VIONE: An Innovative Electronic Health Record Medication Optimization Methodology

Saraswathy Battar*

VIONE: An Innovative Electronic Health Record Medication Optimization Methodology

VIONE methodology is an award winning, USA based patient safety project
that transformed our national landscape with High Reliability Organization concepts.

VIONE’s clinical, academic, research, leadership, modern technology tools achieve
sustainable reductions and optimization of Potentially Inappropriate
Medications and adverse outcomes such as hospitalizations, falls, death, clinical waste, etc.

VIONE exemplifies successful project initiation, refinement,
incremental expansion to regional, national, and international
therapeutic and global alliances.

Decision support tools are seamlessly integrated into the workflow.
To date, over 11,000 medical providers deprescribed over 1 million
medication orders in 112 veterans affairs  medical facilities
with cost avoidance of over 100 million US dollars within 6-years.

Prevalence and adverse outcomes from polypharmacy or the use
of more medications than medically necessary, overuse, misuse and
underuse of medications are long standing and widely acknowledged global concerns.

There is no universal consensus to address PIMs that may cause harm and even death.
Not all medications are good for all patients – all the time.
About 45% of prescribed medications are not taken by patients,
leading to environmental pollution, unsafe practices, clinical waste, and compromised quality
of care. A physician developed innovative VIONE methodology
addresses these challenges.

Initially launched on a 15-bed inpatient unit, it spread to 112 VA programs.
Using 5 filters of Vital, Important, Optional, Not indicated, Every medication has an indication,
it decreases pill burden, improves patient safety, compliance, and cost-effectiveness.

VIONE utilizes strong practices in population health management
and informatics with real time data capture, reporting, and visualization
of tracking and success metrics.

Intern Med Open J. 2022; 6(1): 1-2. doi: 10.17140/IMOJ-6-118