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Mark Bowles , Co-founder ecoATM and San Diego serial entrepreneur, can advise on all areas of start-ups from manufacturing to marketing to manpower.

She brings significant experience in delivering domestic and international marketing programs for Microsoft and other high-growth companies to identify growth drivers and design marketing strategies and tactics for small and medium sized businesses.

McBane co-chaired the task force that developed state legislation to recognize pharmacists as providers and expand the scope of practice for pharmacists in the state of California.

The project followed two approaches: 1 improving cognitive support for medication management by exploiting the semantics of clinical information; and 2 improving performance in multidisciplinary clinical work by developing software to facilitate collaboration.

The team then observed and interviewed nurses, pharmacists, and physicians performing medication review tasks.

The team found that medication management in long-term care was a distributed and multidisciplinary process. The overall process was seen to be distributed, dynamic, collaborative, and continuous, involving multiple clinicians performing complementary tasks in different settings.

This system was meant to synchronize medication information in multiple lists maintained by different organizations as medications are asynchronously started, stopped, or changed by doctors, pharmacists, nurses, or others using non-interoperating task-specific applications.

The next step in this research will be to test this prototype for usability with clinicians as they interact with the system.

Finally, the team developed a prototype that demonstrated the feasibility of independent Web-based decision-support services interacting in a service-oriented architecture over a network, including applications to parse medication information, identify and encode medications using existing standards, and enhance this information with Web-based medical knowledge sources.

Summary: It is widely recognized that health information technology IT can improve medical care and patient safety, but questions remain about how best to put health IT systems into practice.

This project sought to provide important information about how to integrate decision support into clinical practices to improve the quality and safety of medication management for people with chronic illnesses.

This project investigated the feasibility and impact of novel approaches to clinical decision support in multidisciplinary ambulatory care, emphasizing high-risk transitions of care.

The project developed technology to support shared medication management for persons with chronic conditions.

The health IT system, RxSafe, was used to facilitate clinician decisionmaking and improve outcomes for patients and providers in the management of chronic conditions.

Ultimately, the project aimed to show improvements in medication management by: 1 providing the means to effectively share medication information; 2 making any corrections or improvements made by one team member to the regimen visible to all team members; and 3 providing clinicians using the system with access to evidence-based information at the time and place it is needed.

This project is a collaboration between community-based nurses and physicians providing ambulatory services in an Oregon coastal community, a multidisciplinary team of university-based investigators with expertise in medicine, nursing, medical informatics, and computer science, and the Oregon Rural Practice-based Research Network, which provided the infrastructure, coordination, and support.

Clinical settings for the project were independent clinic practices in two coastal communities, local home health services, and transitions in care into and out of the sole community hospital and its emergency room.

The patient focus was on community-dwelling persons with chronic conditions on multiple medications.

The choice of these specific innovations was informed by experience with development and early deployment of RxSafe, a system that consolidates medication lists of patients in long-term care to integrate information for providers involved in prescribing, dispensing, administering, or monitoring medications.

The team configured these clients to interact through the versioning system SyncRx and explored the usefulness of this technology in prototype testing to determine the requirements and challenges to its development and deployment.

The team completed the "pipeline" prototype, demonstrating the Web-based clinical decision support model that would allow composition of independent medication information related services.

All of us — doctors, pharmacists, parents, teachers, advocates, mental health providers, law enforcement, and others — have a role to play in combating this crisis.

This is a network of coalitions fighting the opioid epidemic in our communities. RxSafe Marin is a member. Beat PillPack with just 30 new patients May 30, Sign up for our newsletter.

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