Pharmacy Viewpoint: McKessons Stanton McComb | Print |  E-mail

McKesson Pharmacy Systems President Stanton McCombMcKesson Pharmacy Systems (MPS) President Stanton McComb sat down with ComputerTalk senior editor Will Lockwood at the McKesson Pharmacy Strategies Conference and Trade Show in Boston in July to talk about recent changes at MPS resulting from the Per-Se Technologies acquisition, the newest technology that MPS is offering, and the changes he sees ahead for retail pharmacy practice.

CT: There’ve been some big changes recently at McKesson. What are you most excited about?


Stanton McComb: Two of the most exciting changes to come out of the recent merger between Per-Se Pharmacy Systems and McKesson Pharmacy Systems are our expanded customer base and staff.


The acquisition provides McKesson Pharmacy Systems with a far larger customer base, which gives us access to more relationships, more innovative ideas, and a greater understanding of what needs to be done to improve retail pharmacy from a technology perspective. Now, as we integrate our operations, we are especially focused on taking advantage of these new relationships. Our top-of-mind goal is to become exceptionally good at listening and responding to our customers, and communicating with them on a regular basis.


The second major change brought on by the acquisition is the makeup of our company. We now find ourselves with one of the greatest and largest pharmacy software teams in the country. This is a team that has a tremendous amount of experience. There are literally hundreds of MPS employees who have been working on pharmacy software for 15 or 20 years, and some even longer than that. Now that we have so many more resources at our disposal and so much more kNowledge inside of MPS, it’s exciting to think about how we can leverage that talent and bring it to bear on new opportunities for our customers.


CT: What do you see as the future of the pharmacy management system at McKesson? How does the Internet-enabled ASP [application service provider] model fit in?


McComb: I’ve been posed this question a few times already this week at our McKesson Pharmacy Strategies Conference and Trade Show. Everyone’s curious to know: Is the ASP delivery model here to stay? And is it working? I do believe that the ASP model is the way of the future — I really do. To be clear, when we say ASP, we are talking about a software delivery method that allows customers on-demand access over the Internet to their software application or solution, which is hosted at a remote site. There are a lot of benefits associated with this ASP delivery model. For example, it’s less expensive because it requires less hardware inside each store. If the application includes workflow and load balancing, a hosted system enables different stores to help each other out during the course of business because they can be given rights to work off of each other’s systems remotely. An ASP-enabled system also inherently allows you to centralize data, which helps simplify reporting and backup processes greatly. Keeping your system up to date with the latest versions of the software is also much easier –– as all new versions of an application can be loaded one time to one central server. And, Will, these are only a few of the benefits. So, yes, I am very excited about this technology in terms of what it means for our customers and the industry.


CT: What about ASP availability and reliability?


McComb: Those have been the historical trade-offs and the source of a lot of questions. However, we see problems with availability and reliability fading away now. McKesson has looked closely at the availability of high-speed connectivity, and we have found that there are very few locations in the United States that still cannot get access to high-speed Internet. So, as access becomes less and less of an issue, costs will continue to come down as well.


Plus, as our first-hand experience with the reliability of Internet-enabled applications like EnterpriseRx has demonstrated, we are up and running 99.9% of the time. That’s a service level that exceeds most banking ATM service levels, and we monitor uptime very closely. On top of that, McKesson has developed a special solution — called Down Time — that allows a pharmacy using EnterpriseRx to continue processing scripts if, for some reason, the store loses connectivity or the system does go down. Add to that solution McKesson’s extensive, world-class, and fully redundant IT infrastructure, and you have a very trustworthy solution. So, in truth, we do not see reliability being an issue for our customers.


CT: You mentioned workload balancing and centralized reporting a moment ago. Tell us more about what’s new here.


McComb: Sure. When we think about pharmacy operations today, there’s no question that workloads, for most, are increasing exponentially and reimbursement for everyone is steadily decreasing. Quite simply, this means that pharmacists and their staffs have to do more with fewer resources. Then you have to layer on top of this dynamic the fact that most store managers and owners struggle to find the time to run reports, review pricing, conduct special patient and prescriber marketing programs, and train staff. It makes life pretty tough, and makes for very long days.


Technology can make a significant difference in this area. First of all, the technology must be reliable, yet easy and efficient to use. At MPS, we think our newest pharmacy system, EnterpriseRx, can even be “fun” to use. Beyond that, we believe technology can empower and position our customers to optimize their business by automating more tasks that are either left undone today or that get done in a variable fashion. We also see next-generation pharmacy systems allowing staff to find time to do the things they want and need to do, such as spending time with customers and balancing work across stores and resources.


A centralized system can also enable independents and groups of independents to come together, cooperate, and potentially operate more like chains. In the future, we envision a program whereby we can create options for owners who say, “I want to share this data” but, “I don’t want to share that data” with other stores in my group or area. For example, I was just talking with somebody about pseudoephedrine who said, “We should be able to track psuedoephedrine dispensing and purchases across our local community and region.” This makes good sense, and we are launching just such a service this month. But it can be hard to do things like this when all your data is squirreled away in a store account on a store server. There are a lot of things like this that I think the ASP is a good solution for.


CT: Let’s talk about the new Pharmacy Navigator workflow system. What’s the history?


McComb: Eighteen months ago we sat down for an intense week-long brainstorming session with some customers and talked about all the things that drive them crazy and needlessly chew up their time. We talked about all the tasks that are tedious and don’t make good business sense. We talked about rework, the store dynamics around prior auth, partial fills, post-it notes, ever-changing staff schedules, and matching up different resources against variable levels of demand. We mapped it all out and started dreaming up solutions. It was really a great experience to think about how we wanted to solve the issues that were causing our customers the most pain and that were affecting their customer service and their employee satisfaction. We came up with 500 ideas and narrowed these down to 200. Then we said, “Let’s take these new ideas and enhance and rewrite workflow.” Pharmacy Navigator came out of that work.


CT: What can pharmacists expect from all the work that MPS did?


McComb: I’m really proud of what we have in Pharmacy Navigator. I believe it will help pharmacies smoothly match supply and demand. What I mean by that is this: Work comes in to the pharmacy on a variable basis and varies by day. However, at the end of every day, you need to deliver on the script when the patient demands it, and it’s going to be different from one patient to another, and one script to another, regardless of the ebb and flow of work in the pharmacy. Basic “Operations 101” is matching your resources with your demand to make sure that you hit particular service levels and that you are measuring your activities, which is exactly where Pharmacy Navigator fits in. We accentuated delivery-time-driven queues, which is not a new idea but does allow you to have the right information at the right time. We also added a dashboard that gives owners and managers a fresh look at what’s going on in the store. With the dashboard, you can see how productive individual staff members are and how profitable their work is. Today most pharmacies have no real idea what productivity levels are and what service levels are. Most people will claim that they fill scripts within 12 or 15 minutes, but, in reality, they do not measure that 24/7. If they want to improve service to their customers and find more time to offer new services, they need to truly understand their real performance results.


CT: This sounds as if you are moving workflow beyond the basic concept of dividing tasks in the filling process along a production line, and heading toward using it as a source for collecting and analyzing data as well. Is this right?


McComb: Exactly. Pharmacy Navigator is first and foremost about establishing organized operations, but it’s also now about optimization and continuously improving that workflow. For example, if you are monitoring your workflow you might find out that you have a bottleneck at your verification stage. Why is that? Maybe it’s because your pharmacist is spending too much time filling versus verifying. Or maybe you’ll find that you have a ton of inventory at will-call that’s not getting picked up. So perhaps to alleviate this, you could do more customer notifications. The next generation of workflow gives you this kind of detail. It’s more than just an image of a script and a pill on the same screen. It’s about optimization for all your processes. I’m genuinely excited about that, but what I’m most proud of is the major role our customers played in designing this functionality. This is the first time McKesson used our new staged commercialization process. Customers had to sign off on each stage, saying, “Yes, that’s the right set of priorities,” “Those prototypes look good,” “Those are good quality assurance tests,” or “I liked the alpha version.” We’ve had customer support and involvement all along the way. It’s an exciting launch for us.


CT: What are some of the highlight features in the new workflow product?


McComb: It has biometrics and single-user sign-on, which eliminates the need to reauthenticate users as they move from one application to another. From a technical standpoint it uses the latest Dell server that has a tremendous amount of memory for pill and script images. When integrated with Pharmaserv, it has centralized reporting, so you can now mix and match all the reporting that you get in your pharmacy management system with what you get from workflow. In the past, Pharmaserv and P2000 were like distant cousins who spoke to each other by mail once in a while. Now they are two brothers living under the same roof. It’s a much better suite. It’s worth noting that Pharmacy Navigator can also interface with pharmacy management systems other than Pharmaserv.


We also included two other exciting features that came out of our customer brainstorming session — first, pharmacists told us that they spend a lot of time looking for, say, one of five prescriptions for a customer. And it’s always one little odd thing that keeps it hidden; maybe it’s hung up in IVR or in adjudication, or maybe it’s done, but in the refrigerator. So we created a new module called virtual will-call that allows each store to define its own storage locations. Call them bagged, cabinet, refrigerator, delivery — call them whatever you want. You scan a finished prescription and associate it with one of these predefined virtual will-call locations. When Mr. Smith comes to the front counter, you pull up the information in the Rx Tracker module and say, “I see three prescriptions for you in will-call, one in the fridge, and one that’s still waiting for authorization from your physician.” That’s a much more intelligent and efficient conversation than giving him three scripts and then having him go home and call you asking where the fourth and fifth are. In that case, maybe you find the one in the fridge quickly, but then have to call him back after tracking down the fifth, which was waiting for authorization. You add the time that it takes to play detective and multiply that by maybe 20 times a day, and that’s a significant drain on productivity.


CT: There’s been a strong emphasis at this conference on McKesson’s efforts to support medication therapy management [MTM] and adherence. What are your thoughts?


McComb: We all know that differentiation around clinical care is good. There seems to be good momentum across the industry toward MTM. It’s a great opportunity for retail pharmacists because they know their patients, they understand their needs, they are clinical experts, they have a good knowledge base, and they are among the most trusted professionals in the United States. It’s a great opportunity — if they have the time to do it. But think again about what most pharmacists are doing on an average day. They’re getting in early and doing the scripts that came in overnight, or dealing with staffing issues and whatever else is going on. They’re working hard all day, maybe taking lunch and maybe not. At the end of the day, are they going to do pricing or any number of other things? There’s not a whole lot of bandwidth to enable MTM today from an operations standpoint — never mind marketing the service to physicians or doing advertising.


CT: So what role do you see MPS playing?


McComb: From a systems standpoint, we have to find our customers the time and the serenity to do counseling services, be it 5, 20, or 45 minutes. If Mrs. Smith is coming in at 2:30 and she’s a counseling candidate, your system needs to identify her eligibility and then adjust your workflow around that possible appointment. Candidates may come in at various times and, as the pharmacist, you can’t drop everything else. The workflow impact is going to be significant when MTM really gets going — which may be two or three years away — because the time in the day is not there right now. It’s going to be interesting. You are going to have to be able to fill, say, 25% of your scripts that come in overnight before your doors open. This bodes well for pharmacy systems with workflow and workload balancing, and for technology automation, central fill, and after-hours pickup.


CT: It sounds as if technology is going to continue to have a central role in the pharmacy. Thanks for taking the time to share your thoughts with us, Stanton.

 

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Making and Managing Change: Methods for Pharmacy
overfield_keith.jpgOne of the features of the 2010 McKesson Trade Show in Las Vegas was a continuing education presentation give by industrial engineer Robin Gensler, and sponsored by Parata Systems. Gensler came to talk with independent pharmacists about how they can best analyze their operations, and develop methods for making educated decisions about workflows, staffing, and technology. Gensler made several interesting observations about what you can learn using the right methods. For example, Gensler mentioned studies that showed that the ...
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Solving the PMS Dilemma: Comments from ScriptPro

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The recent article "The Practice Management System Dilemma," by Bill G. Felkey, M.S., and Brent I. Fox, Pharm.D., Ph.D., ComputerTalk, March/April 2010, addresses the need for vendors of PMS systems to prioritize the development of new products that are desperately needed by pharmacies in order to keep their doors open. The article asks some ...

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The Future of Pharmacy: A Reader's Perspective

modernhealthlogo.jpgMy name is Bryan Samuels and I am the technology director for a company called Modern Health. We are a privately held, specialty pharmacy company located in Southern California. Our company owns and operates six different specialty pharmacies each catering to its own specific demographic and/or disease state. Collectively, we dispense over 1.5 million prescriptions a year.

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Point-of-Sale Systems from the SaaS Perspective

In this interview ComputerTalk senior editor Will Lockwood talks with Tom Greenhaw, CEO of Cashier ...

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The Power of Checklists: An Interview with Bob Moser, R.Ph.

bob_moser.jpgA recent conversation with Bob Moser, R.Ph., supervisor of pharmacy clinical systems for Winston Salem Healthcare Pharmacy, brought up the topic of checklists and their potential to improve pharmacy operations. The topic came to Moser's attention from several sources, including reading airline captain Chesley Sullenberger's book "Highest Duty: My Search for What Really Matters." In this interview, ComputerTalk senior editor Will Lockwood talks with Moser to find out more about ...

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Getting Out to See Technology: An Audio Slide Show

jimmy_yuen.jpgPharmacist and owner Jimmy Yuen recently installed dispensing automation at his Advance Medical Pharmacy in Walnut Creek, Calif. In this audio slide show, he talks about the decision process that led him to select Kirby Lester’s new KL60 and his decision to to invite his independent colleagues for a first-hand look at this technology.

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Pharmacy System Data Storage: The Case for a Standard

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by Brad Ordener

With each passing year healthcare and other industries are becoming more and more reliant on technology. Pharmacy is one industry that is particularly dependent on new innovations to keep up with increasing demand. As this reliance on technology increases some unique problems are emerging that are slowing progress and making it difficult for pharmacy owners to change pharmacy systems. The technological landscape in pharmacy could be improved significantly with ...

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Pharmacy Training On Demand
jay_lalkiya_1.jpgIn this interview, pharmacist Jay Lalkiya talks about how he's using a tool called myPharmacyTrainer to educate his staff at Apalachin Pharmacy about how to improve store operations and how best to interact with customers. This tool offers 22 modules that recreate scenarios commonly encountered by pharmacy staff and employs an interactive, audio/visual educational approach.

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Technology Perspectives: Pharmacy and Healthcare Reform

ctpodcast_image.jpgIn this podcast, McKesson Pharmacy Systems President Stanton McComb covers a range of topics surrounding pharmacy, technology, and the current drive for healthcare reform. He offers his take on what new roles pharmacy may play as a result, the growing role of clinical care in pharmacy, and what’s on the horizon for technology for the pharmacy and for the patient. Also part of the discussion: What MTM means for retail pharmacy right now and what it ...

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The 90% Nightmare

jeremy_manchester.jpgFor the last twelve months, many independent pharmacies have struggled over the decision of whether to register their pharmacy under the 90% Rule, or invest in an IIAS certified point-of-sale.  For one reason or another, many pharmacies opted for the 90% Rule.  It seemed like a logical choice.  No expensive point-of-sale, no major changes, just a little complicated paperwork and it is back to business as usual.  For some, this has worked out.  For others, FSA card declines have ...

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Boost Front-End Sales with Proper Merchandise Placement

dick_bradley.jpgPharmacies already have OTC items in their stores, and with a little planning and proper placement, those standard items can turn into added sales at the POS.

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Some More Thoughts on Paperless Pharmacy

integra_logo.jpgThis letter from Integra CEO Kevin Welch is in response to the article written by Kapali Eswaran in the September/October 2009 issue of ComputerTalk regarding "What to Look for in a Paperless System."

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Perspectives on E-Prescribing: Pharmacist and Physician

ken_lalime.jpgAn Interview with the Connecticut State Medical Society-IPA Executive Director, Ken Lalime.

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Sponsored by Emdeon

E-Prescribing: An Update

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In this interview, eRx Network's VP of Clinical Services, Rick Sage, talks to ComputerTalk senior editor Will Lockwood about where he sees ePrescribing right now and the role companies like eRx play as adoption increases.

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Strategies for Managing Prescription Pricing and Patients’ Prescription Costs

justin_wilson_head_shot.jpgAn Interview with Valu-Med Pharmacy’s Justin Wilson

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Sponsored by Emdeon

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Technology and the Pharmacy School Curriculum

amypeak08.jpgkent_van_tyle.jpgThe mobile technology initiative in Butler University's College of Pharmacy and Health Sciences started four years ago with the introduction of laptops for all pharmacy students. A year later laptops were replaced with tablet PCs, which allow students to draw structures, write equations, and ...

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A New Online Resource for Ownership Transition

bob_graul.jpgLong-time independent pharmacist Bob Graul has made some big changes and taken a new direction recently. In this interview with ComputerTalk senior editor Will Lockwood, Graul talks about the process of selling his pharmacies and how this motivated him to get involved in his current project: www.RxOwnership.com, a Web site designed to facilitate independent pharmacy ownership transition.


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Reorganizing the Pharmacy: Learning from a Distribution Model

tcgrx_logo.jpg Duane Chudy, president of TCG, has a long history in pharmacy automation. Beginning with a career at Baxter nearly 25 years ago, Duane pioneered the launch of automated tablet packaging and has since designed and implemented revolutionary new products for a number of pharmacy markets. In this interview with ComputerTalk's Will Lockwood, he offers his insight into how his newest technology venture is bringing an new ...

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Operating Systems: The Developer’s Perspective

hcc_logo.jpg In this interview with ComputerTalk's Will Lockwood, HCC VP of Sales Larry Stephenson discusses some of the choices software vendors face when choosing development tools and how these choices influence the end product, from what the user sees to what's under the hood.

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A Nice Side Benefit of IIAS: Easier Giving

QS/1 user Richard Stryker, of Bayshore Pharmacy in Atlantic Highlands, N.J., anticipates that his IIAS-compliant POS system is going to help his customers help others. Here's how he tells this story.

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Meeting the FSA Challenge with flexTRAX

Brad Jones and Brandon ShueyYou're probably aware that as of January 1, 2009 there will be new rules for pharmacies processing payments for items eligible for FSA/HRA spending.  If you have a point-of-sale (POS) system, you'll need to make sure it is IIAS compliant and that your system has been certified. If you don't have POS, then you may be looking for another solution.  In this interview, Retail Management Solutions President Brad Jones and KeyCentrix ...

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Automating Front-End Tasks with POS

ECRS's Peter CatoeManaging a pharmacy's front-end can be a time-consuming and complex task. But there are ways to make life easier. In this interview with ComputerTalk's Maggie Lockwood, ECRS President Peter Catoe talks about how the company's Supplier Gateway can connect its Catapult point-of-sale (POS) system with supplier ordering systems to reduce the time spent on ordering, pricing, and other activities.

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Better Marketing: You Can Start Now

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By Dave Williams

In an increasingly competitive marketplace, many pharmacies are looking to cultivate greater customer affinity with a branded loyalty program. One misconception among many retailers is that these programs have to be complicated. Nothing could be further from the truth. By simply instituting a loyalty program where customers perceive some added value, store visit frequency and average basket size should increase by at least 1% to 2%. Such a sales increase ...

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Summer Roundup: Technology Support Services on Call

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onclicktechsupport.jpgIn this interview with ComputerTalk's Will Lockwood, DAA VP for business development Abrar Kazmi talks about the company's new OnClickTech Support offering, which offers remote PC support. This is a joint venture with Team 9 Global Serivces, and is something a little different for ...

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Summer Roundup: Introducing McKesson EnterpriseRx

stanton_mccomb_2008.jpg McKesson Pharmacy Systems' (MPS) president Stanton McComb took time during the most recent McKesson Trade Show in Las Vegas to answer a series of questions from ComputerTalk's Will Lockwood about what the centrally-hosted EnterpriseRx pharmacy management product, already deployed in the chain setting, offers for independent pharmacy.

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Summer Roundup: Automation and the Successful Pharmacy

doug_kaleugher1.jpgPharmacist Doug Kaleugher opened Med-Fast Pharmacy 1990. Since then the business has expanded to 22 pharmacies in western Pennsylvania, with a mix of standard prescription services, retail, long-term care, and compounding. In this interview with ComputerTalk's Will Lockwood, Kaleugher talks about the big role dispensing automation has played Med-Fast's growth. He also offers strategies for introducing automation into your pharmacy and his take on the benefits of some of the newest dispensing technology out there.

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Summer Roundup: Investing Wisely in Workflow

Dave Burke in the Innovation Exhibit at the Cardinal RBCDave Burke R.Ph, M.B.A., pictured at left in blue, owner of Dave’s Pharmacy in Marysville, Ohio, took some time out at the recent Cardinal RBC to talk with ComputerTalk's Will Lockwood about his decision to a install a workflow management system and the benefits he has seen. Dave’s Pharmacy fills an average of 400 prescriptions per day, with peaks on some ...

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Summer Roundup: How to Tighten Up Your Inventory
jonathan_rider.jpgJonathan Rider, owner of Rider Pharmacy in Fairmont, W.Va., is a firm believer in perpetual inventory. He took a few minutes at the Cardinal RBC in Orlando, Fla., to talk to ComputerTalk’s Will Lockwood about Cardinal Inventory Management (CIM), how he uses Kirby Lester counting technology to speed through the daily counts that are the basis for this inventory tracking method, and the financial and operational improvements he’s seen.
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Pharmacy Facing New Compliance Challenges

joeross_2.jpgJoe Ross, director of business services at McKesson Pharmacy Systems, talks in this interview with ComputerTalk senior editor Will Lockwood about existing and anticipated regulations that are changing what drug sales pharmacists are required to log. State and Federal regulations that require tracking the sale of non-prescription methamphetamine precursors have contributed to a demonstrable reduction in the illegal use of these drugs. More regulation may be in store, since the FDA is currently considering a behind-the-counter class of ...

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Five Questions: The Buzz Around E-Prescribing

heath_reynolds.jpg Here is an overview of the big questions about e-prescribing that pharmacists were asking Speed Script’s Heath Reynolds during the 109th NCPA meeting in October. Reynolds, director of business development, talks here of the nuts and bolts of taking e-prescribing from theory to practice.

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Outbound Messaging: Expanding Your Phone’s Potential Workflow Role
The benefits of automating phone communications are no longer just at the front end of the prescription-filling proces. Pharmacists are now putting their phones to work managing outbound calls that help with such tasks as will-call management and opt-in automatic refill programs.
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Workflow and the LTC Pharmacy

Pharmacies serving the long-term care market are likely to have special workflow requirements. Read on for vendors' views on the key elements to maximize LTC safety and efficiency.

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What's New: The Latest Workflow Features

Workflow technology is constantly evolving. Here are some details on the latest enhancements that vendors have added to their offerings.

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Beyond Claims Adjudication: Why to Expect More from Your Switching Service

Marc CohenComputerTalk senior editor Will Lockwood caught up recently with Marc Cohen, senior director of marketing for RelayHealth, to talk about what's happening in the world of claims processing and switching services. It turns out that there are some interesting new additions being made that build on the transactional expertise and connectivity that are the core elements of these services.

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Differentiating Independent Pharmacy: Natural Health, Loyalty Programs, and a Real Web Presence

In this interview with ComputerTalk senior editor Will Lockwood, PharmacistsOnLine CEO David Knaggs offers his views on how independent pharmacists can improve their competitiveness by turning their attention to tested marketing tools and to product lines that have not traditionally been a big part their business.

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Pharmacy Viewpoint: McKessons Stanton McComb

McKesson Pharmacy Systems President Stanton McCombMcKesson Pharmacy Systems (MPS) President Stanton McComb sat down with ComputerTalk senior editor Will Lockwood at the McKesson Pharmacy Strategies Conference and Trade Show in Boston in July to talk about recent changes at MPS resulting from the Per-Se Technologies acquisition, the newest technology that MPS is offering, and the changes he sees ahead for retail pharmacy practice.

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Five Questions On: Trends in Technology for the Consultant Pharmacist

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In this interview with ComputerTalk's Maggie Lockwood, the American Society of Consultant Pharmacist’s Carla Sexton, R.Ph., CGP, assistant director, policy and advocacy, along with consultant and ASCP board member Shelly Spiro, R.Ph., FASCP, talk about the ways evolving technologies, from web-based interfaces to the LTC e-prescribing pilot, are impacting the consultant pharmacist.

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Parata RDS On Tour

Parata Mobile unit's visit to ComputerTalk Parata brought its RDS robotics directly to ComputerTalk recently, courtesy of its new mobile unit. The concept was developed over the past year as a way to reach out to busy community pharmacists.


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Trends in Dispensing Automation

tomrhoads_contents.jpg In this interview with ComputerTalk's senior editor, Will Lockwood, Parata's executive VP of sales and marketing, Tom Rhoads, pictured at left, discusses the results and lessons of two recent surveys on dispensing automation that covered independent, chain, and institutional pharmacies. Read on for his take on the trends revealed, pharmacists' attitude toward their industry and their future, and the tools that can help make sure that investment in automation pays dividends.

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