hillary blackburn, pharm.d....hillary blackburn, pharm.d. director of pharmaceutical services...
TRANSCRIPT
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Hillary Blackburn, Pharm.D. Director of Pharmaceutical Services
Dispensary of Hope
3
Best Practices in Technology and Pharmacy Software from Dispensary of
Hope Webinar
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Speakers:● Hillary Blackburn, PharmD – Director of Pharmaceutical Services● Mark Gagnon, PharmD – Via Christi Outpatient Pharmacy, Cerner Etreby ● Christan Holt, PharmD – Cone Health Medication Management, QS1● Christine Toni, RPh – Hope Dispensary of Greater Bridgeport, Mckesson Enterprise Rx
Introduction
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Webinar Objectives
● Introduction● Learn about unique technologies that are being used across the
Dispensary of Hope network● Learn tips on integrating DoH into your pharmacy software ● Hear from pharmacists in the field who are using tech in their practice
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Pharmacy Software Configuration
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● There is no one way to track DoH medication● Each site can choose whichever method works best for them ● Multiple options for adding DoH medications to to the pharmacy
software ● Some tips:
○ Add an asterisk or DoH to the end of the drug name○ If system allows for two different NDCs, choose a check mark
next to it to indicate DoH medication■ Use NDC with 99 as last two digits■ Make sure to check DUR
Pharmacy Software Configuration
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Pharmacy Software Configuration
● Monographs may need to be pre-printed and stored with DoH medication● Monographs can also be printed by using the “real” NDC if not pre-printed● Configure a “dummy” insurance payer with a $0 copay● Ask IT Department or software vendor about how to run specific reports● Remove patients that have not filled a prescription over a set period of time
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Pharmacy Software Configuration
● Virtual Inventory○ There may be an option to attach a program (such as DoH, PAP,
340B) to particular NDC○ If patient is eligible for DoH, then inventory can be pulled from
the virtual inventory instead of the main inventory
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● Inventory must be physically or virtually separated from the main inventory
● DoH stickers may be used to distinguish from main inventory
Dispensary of Hope Inventory
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● Set up price table called “Dispensary of Hope” (no charge)● Set up “insurance” code called DoH, link to price table● If patient qualifies for DoH set them up under DoH insurance
○ Nothing gets processed○ Allows an expiration date for insurance to be entered if order to
alerted when updated paperwork is needed● Print label with $0 copay in order run through point of sale and capture
signatures
Setting up a Patient Billing Profile
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Pharmacy Software Tips
● Flagging Dispensary of Hope Patients● Filtering: filtering patients in your system can be helpful when
reporting quarterly utilization. It can also help identify possible eligible patients.
● You can set up these filters by: ○ service location check: origination site of rx○ patient health record check ○ patient status ○ entity prescriber relationship
● Identify Dispensary of Hope patients in a pharmacy system:○ third party insurance fields○ patient types
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Pharmacy Software Tips
● Examples of how to add Dispensary of Hope medication into your pharmacy system in a way to allow for easy recall of information.○ By Drug Name○ By NDC’s ○ By Labels
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Pharmacy Software Tips
● Setting up a secondary wholesaler for Dispensary of Hope Medication● Should generate an order sheet at the end of the day ● When setting up Dispensary of Hope as a supplier it will show that the
stock is a Dispensary of Hope medication
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● Prevent Ordering Errors: ○ If using automatic ordering prevent the system from automatically ordering ○ Manual Dispensary of Hope Inventory Control
● Accounting: if Dispensary of Hope is run through the point of sale, it can affect the accounting of the pharmacy. Consult your facility’s accounting department for specifics on it.
● Drug Recall: The pharmacy could run a report based on the Dispensary of Hope third party tag if that is set up.
Pharmacy Software Tips
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Vendor Specific Operating Tips-QS1
To set up additional inventory:
1. Store Control → Store Level Options → System → Drug Type Title (user defined) [cancreate a “DoH” tag add here]
1. Rx Processing → Drug File (can have multiple NDCs, but different drug types)
1. Inventory Control – Minimum Inventory Level will deduct from “On Hand Quantity”
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Cerner Etreby: Setting Up a Dispensary of Hope Inventory
● Inventory Control Storage○ Virtual Inventory○ Cerner will allow creation of $0 copay○ When there are two inventories of the same NDC- one purchased and one from
DoH - the Dispensary of Hope third party function could be used toautomatically pull that inventory first.○ In the case where there are duplicate NDCs, there is an option to change the drug
description.
● Automatic Ordering○ Manually add the medication to the system, then when more inventory is received the
quantity can be added.
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Cerner Etreby: Setting Up a Dispensary of Hope Inventory
● Identifying Patients○ Attach third party/DoH “dummy” plan to patient○ Create custom fields in the comments section to identify patients○ Maintain the patient database by removing patients that have not filled a
prescription in a set period of time as determined by the site
● If using a two vendor set-up, run a report for all dispenses, then distinguish DoH
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● Center Eterby allows tracking of on-hand inventory for main and DoH stock
● No duplicate or manipulating NDCs
Cerner Etreby: Setting Up a Dispensary of Hope Inventory
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Cerner Etreby: Quarterly Reports
Total Number of 30 day Prescriptions
Created an excel report that looks at the days supply
=IF(L6<31,1,IF(L6<61,2,IF(L6<91,3,IF(L6<121,4,IF(L6<151,5,IF(L6<181,6,IF(L6<211,7,IF(L6<241,8,IF(L6<271,9,IF(L6<301,10,IF(L6<331,11,IF(L6<361,12,))))))))))))
Number of Unique Patients
Created an excel report that looks at the patient name
=IF(C6=C7,0,1)
Number of Patient Encounters
Created an excel report that looks at the patient name and the date the Rx was filled
=IF(C7=C6,IF(B7=B6,0,1),1)
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McKesson EnterpriseRx
● Having “virtual” facilities helps to create a less manual process and track DoH medications● Multiple Inventories are not allowed in EnterpriseRx. However, different billing codes
can be used. ● Creating a “dummy” NDC eliminates DUR
function, but function can still be used using the first 9 digits of NDC● If site has 340B indicator but is not using 340B, it can be used to track DoH● Sites can separate inventories by group as “DoH” to show last dates dispensed and
quantity remaining● Software representative can help set up specific reports
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Discounted Software Resources for Charitable Pharmacies
● QS1○ Pharmacy management system that contains tools to increase productivity ○ Helps with managing inventory and third party billing○ Offers a deeply discounted rate for charitable pharmacies
● NewLeafRx○ platform developed by Key Centrics.○ Can manage an unlimited number of segregated inventories○ Has given 30% off for nonprofits
● MDScripts○ Online platform where doctors in communities go to see what is available in inventory and can e-
scribe medications. ○ Has repackager independence, billing flexibility, controlled substance reporting, as well as other
tools○ System cost $40 per month with a small cost per escript
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Meds on Cue: ● A digital patient education solution● Reinforces safe medication use by providing patients with prescription specific
videos and other helpful information sharing tools● Improves medication management and care outcomes● QR code that prints on prescription label to provide more patient education
More Technology Resources
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How to Track Outcomes
Patient Assistant Program Technologies
Customer Engagement Technologies
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MTM Tracking Services● Disease specific medication management ● A way to track adherence or if additional medication are required for a patient● There are two main services available to track MTM
○ Outcomes MTM ■ Utilized by St. Vincent de Paul Cincinnati to track impact of
pharmacy services on patients served (non Part D)○ Mirixa
How to Track Outcomes
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Outcomes MTM reportfrom St. Vincent de PaulCharitable Pharmacy
How to Track Outcomes
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● Drug Assistant○ Software program that uses data from the information system to identify patients and charges for reimbursement○ Can manage small or large facilities
● CoverMyMeds○ Integrates with EHR systems to provide ePA when prescribing ○ Automates prior authorization requests○ Helps manage workflow
● RxAssist Plus○ Helps with enrollment of patients○ Runs reports regarding patient demographics – helpful for GRANTS! (% patient not eligible for insurance, languages,
FPL)○ Zipcode map (next slide) – tracks patients by zip code
● Needymeds.org
Prior Authorization/Patient Assistance Program Software
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○ McKesson built a report to track patients and number of prescriptions by zip code.
○ This is a good measure to show how well you are meeting the needs of your service area and helpful for stakeholders.
Zipcode Map used by Hope Dispensary of Greater Bridgeport
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Customer Relationship Management
● CRM software covers a broad set of applications● It helps businesses manage many of their processes ● It helps build strong relationships with their customers ● Allows you to categorize customers according to their expectations ● Some main functions of the software include recording various customer
interactions, automating workflow processes and giving managers the ability to track performance and productivity
● Example: Prosperworks - Utilized by Good Shepherd Health● Patientriciti: helps doctors manage patient disease states
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Questions?
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Hillary Blackburn, PharmDDirector of Pharmaceutical Services
Barin Tayip 615-248-0106
Josh Hagar 615-248-0107
Kasey Gregory615-248-0117
Logan White 615-248-0110
Account Management Team