Current through Vol. 41, No. 13, March 15, 2024
Responsibilities of the PIC and the remote medication order
processing pharmacy include:
(1)
Written policies and procedures and operation manuals. The remote
medication order processing pharmacy and PIC shall establish a written policy
and procedure manual for the RMOP operation, including but not limited to:
(A) Complying with federal and state laws and
regulations;
(B) Establish and
maintain minimum technical standards and specifications, e.g. RMOP processes,
passwords, encryption and firewalls;
(C) Establish and maintain procedures for
handling computer system or connectivity downtime;
(D) Establish and maintain confidentiality,
privacy, and security to meet HIPAA standards;
(E) Establish and maintain pharmacist
training, orientation and competencies;
(F) Establish and maintain workload balancing
and staffing levels e.g. when will RMOP be triggered and how will workload or
staff balancing be done;
(G)
Establish and maintain access to either hard-copy or online references as
described in
535:15-5-9(1)
(B) and
535:15-5-9(1)
(C);
(H) Establish and maintain
hospital staff training and orientation to the remote medication order process;
(I) Establish and maintain a
process that documents issues or problems which includes issue escalation and
problem resolution to resolve such;
(J) Establish and maintain on-call assistance
and communication between the hospital and remote site personnel;
(K) Establish and maintain internal quality
assurance and medication error reporting systems;
(L) Clarification of medication orders;
(M) Establish and maintain access
to Hospital policy resources, policies and procedures;
(N) Establish and maintain records and
reports; and,
(O) Establish and
maintain annual review of the remote medication order processing and
documentation.
(2)
General responsibility. The remote medication order processing
pharmacy and PIC shall be responsible for the provision of services to the
hospital(s), including but not limited to establishing and maintaining:
(A) Establishing and scheduling appropriate
RMOP pharmacy staffing levels;
(B)
Performance of RMOP duties which include establishing and maintaining:
(i) Review of the patient's profile;
(ii) Clarification of medication
orders;
(iii) Reporting of
potential drug interactions or allergies;
(iv) Order entry and / or order review;
(v) Monitoring of clinical
information, lab values, or dosing issues; and
(vi) Provision of drug information to the
pharmacist(s) performing remote medication order entry, by establishing and
maintaining access to either hard-copy or online references as described in
535:15-5-9(1)
(B) and
535:15-5-9(1)
(C);
(C) Submitting
required reports, required by hospital, by procedures manual and by law or
rule;
(D) Quality assurance and
performance improvement of the RMOP service;
(3)
Confidentiality. The remote
medication order processing pharmacy and PIC shall have responsibility for
establishing policies and procedures for the security and integrity of any
patient information, confidential and non-confidential and must abide by all
applicable state and federal laws and rules. In addition, the following must be
met:
(A) Pharmacists performing remote
medication order processing entry must adhere to the hospital's confidentiality
policy and are responsible for ensuring the confidentiality of patient
information as described in
535:10-3-1.1(6)
and
535:10-3-1.2(a)
(16); and,
(B) The hospital shall
insure that the remote pharmacist shall have individual pharmacist- specific
secure electronic access to the hospital pharmacy's patient information system
and to other electronic systems that the on-site pharmacist has access to when
the hospital pharmacy is open.
(4)
Record keeping.
(A) The remote medication order processing
pharmacy shall ensure that records of any and all orders processed for the
hospital are maintained for a minimum of two (2) years, and such records shall
be readily available for inspection, copying by, or production of upon request
by the Board, its designee, or a representative of the Board upon request,
including, but not limited to:
(i) Medication
orders reviewed or verified by the remote pharmacist;
(ii) Interventions communicated by the remote
pharmacist;
(iii) Requests for
clinical or other additional information communicated by the remote pharmacist;
(iv) Name or other unique
identifier of the remote pharmacist involved in the processing of the RMOP
order.
(B) The records
required in Section 535:15-4-5(4)(A) above may be kept at either the remote
medication order processing pharmacy or the hospital so long as the records are
maintained and readily available.
(C) A hospital utilizing a remote pharmacist
shall maintain a record of the name and address of such pharmacist(s), evidence
of current pharmacist licensure in Oklahoma, and the address of each location
where records of any and all orders processed for the hospital will be
maintained.
Added at 27 Ok Reg 2256,
eff 7-11-10