Medicines Optimisation
Full or Partial Capability status. For this Capability, Solutions are required to meet a minimum of one MUST EPIC and associated acceptance criteria but not all MUST EPICs (where there are multiple MUST EPICS) to achieve Partial Capability Status, or; to meet all MUST EPICs and their associated acceptance criteria to achieve Full Capability Status.
Description
Medicines Optimisation enables Health and Care Professionals to review a Patient's prescribed and other medication to ensure they are taking the most appropriate and relevant combination of medication and prevent unnecessary medicines being prescribed.
It presents a single unified view of a Patient's medication, which could include medication sourced from different care settings and Solutions, and supports Health and Care Professionals in conducting person-centred medicines optimisation reviews. It also supports the creation of medication change requests to ensure the appropriate parties are informed of suggested changes following a medicines reviewÂ
Medicines Optimisation may also incorporate functionality to establish medicines reviews as part of routine practice, through easy identification of Patients requiring a review and the ability to make changes to the Patient's medication directly. Medicines Optimisation guidance may be provided to Health and Care Professionals through integrated decision support relating to safety, national and locally agreed best practices and cost-savings, as part or outside of the review process.
It may also include the ability to communicate with Health and Care Professionals, Patients and other interested parties when changes to medication are suggested or made.
Outcomes
Health and Care Professionals |
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Patients and Proxies |
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C30E1Â - single unified medication view
As a Health or Care Professional
I want to be able to access a single, combined view of a Patient's prescribed and other medication (e.g. over the counter medicines and food supplements)
So that I have a complete view of their medication and can make fully informed decisions regarding any changes to medication
Acceptance criterion 1: single unified medication view
Given the Patient has prescribed and other medication recorded in one or more Solutions
When a Health or Care Professional chooses to view a single combined view of the Patient's medication
Then the Patient's prescribed and other medication is displayed in a single combined view
C30E2 - request medication changes
As a Health or Care Professional
I want to send a request to the appropriate person to make medication changesÂ
So that I can request they make the recommended changes following a medicines review
Acceptance criterion 1: request medication changes
Given a medicines review for a Patient has been completed
And medication changes are required
When the Health or Care Professional chooses to create a request for the required changes
Then the request is created
C30E3 - identify Patients requiring medicines review
As a Health or Care Professional
I want to search for Patients using a combination of criteria
So that I can identify Patients who require a medicines review
Acceptance criterion 1: identify Patients who may require a medicines review
Given there are Patients with prescribed medication
When the Health or Care Professional searches for Patients requiring a medicines review
Then Patients which satisfy the criteria are displayed
C30E4 - maintain medicines review
As a Health or Care Professional
I want to maintain a Patient's medicines review
So that details of any completed reviews and the next review date can be recorded
Acceptance criterion 1: record medicines review as complete
Given a medicines review for a Patient has been completed
When the Health or Care Professional chooses to record a medicines review has been completed
Then the review is recorded as complete
Acceptance criterion 2: update medicines review date
Given a medicines review for a Patient has been completed
When the Health or Care Professional chooses to update the medicines review date
Then they can record a future medicines review dateÂ
C30E5 - notify Patient and Proxies of medication changes
As a Health or Care Professional
I want to notify the Patient and their Proxies of the changes to the Patient's medication
So that they are informed of the changes
Acceptance criterion 1: create Patient notification
Given changes have been made to a Patient's medication
When the Health or Care Professional chooses to notify the Patient of the medication changes
Then a notification detailing the changes is created
Acceptance criterion 2: create Proxy notification
Given changes have been made to a Patient's medication
And the Patient has a Proxy
When the Health or Care Professional chooses to notify the Proxy of the medication changes
Then a notification detailing the changes is created
C30E6 - notify other interested parties of medication changes
As a Health or Care Professional Â
I want to notify any other interested parties (e.g. another Prescriber, the patient's GP, the Care Plan Manager) of changes to a Patient's medication
So that they are informed of the changes made
Acceptance criterion 1: notify interested parties of a medication change
Given changes have been made to a Patient's medication
When the Health or Care Professional chooses to notify the other interested parties of the medication changes
Then a notification detailing the changes is created
C30E7 - configure medication substitutions
As a Health or Care ProfessionalÂ
I want to configure prescribed medication substitutions
So that I can quickly switch one medication for another when changing medication
Acceptance criterion 1: configure medication substitutions
Given the Health or Care Professional is permitted to configure medication substitutions
When they choose to configure a medication substitution
Then a specific medication can be configured as a substitute for another specific medication
C30E8 - use pre-configured medication substitutions
As a Health or Care ProfessionalÂ
I want to use pre-configured prescribed medication substitutions
So that I can quickly switch one medication for another when changing medication
Acceptance criterion 1: switch medication
Given a Patient has existing prescribed medication
When the Health or Care Professional is changing a Patient's medication
Then they are informed of any pre-configured substitutions
And the medication can be changed to the pre-configured replacement
C30E9 - maintain prescribed medication
As a Health or Care Professional
I want to maintain prescribed medicationÂ
So that I can make any changes required following a review
Acceptance criterion 1: create medication item
Given a Health or Care Professional identifies that a Patient requires new medication
When they choose to create a new medication for a Patient
Then the new medication is created
Acceptance criterion 2: amend existing medication item
Given the Patient has a prescribed medication item
When the Health or Care Professional chooses to amend the medication
Then the medication is amended
Acceptance criterion 3: stop existing medication item
Given the Patient has a prescribed medication item
When the Health or Care Professional chooses to stop the medication
Then the medication is recorded as stopped
C30E10 - access national or local Medicines Optimisation guidance
As a Health or Care Professional
I want to be able to access any national or local prescribing optimisation guidance
So that I can refer to relevant guidance when reviewing a Patient's medication
Acceptance criterion 1: access Medicines Optimisation guidance
Given Medicines Optimisation guidance exists
When the Health or Care Professional chooses to access the guidance
Then the guidance is displayed
C30E11 - prescribing decision support
As a Health or Care Professional
I want to have access to prescribing decision support
So that interactions, active ingredient duplication and inappropriate prescribing warnings are displayed when prescribing medication
Acceptance criterion 1: display decision support information
Given a Health or Care Professional is creating medication for a Patient
When there is relevant information to display
Then interactions are displayed
and active ingredient duplication is displayed
and inappropriate prescribing warnings are displayed
C30E12 - Medicines Optimisation reporting
As a Health or Care Professional
I want to generate reports on Medicines Optimisation data using a combination of criteria
So that I can report on the effectiveness of reviews and plan future reviews more effectively
Acceptance criterion 1: generate report
Given a number of medicines reviews have been completed and changes have been made to Patient medication
When the Manager generates a report using specified criteria
Then the report results are displayed
C30E13 - configure notifications for required Medicines Reviews
As a Health or Care Professional
I want to configure how and when a notification is presented to a user to indicate that a medicines review is required for a Patient
So that I can ensure the Health or Care Professional is aware of the need for a review
Acceptance criterion 1: configure notifications for required medicines reviews
Given a Manager is permitted to Configure notifications for required medicines reviews
When they choose to configure medicines review required notificationsÂ
Then how and when the notifications are presented can be configured
C30E14 - receive notification for required medicines reviews
As a Health or Care Professional
I want to receive notifications when a medicines review is required for a Patient
So that I am informed when a review is due
Acceptance criterion 1: receive notification for required medicines reviews
Given there is a pre-configured notification for required medicines reviews
And the notification is applicable to the Health or Care Professional
When a Patient is due for a medicines review
Then the applicable Health and Care Professionals receive a medicines review due notification
Suppliers will have to attain compliance with these Standards during the compliance stage before they can be live on a Contracting Vehicle with this Capability:
None
Suppliers will have to attain compliance with these Standards during the compliance stage before they can be live on a Contracting Vehicle with this Capability:
Suppliers will not be assessed or assured on these Roadmap Items as part of Onboarding