myAvatar™ eMAR provides an efficient online process for charting medication administration
The adoption of enhanced clinical automation is at the top of the list of every healthcare executive. Initiatives such as EHRs, e-Prescribing, order entry, RHIO participation and integration of patient information are fast developing within and across organizations. However, these initiatives quickly expand beyond mere technological considerations to a focus on patient
safety. Electronic medication administration records (eMAR) will play an increasing role in delivering quality care in patient-centric environments and reducing medical errors. Industry research shows:
- Each year, about 98,000 deaths in the US may be due to medical error
- An estimated 770,000 medication errors occur in hospitals each year
- 38% of medication errors happen at the point of care
When properly implemented, eMAR solutions can make a significant difference.
Nurses and clinical staff in health care facilities are
responsible for administering medications to patients.
Traditionally, nurses documented the administration of
medications on paper documents known as Medication Administration Records, or MARs. Each patient has his or her own MAR, and each MAR covers a finite period of
time. Depending on the level of automation present in a
facility, these paper MARs might be computer-generated
with printed information about medication orders for each patient as recorded via a Computerized Physicians
Order Entry (CPOE) or pharmacy application. In the absence of such an application, each patient’s order
must be transcribed manually onto the paper MAR. This transcription process is time-consuming and rife with
the possibilities for transcription errors, which in turn can result in medication errors.
Because MARs are often elaborate and extensive, the
process of printing the paper MAR forms can be time
consuming and expensive. Even with computer-generated paper MARs, transcription of new orders is required once each MAR is put into use, until such time as a new MAR is printed (covering the next week or month).
myAvatar™ eMAR from Netsmart provides nurses and
other authorized staff with an efficient online process
for charting medication administration. myAvatar™
eMAR is an electronic Medication Administration
Record designed to replace the traditional paper MAR.
myAvatar™ eMAR is integrated with myAvatar™ Order Entry (a CPOE application) for inpatient environments,
and with InfoScriber and OrderConnect, Netsmart’s
leading Web-based e-prescribing applications, for
outpatient environments. Medication orders recorded through either of these applications automatically
appear within the myAvatar™ eMAR.
Users of myAvatar™ eMAR can switch from patient to
patient within the myAvatar™ eMAR main menu. Multiple patient identifiers (ID number, Medical Record Number, patient name, gender, date of birth, and photograph) are provided to help verify the identity of each patient, which is critical for enhancing patient safety. This facilitates compliance with the National Patient
Safety Goals as provided by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
HOW IT WORKS
For each patient, users are shown a list of orders that
are eligible for administration on the indicated date,
along with a four-day history of the administration for
each order. Also included are expired or discontinued
orders that might have been administered over the
preceding four days. Users can navigate by date to view older administration histories for a patient, or to view the orders that are currently scheduled for administration on a future date. Orders can be filtered based upon ‘Order Type,’ whether they are “scheduled/routine” or “as
INTUITIVE USER INTERFACE
myAvatar™ eMAR’s user interface features a grid-like
design that mimics traditional paper MARs. This interface enables users to feel comfortable with an electronic
solution that greatly enhances the efficiency of a process
that was previously handled via paper.
For any eligible order, users can record administration
events simply by clicking in the appropriate cell in the
grid. Each administration event captures information
about who performed it, the date and time of
administration, whether it was successful, and optional
information such as injection site, comments and vital
signs. Once an administration event has been recorded, its details can be displayed and results specific to that
administration event can be recorded. myAvatar™ eMAR
also supports the ability to track whether patients have
been educated about their medications.
myAvatar™ eMAR delivers a variety of easy-to-use
reports for missed medications, review of administration times, nurse-selected parameters for patient lists, and
custom reports designed by the client. The system tracks
actual errors and near misses, the identity of the user,
and is able to print these reports at pre-scheduled times
or on demand. Report generation is based on password
and security privileges. Additionally, myAvatar™ eMAR
is seamlessly integrated with myAvatar™ Order Entry,
InfoScriber or OrderConnect, to leverage data within those systems to produce a Continuum of Care report which allows doctors to specify which medications
should be continued for their patients. This report can
be used when a patient is transferred in or out of the inpatient facility and whenever hospital policy requires
that all orders be rewritten.
TRAINING AND SUPPORT
Automating medication administration undeniably
impacts many departments. Netsmart can assist
organizations with variety of change management
consulting services and training initiatives to assist in the transformation process of a traditionally paper-based process to clinical automation.
Contact us today for additional information about eMAR.
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This Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Netsmart Technologies, Certified: 11/21/2013, Avatar 2014, Modules Tested: 170.314(a)(1?15); 170.314(b)(1?5, 7) 170.314(c)(1?3); 170.314(d)(1?9); 170.314(e)(1?3); 170.314(f)(1?3); 170.314(g)(2?4), Certification ID Number: 11212013-1915-6, Clinical Quality Measures Certified: Clinical Quality Measures tested: CMS068v3; CMS069v2; CMS138v2; CMS147v2; CMS155v2; CMS156v2; CMS161v2; CMS165v2; CMS169v2; CMS177v2. The additional costs beyond the initial HER purchase/upgrade in order for an EP, EH, or CAH to attempt to meet meaningful use objectives and measures under the ambulatory program are: All modules required for MU Stage 2 Ambulatory, Products: HER ONC 2014, Costs: Subscription (recurring), Maintenance (recurring), Implementation services (one time).