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Randy Burnett, QS/1 senior product manager, PrimeCare and NRx and Zach Princell, Pharm.D., QS/1 assistant product manager on customizing workflow, talk about getting the most from your pharmacy technology, especially in patient-centric models.
The queues are a good way for the pharmacist to customize the workflow. You can really do your clinical checks or whatever applicable step you want to perform. So if you want to run quality assurance or order entry or whatever, these can be specified in certain sections. If a technician is working in a certain queue, you can choose to get your med guides and monographs and things like that printed out at different steps of the process. It comes back to the customization to each pharmacy’s specific needs.
That’s my favorite thing about this system — that it can be tailored to suit the needs of just about any type of pharmacy, low volume or high-volume chain. You go into the store-level options and the store control and you see the plethora of settings that are available and you really get a feel of, wow, I can really tailor this to what I want it to do. And I think the best time to get that done is when you first get the system and to work with the people who come out there from QS/1 to get you set up.
My recommendation is always, take a chance on a feature and see how it works for you. Many times the pharmacist comes back and says, “I don’t know how I lived without it.” You know, all it takes is a simple phone call or getting somebody to come out to visit your pharmacy from QS/1 and show you what this can do and then try it out for a week. Maybe you hate it or maybe you love it. I think it is really, really important just to explore all that our system has to offer.
My work has revolved around patient chart functionality and medication synchronization. We’re working on a nice revamp for that to make it more efficient, a lot more intuitive, and a lot more flexible. Of course, we have med sync built into the system and it works, but we feel it can always work better. Medication synchronization is such a big component of community pharmacy today. We know there are pharmacies who still use paper to organize their med sync, and we’d like to see if we can replace the paper.
Med sync would have its own queue showing what needs to be done today, tomorrow, or next week. Ideally it’s a place where you don’t have to continuously go from trying to manage medication synchronization back to the patient profile. To be efficient we want to give the pharmacist everything in one place.
Another big area is eCare plans. We have a lot coming down the pipeline with eCare plans. With Service Pack 32 we added functionality to directly submit lab values and vital signs and active and additional medications.
We are discussing a design change to improve the workflow a little there. We are looking into options for a universal platform. It’s a hot topic, and everybody here recognizes that.
We are very dedicated to supporting our CPESN customers. With Flip the Pharmacy, we are making sure our customers have all the tools they need to succeed in this initiative — whether it is updating SNOMED codes or making sure they have all the reporting functionalities they need. It’s a huge commitment on our end, and we are dedicating a lot of time and personnel to continuing the development of eCare.
Clinical pharmacy is going to change the pharmacy workflow. This is patient centric versus dispensing centric.
If we’re talking about chronic conditions and multiple medications, then our CycleRx medication synchronization program would be a huge benefit.
With CycleRx, the idea is to group patients with similar conditions in a group to fill those at the same time. You can look at it from the patient perspective, or you can look at it from adherence and outcome perspective. If it’s patient perspective, they have the convenience of getting all their prescriptions with one trip to the pharmacy. From the adherence perspective, I know my patients are getting their prescriptions at the same time, and I control my gap days that I potentially was having with this customer. And now I reduce even my DIR fees from the PBM [pharmacy benefit manager] for not being adherent.
Within the application you’re able to create a base date and look at the number of days’ supply for each one of those medications. It will take into account the various days’ supply, and short-fill prescriptions; when the pharmacy fills it for the first time, and when they bill the first time, it’ll have the short-day supply cost to the customer and set it up for the approval process with the procedure codes to let the PBMs know that these are cycled medications so that they pass through the process of adjudication.
We’re making enhancements to the product. The whole synchronization process is about how efficient we can make the dispensing process. Even if the pharmacy gets a new prescription that comes in for that patient during an order entry, the system identifies the patient as a med sync patient and shows the next sync date so the new prescription can fall in line. If it’s going to be a short fill for this fill so it syncs with rest, that’s part of the prescription processing flow as well.
Often there are medications within that patient’s profile that are filled on an as-needed basis, such as an inhaler. A patient might not need that every 30 days. With paper now, the pharmacy staff has to check everything on the patient, even an outlier, and will have to call to verify what is needed. When I take this from the paper-based system to an electronic-based system, where you are organizing a queue for staff to follow up with the patient and let them know they are running low on something like an inhaler, and then add it to the sync, just for that cycle.
That to me is the evolution for pharmacies using a paper-based system to move away from paper to an electronic version of that worksheet to manage their patients.