The Pharmaceutical Information Program, also known as PIP, is a secure computer system that contains information about a patient’s prescribed and dispensed medications. PIP is used by authorized healthcare providers in their treatment and decision-making process. PIP adds to the quality, safety and management of health care in Saskatchewan.
PIP is accessible via an online website (https://pip.ehealthsask.ca). Now you can have PIP directly within your EMR.
PIP provides transparency across the continuum of care by allowing all health care providers access to patient information regardless of where in Saskatchewan they seek health care services. More specifically, having access to their patients' drug history will help physicians and other health care providers make the best possible decisions on drug therapy, such as selecting the best medication, avoiding drug interactions, and avoiding duplications of therapy.
Prior to the introduction of PIP, there was no centralized, complete source of prescription records for health care providers to use when making decisions about a patient’s drug therapy. PIP ensures that individuals and their health care providers have the information needed to make optimal drug therapy decisions.
The last 25 months of medication filled and dispensed at a pharmacy is included in a PIP Profile. Some over the counter medications will be provided if a physician or pharmacist has manually entered this information into PIP. Likewise, allergy information will also be available if a physician or pharmacist has manually entered this information into PIP.
Oncology medications and medications administered in the hospital will not be included in a patient’s PIP profile.
A JSAP is a Joint Services Access Policy (JSAP). A JSAP exists for all eHealth Saskatchewan integrated services including PIP, electronic labs, and the Picture Archiving and Communication System (PACS).
The purpose of the PIP JSAP is to (a) set out the responsibilities and rules of collection, use, and disclosure for User Organizations and their Users who are collecting, using and disclosing PIP Data; and (b) act as an information management services agreement between each User.
All physicians are required to sign a JSAP when signing up a PIP account. Clinic staff are not required to sign their own JSAP, but their Organization’s Approver/ Physician will need to sign one for the clinic.
To get a PIP account a JSAP needs to be signed and an online request form needs to be completed. The step-by-step sign up process is detailed with screenshots in the PIP Registration Instructions (Physician) document. If you do not yet have a copy of the document, contact your SMA Change Management Advisor with the EMR Program or the EMR Program Coordinator at 306.244.2196 or email@example.com.
Yes, each user must have his or her own email account in order to register for PIP. A common, shared clinic email is not an acceptable email address. If you do not yet have an email account, there are many free email services available such as Gmail, Hotmail and Outlook.com.
Note: a PIP account is a pre-requisite to PIP to EMR integration.
A PIP Approver is an individual responsible for managing access to PIP within their organization. Approvers decide who should use PIP, what level of access each person should have, and when someone’s PIP account should be linked or unlinked to his/her organization. Organizations may have more than one Approver; however, an individual is only able be an Approver for one Organization at any given time.
Yes, an authorized health care administrator can get a PIP account. The process to register is different from that of a physician.
For an office staff member or Registered Nurse to get a PIP account a JSAP needs to be signed by the Organization’s Approver, training needs to be completed and an online request form needs to be submitted. Nurse Practitioners follow the same process as physicians (see question 5 above). The step-by-step sign up process is detailed with screenshots in the PIP Registration Instructions (Office Staff) document. If you do not yet have a copy of the document, contact your SMA Change Management Advisor with the EMR Program or the EMR Program Coordinator at 306.657.4557 or firstname.lastname@example.org.
A PIP Delegate is a non-physician individual to whom the owner/manager or physician of the organization delegates PIP Approver responsibilities.
Yes, the physician can designate someone in his or her clinic to be the delegate approver for the clinic. The physician will need to complete the Delegate Form and send it to the eHS Service Desk.
When a delegate is no longer employed by a clinic, the clinic is required to notify eHealth Saskatchewan to remove the delegate’s approver access. The clinic will need to identify another delegate within the organization and follow the appropriate steps to become the clinic’s Approver.
The PIP to Accuro EMR integration enables view-only access of PIP information directly from your Accuro EMR. The Accuro EMR patient’s profile contains the same a comprehensive medication record found in the PIP database.
The integration provides more accurate patient information by supplementing the individual physician’s information with a provincial profile. In addition, integrating PIP into Accuro eliminates the need for clinicians to sign into the PIP system thereby improving workflow, efficiency and care coordination.
PIP to Accuro EMR integration gives you read-only access to your patients’ PIP profiles from within your EMR, without having to sign into PIP separately. Printing PIP information or importing it in to another area of your EMR is not supported.
PIP to Accuro EMR is the first step towards enabling ePrescribing from your EMR. By integrating your EMR to PIP now, the process to enable ePrescribing when it becomes available will be easier and faster. PIP integration also improves clinical workflow efficiency by eliminating the need to sign in to another application – the patient’s complete medication record is accessible within the EMR.
The PIP to Accuro EMR integration is a simple 4 step process:
Once completed, submit to the eHealth Saskatchewan Service Desk via fax: 306-781-8480 or email: email@example.com.
Yes, any PIP user with an Accuro EMR account is able to sign up for the integration. The process for office staff getting PIP to Accuro EMR is the same as a provider, as above.
Once a PIP account has been obtained, the signup process for PIP to Accuro EMR takes less than 15 minutes. Signup consists of the training video and registration form. Please see Q 16, above for specific signup steps.
Once you have completed the online training video and submitted the registration form, you will be put into queue for deployment. Your SMA EMR Program Change Management Advisor contact will contact you with a specific date of integration.
There is nothing for you to do! eHealth Saskatchewan and QHR Technologies will complete the integration, and then you will be notified by your SMA EMR Program Change Management Advisory when you can begin using the PIP module in your EMR.
Yes. Privacy policies not only reduce the risk of a privacy breach, but they are also a requirement of the CPSS Bylaw 23.2, which states physicians will ensure they have written privacy policies and procedures.
If your clinic is a Health Region facility, the Health Region will have established these policies. If your clinic is a private practice, operated by individual physician(s), the EMR Program will work with you to establish these for your new clinic. You can contact your SMA Change Management Advisor with the EMR Program or the EMR Program Coordinator at 306.244.2196 or firstname.lastname@example.org to arrange support.
No, there is no charge for access or use of the PIP whether it is the stand-alone interface or the PIP to Accuro EMR integration.
When a physician moves from one clinic to another, he/she will need to complete a PIP to EMR User Request Form with the new clinic information. eHealth Saskatchewan will then work with the QHR Technologies to enable access at the new clinic and remove access from the old clinic.
If you experience any technical issues with the integration, please contact QHR Technologies at 1.866.729.8889.
If you have signup questions, contact your SMA Change Management Advisor with the EMR Program or the EMR Program Coordinator at 306.657.4557 or email@example.com.
PIP contains a large quantity of data, so profiles for some patients may take a few moments to load. eHealth Saskatchewan is working with QHR to address this and expects to have a solution in place over the summer of 2015.
Please contact the EMR vendor, QHR, with any suggestions or requests for improvements to the PIP module in Accuro EMR.
User ID and password are the primary means to authenticate/ authorize a user when accessing any information system. There has been steep increase in Cyber-attack and many of it involved compromising of user account password. So the higher the frequency of password change, the more costly and time consuming it becomes for any attacker to compromise the user password thereby reducing the risk level of critical infrastructure such as the Health information system hosted by eHealth. Considering that the level of risk to eHealth infrastructure is high and based on security best practices, the frequency for password change for normal user is set to 90 days and that of administrator/privilege user is set to 60 days.