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Enhancing Medicines Management: Insights from iSOFT’s Experience with VMPs and AMPs

This report presents iSOFT’s insights into medicines management through its collaboration with NHSIA and Bluewave. It explores the 5-box model involving Virtual Therapeutic Moieties (VTM) and Virtual Medicinal Products (VMP), and discusses the requirements of pharmacists, nurses, and clinician prescribing intents. User-Centered Design (UCD) sessions yielded preferences for VMPs by pharmacists and AMPs by nurses. As implementation progresses, a personal pick list of fully resolved prescriptions is developed alongside integration of clinical decision support systems for improved patient safety and interactions.

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Enhancing Medicines Management: Insights from iSOFT’s Experience with VMPs and AMPs

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  1. dm+d: Experiences to date iSOFT’s experience to date

  2. Considerations for medicines management Dispensing pharmacist’s requirements Clinician’s prescribing intent Administering nurse details Hospital management information

  3. Prototype exploration • Approached by NHSIA and Bluewave to explore the 5 box model Virtual Therapeutic Moiety (VTM) route and form modified Virtual Medicinal Product (VMP) Actual Medicinal Product (AMP) Virtual Medicinal Product Packaging (VMPP) Actual Medicinal Product Packaging (AMPP)

  4. User centred design • UCD session held with Pharmacist and Nurses from a number of hospitals in our client base • Pharmacists gravitated to using VMPs and AMPs • Nurses gravitated to using AMPs and AMPPs • No clinicians – Primary care: AMP Secondary Care: VTM ____________ • Fully resolved prescription would be included within protocols and integrated care pathways • As implementation matures users would develop a personal pick list of fully resolved prescriptions

  5. What next? • Work with content vendors on clinical decision support (CDS) for drug patient state interactions including:- Drug: Allergy Drug: Observation (inc results, health issues) And other interactions such as: Drug: Food Drug: Drug • Incorporation of reference links from structured/unstructured narrative with smart tags to support prescribing process • Look at potential integration points for CDS in rules, narrative, Integrated Care Pathways etc

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