will be shown as inactivated Select F8 Edit to amend the records in Part 2 ibility Part 1 15 03 2012 12 37 Part 2 15 03 2012 12 39 Consent Withdrawn Please check to see ifthe patient still consents to sharing the data Yes to GP and NHS LHB Yes to GP only No Part 2 Service amp with patient at pharmacy with carer with patient at pharmacy without carer with patient by telephone with carer at pharmacy without patient with patient at home Discrepancies Part 2 Review the in the but at wrong but at wrong but in wrong prescribed community community dose strength formulation by brand and 11 Co Dydramal Take ONE or TWO Changed to 10 500 tabs four times a day d j co codamol when required for 8 500mqg tabs Hl nain relief m Atenolol 25mg tabs F10 Save amp Book DMR amp z amp BooKDUR gan save amp conte 25 Rx Systems 2012 DMR ProScript Non Attendance and Withdrawing Consent If the patient wishes to withdraw from the service at any stage you are able to select the reason why consent was withdrawn The Consent Withdrawn boxes are found on both the Part 1 and Part 2 tabs Consent Withdrawn Patient withdrew consent Patient moved home and or pharmacy Patient admitted to hospital Patient deceased Patient did not attend appointments and or cou
3. Patient requires adjustment to medicines e g MDS or MAR or Pharmacist professional discretion you will activate the Part 2 tab only 11 Rx Systems 2012 DMR ProScript Medication Discrepancies Present If you select Medicines changed during admission and attempt to progress to the next stage you will be taken to the Part 1 tab The DMR Items window will be displayed You can alter the date using the filters The medication history records default to 90 days The Part 1 tab will update to show the date and time of the service Consent amp Eligibility Consent Withdrawn tom penza E ol 6030072 BE perot am _ F acy without carer I without patient Attempted contact Patient Number 137011 Ane 7 vears DoR 08 05 39 Please select all medicines that the patient is taking and highlight if there is a discrepancy between the selected IE advice note and prescription en Outcome 4 fL osartan 25mg tabs Paracetamol 500mg tabs m Perindopril 2mg tabs Hu pirin disp 75mg tabs i ixotide Evohaler CFCfree 250mcg If a medicine is not shown in the list you have the option to add items Mark products with a discrepancy using the tick box In this window you can select or de select the medicines that the patient is currently tak
4. the GP and NHS LHB 2 Information is shared with the GP only 3 Patient declines service If the patient only wishes to share this information with the GP you are still able to carry out the DMR service ProScript will remove any patient identifiable information from the DMR1 DMR2 and DMR Summary forms so that they are suitable to be submitted for claims Once you have chosen a consent option select F6 Print Consent to preview the form Select the printer icon highlighted in the red circle to print the consent form pre populated with the required information ProScript JAN eee Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctri R Repeat Management ETP NMS DMR Intranet Stock PMR Ho 8 gt o 2 BK NAS GIG NHS PHARMACEUTICAL SERVICES ADVANCED SERVICES DISCHARGE MEDICINES REVIEW SERVICE MEDICINES USE REVIEW SERVICE PATIENT CONSENT FORM Consent to participate tick one The NHS Medicines Use Review Prescription Intervention D MUR service The NHS Discharge Medicines Review Service Patient Name Mrs Fiona Test Patient Address 9 Any Road Any Street Any Town CF24 agree that the information obtained during the service can be shared with My doctor GP to help them provide care to me e The Local Health Board LHB to allow them to make sure B the service is being provided properly by the pharmacy e The Local Health Board LHB and the NHS Wales Shared Services Partnership to make sure the
5. the completed DMR1 DMR2 and DMR Summary forms as needed You will first be shown a print preview of the DMR1 form Select the printer icon highlighted in the red circle to print the displayed form By printing a form or pressing the Esc key on your keyboard you will then be shown the next form The DMR 1 form is the first form to be previewed for printing Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Management ETP NMS DMR Intranet Stock PMR gt 2 Community Pharmacy Discharge Medicines Review Servite Sheet 1 of 1 CONFIDENTIAL PATIENT DETAILS GP DETAILS Title First Name Surname GP Name NHS or PMR Number Tel Date of Birth Practice Name 07582123456 000070 i i IA Practice Address 9 Any Road Any Street Any Town AB1 2CD Test Surgery That Road That Town That Village ZYO 9XW z Hospital GP o Patient o Patient consent Yesto GP and NHS YestoGPony O no O Discharge Information provided by Carer o Other O Place from which the patient was discharged Test Hospital Date of discharge 14 03 12 Medicines changed during admission 4 Patient taking four or more medicines E Patient requires adjustment to medicines e g MDS or MAR O Pharmacist professional discretion PART ONE SERVICE PART TWO SERVICE Date of part one intervention 15 03 12 Date of parttwo intervention 15 03 12 Method of by which With patient at pharmacy o Method of by which With patient at pharmacy I
6. 4 MRS BRENDA TEST 15 03 2012 13 00 DMR Details 15 03 12 12 08 03 MR ANTHONY TEST J Consent to share Yes to GP and NHS LHB Patients written consent gained on 15 03 12 Date of discharge 14 03 12 Medications changed during admission Yes Find Appointment needs booking 1 Booked 1 Attended Ai F2 Continue dB LL Mee 32s F6 BookAppointment 1 F7 BookAppointment 2 o Form Form Esc The number of claimable consultations consists of e Patients who have completed Part 1 and Part 2 of the service e Patients who have completed Part 1 and cannot be contacted for Part 2 the pharmacist must make two reasonable efforts to contact the patient Part 2 Consent Part 1 Obtained Attended Attended Claimable Yes Yes Mes Yes Yes Yes No Vas Yes Yes No No ii No Pharmacist must have made at least two separate attempts to contact the patient Patient has withdrawn from the service 27 Rx Systems 2012 DMR ProScript DMR Report You are able to generate a report which displays the number of patients recruited to the service and the number of DMR service interventions that have been performed within a set date range The report will also display a breakdown of the type of consent gained and the types of discharge advice notes recorded To access the DMR Report select the DMR button at the top of the main ProScript screen and click on DMR Report Friday 25 May 12 09 59 This is the Proscript Server STI
7. D Y rx systems ProScript User Guide Discharge Medicines Review Service DMR Version 1 0 DMR ProScript IntFOQUCLIOHB sisi an 3 DMR Mail Screen una aan aan ana 4 Adding a Patient to the DMR Service 6 EOnsent o ED Toben ieri Pei diis 7 AAG CO A Ve r E se 9 Booking Sn APPOINTMENT 2er ee 9 se TEN PIOSF ESS E rc gee E E eae USE De EE 10 Part One Service un na ai 11 Eligibility Criteria een ea 11 Medication Discrepancies Present eene 12 No Medication Discrepancies cssssseeeeeeee nemen 16 Part TWO Service ai 17 Medication Discrepancies Identified in Part ONne ccccceeeeeeseeeeeeeees 17 No Medication Discrepancies Identified In Part One eese 23 Amending a Completed Part Two Review 24 Non Attendance and Withdrawing Consent 26 Claimabie DMRS u a en 27 DMR KeDOLFTt un anincnneiop ion aan on ccincaor inician cios 28 Reprint DMR Summary Forms ee oon nennen nnn 30 Continuing Professional Development 31 2 Rx Systems O 2012 DMR ProScript Introduction The Discharge Medicines Review DMR service was introduced in November 2011 as part of the changes to the Community Pharmacy Contractual Framework in Wales and builds on the existing Medicines Use Review MUR service The DMR service aims to support patients recently discharged betw
8. NE ee You are able to filter the results by a date range the default date range is set to the last 90 days Erom 03 02 2012 S EE To 03 08 2012 S E Output to Excel CAProScript Reports F10 Run Report Esc By selecting F10 Run Report you will be displayed with a print preview of the report To print this report select the printer icon highlighted ProScript E Bu Zu Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Management ETP NMS DMR Intranet gt i rm a A Community Pharmacy Discharge Medicines Review Service Report CONFIDENTIAL Consent Counts No of Discharge Advice Letters Completed at Part 4 GP and NHS LHB Completed at Part 2 GP Ony No of Patient Reminder Cards Claimable No Consent No of Take Home Prescriptions No of Medicines at Discharge Total Patient Consent Pharmacist 150312 Mrs Jacqueline Test GP and NHS LHB Test Pharmacist No of DMRs Performed No of Patients Recruited wexw jw Ammon na forma es emus wexw jus Sem na ermsweue es emus eos jw om ma for mom es mm wexw ju oma ma ermswene es emus poe js em e G xw jus Fem na forma us emus 28 Rx Systems O 2012 DMR ProScript You are also able to export this report to Excel by selecting the checkbox highlighted below C ProScript Reports A
9. acy without carer O Intervention was With patient by telephone oO With patient at pharmacy without patient O provided With patient at home Number of medicines Number of medicines patient is found to on discharge be taking e g by discussion and review discrepancies information of GP prescription Medicines restarted in the community after discharge Nature and number Medicines discontinued in the community after discharge of discrepancies Medicines continued but at wong dose identified please Medicines continued but at wrong strength provide number of Medicines continued but in wrong formulation each type Medicines duplicated prescribed by brand and generic name Medicines discontinued by the patient PART TWO Date of parttwo intervention 15 03 12 Patient withdrew consent O Patient moved home and or pharmacy Patient admitted to hospital LJ Patient deceased If part two intervention could not be completed please state the reason 2 Patient did not attend appointment s or did not attend appointment and could not be contacted provide 2 dates Other please state Method of by which With patient at pharmacy with carer o With patient at pharmacy without carer Intervention was With patient by telephone o With patient at pharmacy without patient LJ provided With patient athome o Medicines restarted in the community after discharge Nature and number Medicines discontinued in the community after discharge nn Medicine
10. and NHS LHB Test Pharmacist 19 15 03 2012 Ms Ingrid Test GP and NHS LHB Test Pharmacist 20 15 03 2012 Mr Keith Test GP and NHS LHB Test Pharmacist 21 15 03 2012 Miss Lucy Test GP only Test Pharmacist 22 15 03 2012 Mrs Mavis Test GP and NHS LHB Test Pharmacist 23 15 03 2012 Mr Nelson Test GP and NHS LHB Test Pharmacist 24 15 03 2012 Miss Ophelia Test GP and NHS LHB Test Pharmacist 25 21 03 2012 Mrs Brenda Test GP and NHS LHB Test Pharmacist 26 21 03 2012 Miss Ethel Test GP and NHS LHB Test Pharmacist 27 21 03 2012 Mr George Test GP and NHS LHB Test Pharmacist 28 21 03 2012 Mr Rx Test GP and NHS LHB Test Pharmacist 29 21 03 2012 Mr Rx Test GP and NHS LHB Test Pharmacist 29 Rx Systems 2012 DMR ProScript Reprint DMR Summary Forms You have the ability to print a batch of completed DMR Summary forms for any given month instead of at each review To use this function select the DMR button at the top of the main ProScript screen and click on Reprint DMR Summary Forms Friday 25 May 12 09 59 DME Pe This is the Proscript Server Reprint DMRS E You will be shown the following window The time period defaults to the Last 90 days Reprint DMR Summary Forms i F10 Run Report By selecting F10 Run Report you will automatically print any completed DMR within the time period you have selected We recommend filtering the results to either This Month or Last Month when you are ready to print o
11. aved your progress If you were to continue your progress in the module you will be taken to the Part 2 service 16 Rx Systems O 2012 DMR ProScript Part Two Service Medication Discrepancies Identified in Part One To carry out Part 2 of the service first access the DMR Main Screen Highlight the relevant patient and select F2 Continue Filters Patient Details Show All Dates Mrs Fiona Test peoa sage Wor pom 15082012 E E e 16052012 fE i Patient Number 137011 _ Appointment needs booking Appointmentbooked _ AppointmentAttended Age 72 years DoB 06 06 39 Last Amended Patient Part 2 Fthnicitv Not Selected TEAR ee bet en tse MRS FIONA TEST 15 03 2012 12 11 15 03 12 16 19 56 15 03 12 16 14 53 15 03 12 15 20 44 15 03 12 15 16 01 MISS OPHELIA TEST MR NELSON TEST MRS MAVIS TEST MISS LUCY TEST 15 03 2012 16 22 15 03 2012 16 15 15 03 2012 15 21 15 03 2012 15 15 DMR Notes 15 03 12 15 11 29 MRS JACQUELINE TEST 15 03 2012 15 12 15 03 12 12 10 09 MR CARL TEST 15 03 2012 15 03 12 12 09 54 MRS BRENDA TEST 15 03 2012 13 00 15 03 12 12 08 03 MR ANTHONY TEST 15 03 2012 15 11 DMR Details Consent to share Yes to GP only Patients written consent gained on 415 03 12 Date of discharge 15 03 12 Medications changed during admission Yes Appointment needs booking Booked Attended DLE ES Pal ee eee F6 Book Appointment 1 F7 BookAppointment 2 o Form Form Esc
12. cs recorded in the PMR e Select the Pharmacist e Select the medication that the patient is currently taking e Enter Notes in the text box located below GP Details Entering all of this information is mandatory If any information has not been entered and you attempt to progress further than this screen the module will alert you to complete the required information j Discharge Advice No place of discharge provided Discharge Advice No discharge date provided Discharge Advice No discharge information provider supplied o Discharge Advice Mo DMR DAL gained Pharmacist No Pharmacist provided Eligibility Criteria Mo options selected If you have not selected Medicines changed during admission under Eligibility Criteria you will also need to select the medication the patient is currently taking using the F7 Select Medication button Tip If at any stage of the DMR service you wish to add notes use the Notes box found in the Consent amp Eligibility tab This box remains active throughout the module 8 Rx Systems 2012 DMR ProScript Gaining Consent Written consent from the patient must be obtained before the DMR service is accessed By signing the consent form the patient agrees to share information with their GP the NHS Wales Shared Services Partnership NHS and the Local Health Board LHB There are three options to choose from on the Consent amp Eligibility tab 1 Information is shared with
13. ed DMR Summary forms in a given time period In Part 1 of the service community pharmacists will check that the medicines prescribed in one care setting e g hospital correlate with those prescribed by the General Practitioner GP once the patient returns home The ProScript module will allow pharmacists to highlight any discrepancies and produce a notification to send to the GP In Part 2 of the service the patient and pharmacist discuss the patient s use of their medicines The ProScript module has been enhanced to allow pharmacists to document this discussion in a simple manner If any discrepancies were identified in Part 1 this will provide an opportunity to allow the pharmacist to ensure these were resolved 3 Rx Systems 2012 DMR ProScript DMR Main Screen The DMR module can be accessed from the main screen of ProScript via the menu bar as shown Friday 25 May 12 09 59 This is the Proscript Server Reprint DMR Selecting the DMR option displays the Discharge Medicines Review Service main screen Discharge Medicines Review Service Version 1 0 0 Filters Patient Details Stages Workload Part 1 Part 2 Fthnicitv Not Selected 15 03 12 12 10 09 MR CARL TEST 15 03 2012 15 03 2012 12 11 15 03 12 12 09 54 MRS BRENDA TEST 15 03 2012 13 00 15 03 2012 12 08 03 MR ANTHONY TEST DMR Notes Keys Different Stages DMR Details Workload Consent to share Yes to GP and i i duele NHS LHB App
14. een care settings to ensure that changes to their medicines are conveyed accurately to prescribers in the community This will minimise the risk of preventable medicine related problems and hospital re admission rates and will aim to support patients in adhering to newly prescribed medicine The service involves two stages carried out by the patient s community pharmacist Prior to delivering the DMR service the community pharmacist must be MUR accredited and must have completed and signed the Discharge Medicines Review Self Assessment In order for eligible patients to be enrolled into the service a pharmacy must have a copy of a discharge advice note such as a Discharge Advice Letter DAL and must satisfy any of the following criteria e Change of patient s medicine during admission e Patient is taking four or more medicines e Patient s medicines requires dispensing into a multi compartment compliance device e Pharmacist has the professional opinion that the patient would significantly benefit from the service ProScript has been enhanced to include a DMR module to help support pharmacists in booking and recording these stages efficiently Information recorded on the module is assembled and compiled onto the standardised DMR1 DMR2 and DMR Summary forms Users will also be able to view the numbers of claimable DMR service interventions and have the ability to generate a DMR report Users will also have the ability to reprint complet
15. er with patient at pharmacy without carer with patient by telephone with carer at pharmacy without patient Attempted contact LI Li E with patient at home Discrepancies Part 2 Review Current Medicines including Does the If patient does not use Does the More info ls the Are side General comments relating to advice side over the counter patient use the the medication as patient know provided on formulation effects effects and other issues complementary therapies medication as prescribed then please why they are useof appropriate reported by prescribed specify using the medicine the patient medicine lsosorbide mononit 20mg tabs m Aspirin disp 75mg tabs A FI Add Medication Qnem 7 m lr F11 Save amp Continue mem Complete the form regarding the patient s medicine use Select F9 Save once you have completed the DMR You will be prompted by ProScript to print the completed DMR forms as described above 23 Rx Systems 2012 DMR ProScript Amending a Completed Part Two Review If for any reason you wish to amend any details recorded in the Part 2 Review you can return to edit the form Please note that if the review has already been saved at Part 2 the DMR will be marked as completed and removed from the workload To access the DMR record you must first access the DMR Main Screen Using the Stages filter select Completed to view all completed
16. es telephoning the patient you must ensure that this is recorded on the PMR using the F2 Edit Patient Details button Use the Appointment Details calendar to choose a date and time for the appointment and select F10 Save Saving Progress Part way through the DMR service you may wish to save your progress if for any reason you are unable to complete the consultation You have the ability to f F9 Save which saves your progress and F9 Say returns you to either the patient s PMR or to Save the DMR Main Screen F11 Save amp Continue which saves your F11 Save amp Continue progress and continues to the next stage of the DMR 10 Rx Systems O 2012 DMR ProScript Part One Service Eligibility Criteria From the Consent amp Eligibility tab you have four eligibility criteria to choose from You must select at least one of the options listed Eligibility Criteria Please select one or more of the following eligibility criteria Medicines changed during admission Patient tak ing four or more medic ines Patient requires adjustment to medicines e g MDS or MAR Pharmacist professional discretion Depending on the option selected you will be taken to a different window e If Medications changed during admission is one of the options selected you will activate the Part 1 tab in the DMR Main Screen e If you select any combination Patient taking four or more medicines
17. ff the DMR Summary forms 30 Rx Systems O 2012 DMR ProScript Continuing Professional Development evaluate identify re record plan e What have I learnt from this training session e How will these things improve my current or future performance in my job e What opportunities do I have or need to practise what I have learnt e What help or support will I need and from whom e How and when will I and others measure how well I have put my learning into practice at work 31 Rx Systems O 2012
18. hC Reg No Mobile Tel a a na 2 Notes L Ethnicity F5 Select Pharmacist een leve F11 Save amp Continue F9 Save Li When you are enrolling a patient to the DMR service the Consent amp Eligibility tab will be displayed first This screen allows you to F2 Edit Patient Details e Select a consent option If the patient does not consent to share the information with the GP you have an option to enter a reason e Print the patient consent form F6 Print Consent which will be pre populated with the required information see below e Select the appropriate discharge advice note presented to the pharmacy at the point the patient was discharged from the secondary care setting e Enter other discharge advice information including date of discharge where patient was discharged from and by whom the information was provided Tip The date of discharge must be within 4 weeks of the date you are entering the patient into the service If the date is greater than 4 weeks the system will warn you that you will be unable to continue Rx Systems O 2012 DMR ProScript e Select one or more of the Eligibility Criteria Based on the options selected you will be taken to different screens This will be explained later in the manual e View and amend the Patient GP and Pharmacy Details The information is pre populated using previously stored demographi
19. ing All items are initially de selected displayed with a red cross Note if a medication has been stopped in the secondary care setting select it in this list and mark it as having a discrepancy You will be able to define this discrepancy as Discontinued in the community after discharge in the next window Ir Tip Alternatively you can access this window using F7 Select Medication found on the Consent amp Eligibility tab or from the Part 1 tab 12 Rx Systems O 2012 DMR ProScript Once you have selected the medication and pressed F10 OK you will be shown the Discrepancies tab under the Part 1 service The medicines that you previously marked as having a discrepancy will be displayed in this list Tip If you forget to tick the discrepancy box against a product in the DMR Items window you can return to this window by selecting F7 Select Medication from the Part 1 tab You will need to select how you are carrying out the service Consent amp Eligibility Part 1 15 03 2012 16 00 B Part 1 Service Part 2 ii Consent Withdrawn with patient at pharmacy with carer with patient at pharmacy without carer S with patient by telephone with carer at pharmacy without patient Attempted contact EEH l ER EH u ia with patient at home Coni ond e other T Outcome Medicines Dose Restarted in Discontinued Continue jeries issues the in the Da a
20. ld not be contacted Other Also if you are unable to contact the patient you have the option to enter the dates you have attempted to make contact either manually or using the calendar icon Consent Withdrawn Patient did not attend appointments and or could not be contacte Attempted contact 01 03 2012 Ed 05 03 2012 26 Rx Systems O 2012 DMR Claimable DMRs To view how many DMRs you are able to claim for select All from the Stages Filter in the DMR Main Screen ProScript Discharge Medicines Review Service Version 1 0 0 Filters Patient Details Show All Dates i Period Today M Stages All x From 15 03 2012 To 16 03 2012 t Patient Number 137008 T6 years DoB 18 04 35 Appointment needs booking Appointment booked Appointment Attended Age T L a m Ethnicity Not Selected Last Amended Patient Part 1 Part 2 Status Fxemntinn is 2 nr under orescrotion 15 03 12 12 52 12 MR KEITH TEST 15 03 2012 15 03 2012 12 53 withdrawn at Appt1 15 03 12 12 47 01 MS INGRID TEST 15 03 2012 15 03 2012 15 03 12 12 36 50 MR HENRY TEST 15 03 2012 15 03 2012 2 15 03 12 12 33 28 MR GEORGE TEST 15 03 2012 15 03 2012 15 03 12 12 23 45 MRS FIONA TEST 15 03 2012 15 03 2012 15 03 12 12 16 06 MISS ETHEL TEST No written consent 15 0312 12 11 54 MR DANIEL TEST 15 03 2012 15 03 2012 EIKE PR Pane MR CARL TEST 15 03 2012 15 03 2012 12 11 15 03 12 12 09 5
21. nes Review Servic DMR 2 Form X CONFIDENTIAL Patient O For information only no action required O For information only no action required O Follow your actions agreed below oO Please consider the recommendations proposed below Lj Please note the recommendations made to your GP A copy ofthe consultation record sheet can be obtained from the pharmacy if required Clinical codes Medicines Use Reviewdone by community pharmacist This is your copy ofthe form You may wish to showit to other health care professionals 4byte 88MF Version 2 8BMF Clinical Trems Version 3 XaKuo SNOMED CT 198391000000102 Patient details GP details Title First Name Surname GP Name NHS or PMR Number Tel Date of Birth Practice Name ens omes 77 Tessepey O O O Address including postcode Practice Address 9 Any Road Any Street Any Town AB1 2CD Test Surgery That Road That Town That Village ZYO 9XW Name of the other people present Consent for MUR obtained Date of the review Oral O Written O 15 03 12 Review type Review identified or requested by Location of review if not in pharmacy PCO permission for off site MUR AnnualMUR LJ Intervention MUR O Pharmacst O Patient O Other Pharmacist O Action plan Issue Recommendation Meptid 200mg tabs Remove from repeat Discontinued in the community after discharge Patient Pharmacist GP Other Neovent 25mcg 120 dose inh CF C f Please prescribe as Serevent as patient has allergy to Neovent e
22. ntervention was provided jn pharmacy by telephone O Atpatientshome 4 Intervention was provided n pharmacy by telephone O At patients home O MEDICINES QUERIES ISSUES ACTION TAKEN OUTCOME Name Dosage Form Strength Restarted in the community after discharge Alternative is prescribed Meptid 200mg tabs Discontinued in the community after discharge Continued but at wong dose Continued but at wong strength Dose Continued but in wrong formulation Use As Directed By The Prescriber Duplicated prescribed by brand and genencname Other Name Dosage Form Strength Restarted in the community after discharge Neovent 25mcg 120 dose inh CF C f Discontinued in the community after discharge Continued but at wong dose Continued but at wong strength Dose Continued but in wrong formulation Take ONE puff twice a day Duplicated prescribed by brand and generic name Other Eligibility critera Should be prescribed as Serevent HHOOO0O00 0000080 PHARMACY DETAILS Pharmacist Name GPhC Registration Number Pharmacy Name and Address Turnberry Belfry Business Park Colonial Way Watford WD24 4WH Test Pharmacist 1234567 20 Rx Systems 2012 DMR ProScript The DMR 2 form is the second form to be previewed for printing Functions Utilities Reports Find GoodsIn CDR Drug Price Ctri R Repeat Management ETP NMS DMR Intranet Stock PMR f Ju a lt gt Community Pharmacy Discharge Medici
23. ointment needs booking Patients written consent gained on 15 03 12 Appointment booked n Date of discharge 10 03 12 Medications changed during admission Yes AppointmentAttended S5 AE MN F2 Continue F3 Print Blank DMR1 F4 Print Blank DMR2 F6 Book Appointment 1 F7 Book Appointment 2 o Form Form Esc 1 When you access the DMR Main Screen you will see today s workload by default 2 Beneath the workload list you will be able to see the numbers of appointments that need booking booked appointments and numbers of those that have been attended These are listed in two columns for Part 1 and Part 2 3 When a stage has been completed either the Part 1 or Part 2 records will be highlighted with the relevant appointment information 4 You can filter the records by using the Date Time and Stages filters located at the top of the DMR Main Screen 5 The Patient Details DMR Notes and DMR Details are displayed for the patient currently selected z Rx Systems O 2012 DMR ProScript 6 The Claimable box lists the number of DMR consultations conducted that are eligible to be claimed for This will be explained later in the manual 7 You are able to search for patients using the Find button highlighted by the red circle 8 Use F2 Continue to continue with an existing service that has been initiated for a patient 9 Use either F6 Book Appointment 1 or F7 Book Appointmen
24. ons and attempt to progress further in the module r As no medicines have changed during admission please select the LN patient s current medication You will need to select F7 Select Medication where you will be taken to the DMR Items window Select the medicines taken by the patient As the Medicines changed during admission was not selected in the Consent amp Eligibility tab you will be unable to mark any as having discrepancies using the tick box DMR Items From 16 12 2011 KE To 1510372012 B Mr George Test Period Last 90 Days Ir Patient Number 137012 Aane 61 vears DaR 14 08 50 Please select all medicines that the patient is taking and highlight if there is a discrepancy between the selected advice note and prescription select Drug Discrepancy m Isosorbide mononit 20mg tabs E Aspen asp 75motas ES m You will be unable to select discrepancies i m d F1 SelectAll F2 De SelectAll F3 Add Item r o F10 OK ESC You can add any items not shown on this list using F3 Add Item Once you have chosen all the medicines that the patient is currently taking select F10 OK Note By selecting F10 OK you are acknowledging that you have completed Part 1 of the service This tab will be marked as inactive as no discrepancies were highlighted in the Consent amp Eligibility tab and you will not be able to access this once you have s
25. orac Da ee ee resolved community community dose strength formulation by brand and after after generic discharge discharge name Meptid 200mg Use As Directed By Alternative is tabs The Prescriber E E m F E F prescribed Neovent25mcg Take ONE puff 120 dose inh twice a day F mM mM mM mM CFC Select from the relevant discrepancy reasons listed and document the action you will be taking The Outcome Resolved column will remain inactive until Part 2 of the service Tip The medicines that were previously selected and were not marked as having a discrepancy will be hidden from this list They will be shown later in the Part 2 tab 13 Rx Systems 2012 DMR ProScript Once you have completed the Discrepancies tab you must select the Part 1 Issues tab and complete the recommendations and who they are to be considered by Consent amp Eligibility Part 1 16 03 2012 16 00 Consent Withdrawn Part 1 Service with patient at pharmacy with carer with patient at pharmacy without carer with patient by telephone with carer at pharmacy without patient i amp with patient at home Discrepancies Part 1 Issues ssi For consideration by or consideration by F8 Add Another Issue Meptid 200mg tabs Discontinued in the community after discharge CP F5 Remove Issue Neovent 25mcg 120 dose inh CFC f Duplicated prescribed by brand and generic name Other Y Pfund RM o F9 Save A
26. pharmacy is being correctly paid bythe NHS for the service they give me Patient Signature Date 26 03 12 This form is to be retained by the pharmacy Booking an Appointment You can book an appointment from any of the following e The main DMR window using either F6 Book Appointment 1 or F7 Book Appointment 2 or F7 Book Appointment 2 9 Rx Systems 2012 DMR ProScript e The Consent amp Eligibility tab for a specific patient using F10 Save amp Book DMR Appointment or e The Part 1 tab for a specific patient using F10 Save amp Book DMR Appointment Choosing any of these options will display the following screen Book Appointment Suggested Date Range The appointment should be booked between dates 15 03 2012 to 15 03 2013 Appointment Method With patient at pharmacy with carer With patient by telephone With patient at home With patient at pharmacy without carer With carer at pharmacy without patient Mobile Tel 01582123456 F2 Edit Patient Details Appointment Details Notes Ell Naren 2017 ng 27 28 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 DW 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 TD Today 15 03 2012 SetTime 04 00PM You will be able to book appointments for Part 1 and Part 2 of the service and select an appropriate Appointment Method If you select an appointment method that involv
27. ple present Consent for MUR obtained Date of the review Oral O Written O 15 03 12 Review type Review identified or requested by Location of review ff not in pharmacy PCO permission for off site MUR AnnualMUR O Intervention MUR O Pharmacst O Patient Other Pharmacist O Action plan Issue Recommendation Meptid 200mg tabs Remove from repeat Discontinued in the community after discharge Patient Pharmacist GP Other Neovent 25mcg 120 dose inh CFCf Please prescribe as Serevent as patient has allergy to Neovent excipients Duplicated prescribed by brand and generic name Other oa oo 0 RB 00 PHARMACY DETAILS Pharmacist Name GPhC Reg Number Pharmacy Name Tel Email address Test Pharmacist 1234567 Rx Pharmacy Address Turnberry Belfry Business Park Colonial Way Watford WD24 4WH Overview page This review is based on information available to the Pharmacist held on the pharmacy Patient Medication Record system and from information provided by the patient Tip The GP notification form is a summarised version of the DMR2 form detailing an action plan and recommendations that you have entered in the Part 1 tab 15 Rx Systems 2012 DMR ProScript No Medication Discrepancies If there are no discrepancies between the advice note and the prescription but the patient is still eligible for a DMR you will be shown the following alert on the Consent amp Eligibility tab if you have not selected any medicati
28. ppointment Esc You can add or remove any other issues using F8 Add Another Issue or F6 Remove Issue 14 Rx Systems O 2012 DMR ProScript When you wish to progress to the next screen you will receive an alert to print a GP notification form to inform them of any discrepancies Alternatively you could select F3 GP Notification to preview and print this form Select the printer icon highlighted by the red circle when you are ready to print the form Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Management ETP NMS DMR Intranet Stock PMR id DMI print Preview m NE i gt Community Pharmacy Discharge Medicines Review Service DMR 2 Form CONFIDENTIAL Patient O Forinformation only no action required O Forinformation only no action required O Follow your actions agreed below O Please consider the recommendations proposed below OO Please note the recommendations made to your GP A copy ofthe consultation record sheet can be obtained from the pharmacy if required We f Clinical codes Medicines Use Reviewdone by community pharmacist This is your copy ofthe form You may wish to show to other health care professionals 4byte 88MF Version 2 8BMF Clinical Trems Version 3 XaKuo SNOMED CT 198391000000102 Patient details GP details Title First Name Surname GP Name NHS or PMR Number Tel Date of Birth Practice Name Address including postcode Practice Address Name of the other peo
29. preview of the Excel file is displayed below Page Layout Formulas Data Review View Em mm Cut Calibri Hr Wrap Text General 27 Bad Good Neutral rm E z Mm ar 3 23 Copy r mi Fill v PA 0 00 iti i BH Paste df Format Painter B JU s Z G Merge amp Center EB s g Feel Calculation Check Cell Explanatory Inpu Insert Delete Format pre EN px Clipboard IE Font P Alignment 5 Number IE Styles Cells Editing Al E fe Pharmacy Discharge Medicines Review Service v B c D E E G H l J K L M N o P a Stats 2 No of Hospital o prescriptions No or ERNE Noot Pelee scene Intengedfor 2 Completed at part1 Completed at part 2 Claimable Performed Recruited NHS LHB Advice Letters community i e 3 Pharmacy name Pharmacy address 1st line WP10 HP forms 4 Rx Pharmacy Turnberry 28 17 4 20 19 22 5 1 5 6 List 7 mem oo mH 9 15 03 2012 Mrs Jacqueline Test GP and NHS LHB Test Pharmacist 10 15 03 2012 Mr Anthony Test GP and NHS LHB Test Pharmacist 11 15 03 2012 Mrs Brenda Test GP and NHS LHB Test Pharmacist 12 15 03 2012 Mr Carl Test GP and NHS LHB Test Pharmacist 13 15 03 2012 Mr Daniel Test GP and NHS LHB Test Pharmacist 14 15 03 2012 Miss Ethel Test No 15 15 03 2012 Mrs Fiona Test GP and NHS LHB Test Pharmacist 16 15 03 2012 Mrs Fiona Test GP only Test Pharmacist 17 15 03 2012 Mr George Test GP and NHS LHB Test Pharmacist 18 15 03 2012 Mr Henry Test GP
30. records entered into the module 30 03 12 10 41 35 21 03 12 14 56 36 21 03 12 14 44 25 21 03 12 14 36 53 15 03 12 17 02 01 15 03 12 16 19 56 15 03 12 16 14 53 15 03 12 15 20 44 15 03 12 15 16 01 15 03 12 15 11 29 15 03 12 12 52 12 15 03 12 12 47 01 15 03 12 12 36 50 15 03 12 12 33 28 15 03 12 12 23 45 15 03 12 12 16 06 15 03 12 12 11 54 15 03 12 12 10 09 15 03 12 12 09 54 MISS OPHELIA TEST MR GEORGE TEST MR RX TEST MR RX TEST MRS FIONA TEST MISS OPHELIA TEST MR NELSON TEST MRS MAVIS TEST MISS LUCY TEST MRS JACQUELINE TEST MR KEITH TEST MS INGRID TEST MR HENRY TEST MR GEORGE TEST MRS FIONA TEST MISS ETHEL TEST MR DANIEL TEST MR CARL TEST MRS BRENDA TEST Part 2 30 03 2012 21 03 2012 21 03 2012 21 03 2012 16 03 2012 16 03 2012 16 03 2012 15 03 2012 12 53 3 ithdrawn at Appt1 3 ithdrawn at Appt1 withdrawn at Appt1 withdrawn at Appt1 z o a 2 8 7 I 2 4 F6 BookAppointment 1 24 Patient Details Mr George Test Patient Number 137012 Age 61 years DoB 14 08 50 Fthnicitw Not Selected DMR Notes DMR Details Consent to share Yes to GP and NHS LHB Patients written consent gained on 15 03 12 Date of discharge 14 03 12 Medications changed during admission No Esc F7 BookAppointment 2 Rx Systems 2012 DMR ProScript Highlight the relevant patient and select F2 Continue You will be shown the following alert
31. s continued but at wrong dose one which remain Medicines continued but at wrong strength unresolved Medicines continued but in wrong formulation please provide Medicines riinlicated nrescrihed hv hrand and neneric name 21 Rx Systems 2012 DMR ProScript Once you have completed a DMR it will be removed from the workload You can still access any completed DMR consultations via the DMR Main Screen using the Stages filter Discharge Medicines Review Service Version 1 0 0 Filters Show All Dates Mein e Appointmentneeds booking Appointment booked 22 Rx Systems 2012 DMR ProScript No Medication Discrepancies Identified In Part One To carry out Part 2 of the service for a patient who has no discrepancies with their medication first access the DMR Main Screen Highlight the relevant patient and select F2 Continue You will be taken automatically to the Part 2 tab on the DMR window As you initially did not select Medicines changed during admission in the Consent amp Eligibility tab you will not be able to access the Part 1 tab The Part 2 tab will update to show the date and time Part 2 15 03 2012 12 36 Please check to see ifthe patient still consents to sharing the data v Yes to GP and NHS LHB Yes to GP only No Reason You will need to select how you are carrying out the service Part 2 Service with patient at pharmacy with car
32. splays the following screen The window has three tabs Consent amp Eligibility Part 1 and Part 2 The latter two will be shown as inactive until the previous section has been completed Consent Discharge Advice Please select one ofthe following consent options DMR advice note gained Yes to GP and NHS LHB Date of Discharge Yes to GP only Fi No Reason i Place from which the patient was discharged l Discharge information provided by F6 Print Consent Hospital Carer GP Patient Other Eligibility Criteria Please select one or more of the following eligibility criteria a Medicines changed during admission Patienttaking four or more medicines Fr Select Medication Patient requires adjustment to medicines e g MDS or MAR J Pharmacist professional discretion Patient Details GP Details Pharmacy Details NHS Number GP Name Pharmacy Name Test Doctor Rx Pharmacy Title Forename Surname Practice Ty Mrs Fiona Test Test Surgery Im Turnberry Address Address Belfry Business Park 9 Any Road That Road Colonial Way Any Street That Town Watford Any Town That Village Postcode WD24 4WH Tel F4 Edit Pharmacy Details I J Postcode AB1 2CD Postcode Yo 9XW Gender Male Female DoB 06 06 1939 F3 EditGP Details Pharmacist Name GP
33. t 2 to access the appointment details calendar You can re arrange appointments that have already been booked using these options 10 You can use F3 Print Blank DMR1 Form and F4 Print Blank DMR2 Form to print blanks forms prior to a consultation Tip You are able to view all patients entered into the DMR service from the Stages filter including those withdrawn from the service by selecting AHN 5 Rx Systems 2012 DMR ProScript Adding a Patient to the DMR Service You must be presented with a patient s most recent Discharge Advice Letter DAL or similar advice note before recruiting the patient to the service This advice note relating to the patient s medicine can be either e Hospital prescriptions intended for dispensing in the community WP10 HP forms Medicines a patient is given at discharge Patient reminder cards or Take home prescription details To enrol a patient into the DMR service you must access the relevant Patient Medication Record PMR Mrs Fiona Test Patient Number 137011 Age 72 years DOB 06 06 39 Exemption is 25 or under prescrption dispensed in Wales only or 60 or over England and Wales Click on the DMR button located in the lower right hand side of the screen below the patient information pane This patient is currently undergoing DMR 6 Rx Systems 2012 DMR ProScript Consent amp Eligibility Tab You will be taken to the DMR window which di
34. whether the outcome has been resolved or you will be alerted to the following o There are Discrepancies where the outcome needs completing 18 Rx Systems O 2012 DMR ProScript Click on the Part 2 Review tab to access the full list of medicines taken by the patient and complete the form regarding their use You will need to select how you are carrying out the service The Part 2 tab will update to show the date and time Consent amp Eligibility Part 1 16 03 2012 16 00 Part 2 15 03 2012 12 28 Consent Withdrawn Please check to see if the patient still consents to sharing the data o m Yes to GP and NHSILHB Yes to GP only No Reason 0 0 0 00 0 O Part 2 Service with patient at pharmacy with carer with patient at pharmacy without carer e with patient by telephone e with carer at pharmacy without patient atempted cota with patient at home Part 2 Review Flixotide Evohaler CFCfree 250mcg Meptid 200mg tabs No removed from patients repeat Neovent 25mcg 120 No changedto dose inh CFC f Serevent wo F10 Save amp Book DMR i f Q Appointment F11 Save amp Continue Enc 19 Rx Systems O 2012 DMR ProScript Select F9 Save once you have completed the DMR You will be prompted by ProScript to print the completed DMR forms EN Summary forms Alternatively you can select F3 Print Forms to print
35. xcipients Duplicated prescribed by brand and generic name Other Patient Pharmacist GP Other 0800 o8o00 PHARMACY DETAILS Pharmacist Name GPhC Reg Number Pharmacy Name Tel Email address Test Pharmacist 1234567 Rx Pharmacy Address Turnberry Belfry Business Park Colonial Way Watford WD24 4WH Overview page This review is based on information available to the Pharmacist held on the pharmacy Patient Medication Record system and from information provided by the patient The DMR Summary form is the final form to be previewed for printing Functions Utilities Reports Find GoodsIn CDR DrugPrice Ctrl R Repeat Management ETP NMS DMR Intranet Stock PMR al DMR Print Preview e fi A iza m a e Ps Community Pharmacy Discharge Medicines Review Serfice DMR Summary Form T PATIENT DETAILS PMR or NHS Number Patient consent Yes cPoyO nO Patient Age 72 years Patient Postcode AB1 2CD SERVICE DETAILS Discharge Information provided by Haspital Patient O Caer O Other O Date of discharge 14 03 12 Place from which the patient was discharged Test Hospital Eligibility critera Medicines changed during admission Patient taking four or more medicines Patient requires adjustment to medicines e g MDS or MAR Pharmacist professional discretion PART ONE Date of part one intervention 15 03 12 Method by which With patient at pharmacy with carer B With patient at pharm

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