Tailored-Centred approach and ATLAS eMAR Systems
All our products (ATLAS eMAR, ATLAS Central and CAPA on Pharmacy systems) are designed with a tailored-centred approach in mind as opposed to an institutionalised approach. This then reflects how we support and maintain tailored -centred records. Traditional medicines management systems are based on an institutional model.
The medicines are prepared in blister packs or Monitored Dosage Systems and organised in a specific order on to “racks” representing medication rounds. These racks are stored in medicine trolleys and taken from room to room where medicines are administered to residents in the order that their blister packs appear on the round. Here, we summarise how ATLAS eMAR supports tailor-centred care.
Systems Integration and Data Sharing
Each resident has one medication record which is shared across our system and is accessed on the ATLAS eMAR, on ATLAS Central and by the Pharmacy on CAPA. The resident’s file has all the information relating to every aspect of medicines management across the care home and pharmacy settings. The most appropriate to view this complete resident file is on ATLAS Central.
Data is shared between the care home and pharmacy settings so that all relevant information regarding the resident is always available regardless of the setting. For example, prescription images that are usually only available at the pharmacy are now available on the care home systems. Similarly, stock levels which are only visible at the care home are now available on the pharmacy system. ATLAS eMAR synchronisation process is reliable, fast and proven to work effectively. At Invatech, we work to industry best practice standards and are ISO27001 Information Security and we work to ITIL standards to support and maintain our systems.
All medicines are dispensed in original packs and are specific for the tailored. This is how most residents receive medicines in care homes. ATLAS eMAR, ATLAS Central and by the Pharmacy on CAPA systems do allow for blister packs if there is an assessed need for the tailored, but blister packs are not provided as a default for the convenience of the institution.
Security and Monitoring
ATLAS Central has a repository of resources that promote a tailored -centred approach. These include sample policies, assessments for self-medication, PRN protocols and Best practice guidelines. Information Security is at the heart of our maintenance of tailor-centred records. We are accredited to ISO 27001 standards which has been held for 4 years. We believe that to improve a tailored care, information is needed to reflect, monitor and share information so that informed decisions can be made. We make the data collected from the system available in reports, scorecards and insights so that a individual’s care can be monitored and improved on.
We believe that tailored care is multi-faceted and data relating to medicines should be viewed in the context of all other aspects of care. With this mindset we have designed our systems with open Application Programming Interface (API) to facilitate integration and data sharing for example with healthcare professionals such as pharmacists and with software applications such as care records or other analytics applications. Business continuity is important consideration in the maintenance of tailored-centred records. There are robust plans that ensure that data is not lost in the event of unforeseen circumstances.
The Tailored Approach
Each resident can have specified times for the administration of their medicines according to their preference and needs. This is as opposed institutionalised medication round times. There is no set order to who receives their medication and when. On a day to day basis the individual can choose to have their medication at different times. Medicines can be stored in cabinets in the resident’s own room to reflect the same storage arrangements if the individual was in their own home. ATLAS eMAR can also work with medication trolleys if that is the choice of the organisation.
Everyone has a profile that ensures staff looking after their medication can identify them and are aware of all clinical information for their safety. In addition, there are two features that facilitate the tailor-centred approach: 1) ability to take up to date photos from the device and upload this to the individual’s profile. 2) Ability to write notes regarding the individual’s preferences on the profile. These notes will be displayed each time the profile is accessed, and staff are required to confirm that they have read these notes before progressing.
The settings for each medication are designed to enable the individual’s preferences and clinical needs. This includes the following: 1) For each medication a note can be used to specify preferences and needs. These could include “PRN protocols” or simply preferences to “take off a spoon”. 2) Each medication if assessed correctly can be set to self-medicating. This ensures that the individual’s rights and preferences are considered at a medication level. So, ATLAS eMAR allows flexibility to have some medicines to be self-medicated whilst others to be managed by staff. 3) A medicine’s setting can be specified as a “homely remedy” and protects the right of the resident to have these types of medicines.
Keep an eye out for Invatech's follow up news on ATLAS eMAR and how it offers a Mobile Solution for Point of Care (Part 3).