KT Pharmacy Setup Howto

Pharmacy Packages for Configuration

1.	Outpatient Pharmacy

2.	Inpatient Medications

3.	Bar Code Medication Administration (BCMA)

4.	Automatic Replenish/Ward Stock (AR/WS)

5.	Controlled Substances

6.	Pharmacy Data management (PDM)

7.	Drug Accountability - ?? Maybe configure

8.	National Drug File (NDF)

9.	Prescription Practices (PPP) – NOT CONFIGURED

10.	Electronic Claims Management Engine – NOT CONFIGURED DORMATE RELEASE

11.	Pharmacy Benefits Management (PBM) – NOT CONFIGURED

12.	Consolidated Mail Outpatient Pharmacy (CMOP) – NOT CONFIGURED

Outpatient Pharmacy

Required Packages:

Accounts Receivable (AR) 4.5 Adverse Reaction Tracking (ART) 4.0 Clinical Information Resources Network (CIRN) 1.0 Consolidated Mail Outpatient Pharmacy (CMOP) 2.0 Computerized Patient Record System (CPRS) 3.0 Decision Support System (DSS) 3.0 Fee Basis 3.5 VA FileMan 22.0 Integrated Funds Control, Accounting, and Procurement (IFCAP) 5.0 Inpatient Medications (IP) 5.0 Integrated Billing (IB) 2.0 Kernel 8.0 Laboratory 5.2 MailMan 7.1 Master Patient Index/Patient Demographics (MPI/PD) 1.0 National Drug File (NDF) 4.0 Order Entry/Results Reporting (OERR) 3.0 Patient Information Management System (PIMS) 5.3 Pharmacy Data Management (PDM) 1.0 Remote Procedure Call (RPC) Broker 1.1

Outpatient Options used to define Outpatient Pharmacy: Site parameter Enter/Edit

Site Name= WVOPharmacy

Outpatient Parameters set:

Jobs to be Queued for Outpatient Pharmacy: Must use option PSO AUTOQUEUE JOBS

Menu’s

OutPatient Package Corridinator – PSO MANAGER OutPatient Pharmacist – PSO USER1 OutPatient Tech – PSO USER2

Keys Archive Device =~=~=~=~=~=~=~= PuTTY log 2005.10.27 14:16:54 =~=~=~=~=~=~=~= WV oU     OUTPATIENT Are you adding 'WV OUTPATIENT' as a new OUTPATIENT SITE (the 1ST)? No// Y (Yes) OUTPATIENT SITE SITE NUMBER: ?? This field is used to show the site/station number. OUTPATIENT SITE SITE NUMBER: ??? This field is used to show the site/station number. OUTPATIENT SITE SITE NUMBER: 007 OUTPATIENT SITE INACTIVE DATE: Would you like to see all site parameters for this division? Y// ES [6;1H [1;1H [J [2J [H NAME: WV OUTPATIENT                    SITE NUMBER: 007

NAME: WV OUTPATIENT// MAILING FRANK STREET ADDRESS: AREA CODE: PHONE NUMBER: MAILING FRANK ZIP+4 CODE: SITE NUMBER: 007// MAILING FRANK CITY: MAILING FRANK STATE: MAILING COMMENTS: INACTIVE DATE: HOLD FUNCTION?: ? Enter 'Y' if the 'Hold' feature will be used at the facility. Choose from: 1       YES 0       NO HOLD FUNCTION?: 0  NO SUSPENSE FUNCTION?: ? Enter if the 'Suspense' feature will be used at the facility. Choose from: 1       YES 0       NO SUSPENSE FUNCTION?: 0  NO CANCEL DRUG IN SAME CLASS: ? Enter yes if you wish prescriptions for drugs in the same class to be    cancelled. Choose from: 1       YES 0       NO CANCEL DRUG IN SAME CLASS: 0  NO REFILL INACTIVE DRUG RXS: ? Enter yes to allow refilling a prescription for a drug which is inactive. Choose from: 1       YES 0       NO REFILL INACTIVE DRUG RXS: 1  YES ASK METHOD OF PICKUP: ? Enter yes to put special pickup instructions on window prescriptions. Choose from: 1       YES 0       NO ASK METHOD OF PICKUP: 0  NO PASS MEDS ON PROFILE: ? Enter yes if pass meds should appear on the profile printed with new prescriptions Choose from: 1       YES 0       NO PASS MEDS ON PROFILE: 0  NO PROFILE `SORT BY' DEFAULT: ? Enter the default method of sorting medication profile. Choose from: 0       DATE 1       CLASS 2       MEDICATION PROFILE `SORT BY' DEFAULT: 2 MEDICATION COPIES ON NEW: ? Enter yes to ask the number of copies of each label to be print. Choose from: 1       YES 0       NO COPIES ON NEW: 0  NO DRUG CHECK FOR CLERK: ? Enter yes if clerks should see the duplicate drug warning during order entry. Choose from: 1       YES 0       NO DRUG CHECK FOR CLERK: 0  NO FEE BASIS SUPPORT: ? Enter yes if your pharmacy processes prescriptions for Fee basis providers. Choose from: 1       YES 0       NO FEE BASIS SUPPORT: 1  YES MULTI RX REQUEST FORM: ? Enter yes to print the multi RX request form. Choose from: 1       YES 0       NO MULTI RX REQUEST FORM: 0  NO BARCODES ON REQUEST FORMS: ? Select whether you want barcodes on the single refill request, the multi-RX request form or both Choose from: 0       REFILL REQUEST ONLY 1       MULTI RX REQUEST ONLY 2       BOTH BARCODES ON REQUEST FORMS: 2 BOTH BARCODES ON Action PROFILES: ? Enter 'Yes' if barcodes are to print with Action profiles. Printer must be setup for barcodes. Choose from: 1       YES 0       NO BARCODES ON Action PROFILES: 1  YES Verification: ? Answer yes if prescriptions entered by a technician must be verified by a    pharmacist. Choose from: 1       YES 0       NO Verification: 1  YES DISPLAY GROUP: ? Choose the display group which will be used to display the prescription ready messages. DISPLAY GROUP: ??? This field is used to determine which bingo board display screen will be shown on the waiting room monitor. DISPLAY GROUP: SCREEN PROFILES: ?? This field is used to determine if profiles are displayed when refilling and renewing medications. Choose from: 1       YES 0       NO SCREEN PROFILES: 0  NO EDIT PATIENT DATA: ?? This field is used to determine if editing of patient data will be allow ed. Choose from: 1       YES 0       NO EDIT PATIENT DATA: 1  YES EDIT DRUG: ?? This field will be used to determine if drugs can be changed during the prescription edit option. Choose from: 1       YES 0       NO EDIT DRUG: 0  NO RENEWING RX'S ALLOWED: ?? This field will be used to determine if renewing of medications will be       allowed. Choose from: 1       YES 0       NO RENEWING RX'S ALLOWED: 1  YES PASS MEDS CANCEL: ?? This field is used to determine if pass medications are to be cancelled. Choose from: 1       YES 0       NO PASS MEDS CANCEL: 1  YES AUTO SUSPEND: ?? This field is used to determine if medication that is refilled or renewe d before the next possible fill date is to be placed in suspense automatically. Choose from: 1       YES 0       NO AUTO SUSPEND: 0  NO SHALL COMPUTER ASSIGN RX #S: ?? This field is used to determine if the computer will auto generate prescription numbers. Choose from: 1       YES 0       NO SHALL COMPUTER ASSIGN RX #S: 1  YES PROFILE WITH NEW PRESCRIPTIONS: ?? This field is used to determine if medication profiles are printed when new medication is ordered. Choose from: 1       YES 0       NO PROFILE WITH NEW PRESCRIPTIONS: 0  NO SLAVED LABEL PRINTING: ?? This field will be used to allow printing of RX labels without being able to queue to a printer. This parameter is primarily for slaved printing of RX labels. If 'yes' is the answer the Prompt for Action to be taken on the label will include the '/PRINT' Action. Choose from: 1       YES 0       NO SLAVED LABEL PRINTING: 0  NO METHADONE PROGRAM: ?? This field will be used to determine if the site has a methadone program and if a particular drug should be prompted for. Choose from: 0       NO       1        YES METHADONE PROGRAM: 0 NO METHADONE DRUG: ?? DAYS TO PULL FROM SUSPENSE: ?? This field will be used to pull a patient's medication from suspense for a specified number of days. The day range is from 0 to 10. THIS NUMBER IS DIVISION SPECIFIC. DAYS TO PULL FROM SUSPENSE: 10 DAYS TO PULL SUSPENDED CS CMOP: ?? This field will be used to pull a patient's controlled substances from suspense for CMOP medications for a specified number of days. The range is between 0 and 10. DAYS TO PULL SUSPENDED CS CMOP: 0 NEW LABEL STOCK: ? If new medication label stock will be used enter '1' for Yes. Choose from: 1       YES 0       NO NEW LABEL STOCK: 1  YES EXTERNAL INTERFACE: ?? This field allows sites to alter the characteristics of the external interface. The Set of Codes field have the following values: 0 - the external interface is off 1 - send all drugs to the external interface; print labels locally 2 - send all drugs to the external interface; don't print labels locally 3 - send only marked drugs to the external interface; don't print labels locally 4 - send only marked drugs to external interface and print labels throug h VistA. Choose from: 0       INTERFACE TURNED OFF 1       SEND ALL ORDERS AND PRINT LABEL 2       SEND ALL ORDERS AND DON'T PRINT LABEL 3       SEND MARKED ORDERS AND DON'T PRINT 4       SEND MARKED ORDERS AND PRINT LABEL EXTERNAL INTERFACE: 0 INTERFACE TURNED OFF Select DISPENSING SYSTEM PRINTER: ?? You may enter a new DISPENSING SYSTEM PRINTER, if you wish '^' TO STOP:                         This field identifies the name of the printer(s) that, when selected, an d        the interface is in use, an HL7 message is generated to the dispensing system. Choose from: BROWSER (CIRN)      Text Browser Utility     NUL BROWSER CACHE/NT      HFS/CRT     USER$:[TEMP]DDBR.TXT BROWSER DSM/VMS      HFS/CRT     DDBR.TXT BROWSER MSM/DOS      HFS/CRT     51 BROWSER MSM/NT      HFS/CRT     51 DG FIELD MONITOR      DG field editing protocol     DG FIELD MONITOR FAUX PRINTER      LAT TERMINAL     LC- GMRA UPDATE RESOURCE      Allergy update control     GMRA UPDATE RESOURCE GTM-UNIX-NULL      Bit Bucket (GT.M-Unix)     /dev/null HDIS STATUS RESOURCE DEVICE      Resource Device     HDIS STATUS RESOURCE DE VICE HDIS VUID RESOURCE DEVICE      Resource Device     HDIS VUID RESOURCE DEVICE HFS      Host File Server     USER$:[TEMP]TMP.DAT IMAGING WORKSTATION      BROKER     WS.DAT MESSAGE P-MESSAGE-HFS-MSM/DOS      HFS (MSM/DOS) FILE =>  MESSAGE     51 MESSAGE P-MESSAGE-HFS-MSM/NT      HFS (MSM/NT) FILE =>  MESSAGE     51 '^' TO STOP:                    MESSAGE P-MESSAGE-HFS-OPENM-NT       HFS (OpenM-NT) FILE =>  MESSAGE     V:\P LATINUM\XMHFS.TMP MESSAGE P-MESSAGE-HFS-VXD      HFS (VXD) FILE =>  MESSAGE     XMHFS.DAT MSM/HFS      Host File Server     51 NULL-DSM      Bit Bucket     _NLA0: OR MOVEMENT RESOURCE      OR movement event process     OR MOVEMENT RESOURCE OR WINDOWS HFS      OR Windows Print HFS Device     ORWINDEV.DAT OR WORKSTATION      OR Workstation HFS Device     ORDEV.DAT ORB NOTIFICATION RESOURCE      OE/RR notifications     ORB NOTIFICATION RESO URCE ORW THREAD RESOURCE      CPRS GUI background data retrieval     ORW THREAD R ESOURCE ORW/PXAPI RESOURCE      CPRS to PCE transactions     ORW/PXAPI RESOURCE SCCV RESOURCE      Scheduling Conversion Resource Device     SCCV RESOURCE VIC CARD      REGISTRATION     FAUX XDRBROWSER1      HFS/CRT     USER$:[TEMP]XDRBR.TXT Select DISPENSING SYSTEM PRINTER: BLANK LABEL BETWEEN PATIENTS: ? Choose from: 0       NO       1        YES BLANK LABEL BETWEEN PATIENTS: 1 YES VERIFYING PHARMACIST ON LABELS: ? Enter Yes to print the Verifying Pharmacist number on Outpatient labels. Choose from: 1       YES VERIFYING PHARMACIST ON LABELS: 1 YES AUTOMATED DISPENSE: ?? This field will determine what version of the automated dispense machine this site is running. If the machine is older than HL7 V.2.4, enter letter O, if HL7 V.2.4 has been installed, enter 2.4. Choose from: 0       Less than V2.4 2.4     HL7 V.2.4 AUTOMATED DISPENSE: FILE RELEASE DATE/TIME: ?? This field is used to indicate if the release date/time is to be filed f or       the prescription dispensed by an external interface. Choose from: 1       YES FILE RELEASE DATE/TIME: 1 YES ENABLE MASTER FILE UPDATE: ?? This field will determine if the automated dispense machines are ready t o        receive HL7 V.2.4 messages. Choose from: N       NO       Y        YES ENABLE MASTER FILE UPDATE: DISPENSE DNS NAME: ?? THIS IS THE DNS COMPUTER NAME OF THE AUTOMATED DISPENSING MACHINE THAT I S        USED FOR THIS OUTPATIENT SITE DIVISION. DISPENSE DNS NAME: DISPENSE DNS PORT: Select CPRS ORDERING INSTITUTION: ? You may enter a new CPRS ORDERING INSTITUTION, if you wish Enter the Institution for this Outpatient site for CPRS orders. Answer with INSTITUTION NAME, or STATUS, or STATION NUMBER, or    OFFICIAL VA NAME, or CURRENT LOCATION, or CODING SYSTEM/ID PAIR, or     NAME (CHANGED FROM), or CODING SYSTEM Do you want the entire INSTITUTION List? Y (Yes) Choose from: AUSTIN                                   200 BVA/VBA SUPPORT OFFICE     DC  BVA/VBA-SO  397 OFFICE OF INFORMATION SRV CNTR           776 SOFTWARE SERVICE               VAO       050 VISN 1                         VISN VISN 10                        VISN VISN 11                        VISN VISN 12                        VISN VISN 13                        VISN VISN 14                        VISN VISN 15                        VISN VISN 16                        VISN VISN 17                        VISN VISN 18                        VISN VISN 19                        VISN VISN 2                         VISN VISN 20                        VISN VISN 21                        VISN VISN 22                        VISN VISN 23                        VISN '^' TO STOP:                    VISN 3                          VISN VISN 4                         VISN VISN 5                         VISN VISN 6                         VISN VISN 7                         VISN VISN 8                         VISN VISN 9                         VISN Select CPRS ORDERING INSTITUTION: SOFTWARE SERVICE     VAO  050 Are you adding 'SOFTWARE SERVICE' as    a new CPRS ORDERING INSTITUTION (the 1ST for this OUTPATIENT SITE)? No// Y (Yes) LOGICAL LINK: Select CPRS ORDERING INSTITUTION: RELATED INSTITUTION: ?? Institution associated with the site. Choose from: AUSTIN                                   200 BVA/VBA SUPPORT OFFICE     DC  BVA/VBA-SO  397 OFFICE OF INFORMATION SRV CNTR           776 SOFTWARE SERVICE               VAO       050 VISN 1                         VISN VISN 10                        VISN VISN 11                        VISN VISN 12                        VISN VISN 13                        VISN VISN 14                        VISN VISN 15                        VISN VISN 16                        VISN VISN 17                        VISN VISN 18                        VISN VISN 19                        VISN VISN 2                         VISN VISN 20                        VISN VISN 21                        VISN VISN 22                        VISN '^' TO STOP:                    VISN 23                         VISN VISN 3                         VISN VISN 4                         VISN VISN 5                         VISN VISN 6                         VISN VISN 7                         VISN VISN 8                         VISN VISN 9                         VISN RELATED INSTITUTION: ?? RELATED INSTITUTION: ?? RELATED INSTITUTION: ? Answer with INSTITUTION NAME, or STATUS, or STATION NUMBER, or    OFFICIAL VA NAME, or CURRENT LOCATION, or CODING SYSTEM/ID PAIR, or     NAME (CHANGED FROM), or CODING SYSTEM Do you want the entire INSTITUTION List? Y (Yes) Choose from: AUSTIN                                   200 BVA/VBA SUPPORT OFFICE     DC  BVA/VBA-SO  397 OFFICE OF INFORMATION SRV CNTR           776 SOFTWARE SERVICE               VAO       050 VISN 1                         VISN VISN 10                        VISN VISN 11                        VISN VISN 12                        VISN VISN 13                        VISN VISN 14                        VISN VISN 15                        VISN VISN 16                        VISN VISN 17                        VISN VISN 18                        VISN VISN 19                        VISN VISN 2                         VISN VISN 20                        VISN VISN 21                        VISN VISN 22                        VISN VISN 23                        VISN '^' TO STOP:                    VISN 3                          VISN VISN 4                         VISN VISN 5                         VISN VISN 6                         VISN VISN 7                         VISN VISN 8                         VISN VISN 9                         VISN RELATED INSTITUTION: SOFTWARE SERVICE     VAO  050 LABEL/PROFILE MONITOR MAX: ?? Maximum number of label/profiles to be stored in the Label/Profile Monitor list for each printer device. The default and minimum value for this number is 1000. Each time the printer is used an entry is       made in the Label/Profile monitor and if the monitor holds more entries than specified by this parameter, the oldest entry is       deleted. LABEL/PROFILE MONITOR MAX: 100000 NARCOTICS NUMBERED DIFFERENTLY: ? Choose from: 1       YES 0       NO NARCOTICS NUMBERED DIFFERENTLY: 1  YES NARCOTIC LOWER BOUND: 10000 NARCOTIC UPPER BOUND: 49     499999 PRESCRIPTION # LOWER BOUND: 10     250         300000 PRESCRIPTION # UPPER BOUND: 3999           4000000 IB SERVICE/SECTION: ? Answer with SERVICE/SECTION NAME, or ABBREVIATION, or MAIL SYMBOL, or       TYPE OF SERVICE, or MIS COSTING CODE: IRM IB SERVICE/SECTION: ??? Select the appropriate entry in the Service/Section file (#49) that is       to be used for the Pharmacy Copayment/Integrated Billing procedures. Answer with SERVICE/SECTION NAME, or ABBREVIATION, or MAIL SYMBOL, or       TYPE OF SERVICE, or MIS COSTING CODE: IRM IB SERVICE/SECTION: ?? IB SERVICE/SECTION: IRM

Entry in this field must match the SERVICE field for pharmacy action~\Action types in the IB Action TYPE file AND be a valid entry in your SERVICE/SECTION file to generate copay charges!

?? IB SERVICE/SECTION: IRM

Entry in this field must match the SERVICE field for pharmacy Action types in the IB Action TYPE file AND be a valid entry in your SERVICE/SECTION file to generate copay charges!

?? IB SERVICE/SECTION: ^

Outpatient System Parameters

DEFAULT OUTPATIENT SITE: ? Enter name of default site. Answer with OUTPATIENT SITE NAME, or SITE NUMBER, or       RELATED INSTITUTION: WV OUTPATIENT    007 DEFAULT OUTPATIENT SITE: wv     WV OUTPATIENT    007 ADMISSION CANCEL OF RXS: ? Choose from: 1       YES 0       NO ADMISSION CANCEL OF RXS: 0  NO Select EXEMPT WARD FROM AUTOCANCEL: ? DAYS PRINTED RX STAYS IN 52.5: ? Enter from 7 to 90 days printed Rx's are to remain in suspense during the purge option. DAYS PRINTED RX STAYS IN 52.5: 10 POLYPHARMACY W/Action PROFILE: ? Enter '1' or Yes to indicate if a polypharmacy report is to print with action~\Action profiles. Choose from: 1       YES POLYPHARMACY W/Action PROFILE: 1 YES

Select SITE NAME: ? Answer with OUTPATIENT SITE NAME, or SITE NUMBER, or       RELATED INSTITUTION: WV OUTPATIENT    007 You may enter a new OUTPATIENT SITE, if you wish ANSWER MUST BE 3-20 CHARACTERS IN LENGTH Select SITE NAME: WV OUTPATIENT   007 Would you like to see all site parameters for this division? Y// ES [10;1H [1;1H [J [2J [H NAME: WV OUTPATIENT                    SITE NUMBER: 007 LABEL/PROFILE MONITOR MAX: 100000    BARCODES ON Action PROFILES: YES Verification: YES                    EDIT DRUG: NO  RENEWING RX'S ALLOWED: YES            PASS MEDS CANCEL: YES AUTO SUSPEND: NO                     SHALL COMPUTER ASSIGN RX #S: YES PROFILE WITH NEW PRESCRIPTIONS: NO   DAYS TO PULL SUSPENDED CS CMOP: 0 CANCEL DRUG IN SAME CLASS: NO        REFILL INACTIVE DRUG RXS: YES ASK METHOD OF PICKUP: NO             PASS MEDS ON PROFILE: NO  PROFILE `SORT BY' DEFAULT: MEDICATION COPIES ON NEW: NO                    DRUG CHECK FOR CLERK: NO  FEE BASIS SUPPORT: YES                MULTI RX REQUEST FORM: NO  BARCODES ON REQUEST FORMS: BOTH       SCREEN PROFILES: NO  EDIT PATIENT DATA: YES                HOLD FUNCTION?: NO  SUSPENSE FUNCTION?: NO                SLAVED LABEL PRINTING: NO  DAYS TO PULL FROM SUSPENSE: 10        NEW LABEL STOCK: YES EXTERNAL INTERFACE: INTERFACE TURNED OFF BLANK LABEL BETWEEN PATIENTS: YES    VERIFYING PHARMACIST ON LABELS: YES NARCOTICS NUMBERED DIFFERENTLY: YES  NARCOTIC LOWER BOUND: 10000 NARCOTIC UPPER BOUND: 499999         METHADONE PROGRAM: NO  PRESCRIPTION # LOWER BOUND: 300000    PRESCRIPTION # UPPER BOUND: 4000000 FILE RELEASE DATE/TIME: YES          RELATED INSTITUTION: SOFTWARE SERVICE CPRS ORDERING INSTITUTION: SOFTWARE SERVICE

Enter RETURN to continue or '^' to exit:

NAME: WV OUTPATIENT// MAILING FRANK STREET ADDRESS: AREA CODE: ^

Outpatient System Parameters

DEFAULT OUTPATIENT SITE: WV OUTPATIENT// ADMISSION CANCEL OF RXS: NO// Select EXEMPT WARD FROM AUTOCANCEL: 6 ?? Select EXEMPT WARD FROM AUTOCANCEL: ^

Select SITE NAME: Outpatient Pharmacy software - Version 7.0 Select LABEL PRINTER: HOME//  TELNET

OK to assume label alignment is correct? YES//

Select SITE NAME: Outpatient Pharmacy software - Version 7.0 Select LABEL PRINTER: HOME// ^

Select SITE NAME: ^ Outpatient Pharmacy software - Version 7.0 Select LABEL PRINTER: HOME// ^

Select SITE NAME: ^ Outpatient Pharmacy software - Version 7.0 Select LABEL PRINTER: HOME//  TELNET

OK to assume label alignment is correct? YES//

**> Sorry, access to your primary menu has been denied by the Application. An XQUIT was encountered in the Entry Action code. Please see your computer person.

Hit the "Enter" or "Return" Key to Continue

Inpatient Medications

Required Packages:

INpatient Options used to define INpatient Pharmacy: Site parameter Enter/Edit

Site Name= WVINPharmacy

INpatient Parameters set:

Jobs to be Queued for INpatient Pharmacy:

Menu’s

Keys

Archive Device