Modules

Clinical Messaging & Data Exchange

Specialty | Health Systems | Chain Pharmacy | LTC

Clinical Messaging brings pharmacist-prescriber communication into the 21st century.

Collaborative practice-agreements and MACRA, QPP, and MIPS:

Utilizing Clinical Messaging and CCDs to meet MACRA/MIPS Advancing Care Information goals becomes a powerful incentive for collaborative practice agreements [CPA]. With the discharge summary in hand, the pharmacy can better assist the prescriber in meeting performance-based goals.

• MACRA QPP/MIPS

  • Advancing Care Information - Health Information Exchange (IA_CC_13)
  • Advancing Care Information - Coordination of Care through Patient Engagement
  • Advancing Care Information - Medication Reconciliation (ACI_HIE_3 / ACI_TRANS_MR_1)
  • Bonus for certified EHR utilization
  • Medication reconciliation post-discharge quality measure (Quality ID 046)

• NCQA - HEDIS

  • Transitions of Care [TRC]
  • Medication reconciliation post-discharge (MRP) measure

More on performance metrics:

• MACRA: Quality Payments Program [QPP] - Merit-based Incentive Payment System [MIPS]
• HEDIS^® & Performance Measurement [Healthcare Effectiveness Data and Information Set]
• HEDIS - Changes 2018
• Transitional Care Management With Medication Reconciliation Post-Discharge Overview

More on EHR integration: Beyond Barriers: Overcome EHR interoperability challenges with Pharmetika

Shipping Integration & Address Management

Specialty | Mail Order

Our shipping integration goes above and beyond to streamline your mailing workflow and enhance the patient's experience.

Highlights:

• Optionally require the patient to confirm a date, time, and address to receive the medications
• Manage multiple addresses and assign date ranges. Patients can make updates through the patient portal
• Send reminders to patients prior to scheduled fill dates to prompt for any order changes
• Tracking notifications sent via text or email
• System records the address type for reporting purposes. Example: "prescriber office" or "therapy site"
• Carriers are queried hourly for status information so you can respond proactively to shipment delays
• Delivery confirmation is stored indefinitely (useful for audit purposes)
• Ability to require electronic signature confirmation for patient receipt of prescriptions

Onboarding & Prior Authorization Management

Specialty

Systematize onboarding and prior authorization in a way that makes sense for your workflow. We support custom tasks types and actions when an event occurs in the system. Example: a task to enroll a patient in a manufacturer program is created when a PA has been approved on the related medication.

Highlights:

• Visibility into each referral via the Onboarding Dashboard
• Status notifications can be sent automatically upon a status change.
• Ability to document at each step along the way providing a cleaner way for staff to manage PA-related notes
• Schedule lab and assessment follow up tasks once the PA is approved
• Actionable reports display PAs requiring renewal or that need updated lab or assessment documentation

Transfers

Specialty | Chain | LTC

Take control of prescription transfers with our Transfers Queue.

For your pharmacy partners or chains:

Outbound

Partner pharmacies that don't require the full platform may opt for the standalone Transfers-Outbound app. Sending a transfer provides the receiving pharmacy with complete information needed to fulfill the prescription including allergies and insurance. The entire transfer process can be managed electronically on both sides using the Transfers Queue.

Highlights:

• All transfers are listed in a queue for to acknowledge/accept/reject
• Electronically obtain patient consent upon accepting a transfer
• Ability to group by pharmacy to reduce phone calls
• Each pharmacist can electronically sign as verification of the transfer
• Ability to provide transferring pharmacy visibility into the status of the prescription. Example: "PA Follow Up" or "Dispensed"
• Generates a fax that includes all relevant information to receiving pharmacies that are not on our platform.

Patient Assessments

Specialty | LTC

Allow patients to fill out required assessments online or with a clinician.

Highlights:

• Select from our templated assessments or provide your own
• Record and report on patient results over time
• Assessments may be scheduled and patients are notified when due

Manufacturer Reporting

Specialty

Automate manufacturer reporting with our real-time status tools

Highlights:

• Creates reports in manufacturer-specified formats
• Reports can be automatically scheduled and sent

Sales Dashboard

Specialty

Make your team more effective with real-time updates. Our dashboard provides fields reps with the tools they need to meaningfully collaborate with the clinical team. Reps can more quickly resolve patient care issues.

Highlights:

• Reps can view prescriber activity and prescription statuses
• Alert field reps when action is needed by a prescriber
• Provides performance breakdown by prescribers over time
• Commissions reporting available