Download Technology: Documentation and Data Mining

Technology:
Documentation and Data Mining
Re-Engineering Your Pharmacy Practice Bootcamp
August 13, 2016
Ashley Branham, PharmD, BCACP
Joe Moose, PharmD
$100 Healthcare Spend
Pharmaceutical Spend
$10
$90
col·lab·o·ra·tion
kəˌlabəˈrāSH(ə)n/
Noun: The action of working with someone to produce
or create something
Everyone Must Work at the
Top of Their License
• Pharmacy is under performing in relation to
what schools are graduating
• We need to reengineer our practices to align
with new payment models
• Technology should support us all moving to
work at the top of our degrees/abilities
What’s the Problem with
the Way it is?
• The core issue in this healthcare crisis is we can’t
afford it anymore
• So we have to increase the value of the care that
we deliver
• Improving value is the only real solution verses
cost shifting or restricting services
Adapted from Harvard Business Review Webinar The Strategy that Will Fix Health care (20601) Featuring Harvard Business School Professor Michael E. Porter and Press Ganey CMO
Dr. Thomas H. Lee Sept. 24, 2013
A Fundamentally Different Approach
to Payment & Delivery
Investing in Technology… Where
to Start?
Pharmacy
Management
Systems
(PMS) &
Workflow
Interactive
Voice
Response
(IVR)
Technology
Adherence
Tools &
Support
Point of Sale
(POS)
Automation
Switching/Data
Services
Data Mining
Clinical
Documentation
Chronic Care Management
Tools
Patient Identification
Identification of Patients for
Chronic Care Management
• Existing patients with trends of poor
adherence to chronic medications
• Recurrent visits to ED or hospital
• Transportation challenges
• Literacy challenges
• Complex medication regimens
• Looking to reduce number of visits to the
pharmacy
CareTriage™ Population
Management Tool
Refocusing on what matters…
Documenting what
you did to get paid.
Sharing what you did to help others
care for your patient.
Sharing what you found to aid in
care delivery.
Sharing Patient Aspirations
Sharing what you plan to do next with the
patients so others are aware.
Chronic Care Management
Tools
Data Mining
Adherence Patients
Identification Dashboard
The “CRX Adherence Patient Targeting”
Dashboard is an advanced report used to
identify potential adherence patients. This
report is specifically looking at adherence
percentages below 80% that have scripts with 3
or more refills. It is also filtered to only show
the therapeutic classes set by Medicare.
Individual Pharmacy View
Individual Pharmacy View
Generating a Target List
Chronic Care Management
Tools
Pre-Encounter Technology Solutions
Pre-Encounter Features
• Utilizes an online
scheduling tool to
simplify and organize
patient appointments
• Forecasts
immunizations for the
upcoming week
© Creative Pharmacist 2016. Confidential. Do Not Distribute.
Appointment Scheduling
Functions
Priority Workflow Management
To Do Alerts
To Do reminders draw
attention to actions that
need to be completed,
and disappears when all
actions have been
completed.
Adherence Program
Management
Chronic Care Management
Tools
Patient Encounter Technology Solutions
Drug Therapy Problem Recognition
& Interventions
• Identifies recommended
interventions based on
clinical data
• Provides 1:1 education for
each appointment
• Flags drug therapy
problems…then allows
action with just one click
© Creative Pharmacist 2016. Confidential. Do Not Distribute.
Vaccine Status
• Vaccine specific notes
Ability the document, monitor
and trend the patients
VACCINE AND
IMMUNZATION HISTORY
Vaccine specific
notes
Education Tools
• Follow a recommended
education track, or choose
another topic
• Leverage curricula with
patient handouts,
presentations, and even
recap videos
• Use the curricula videos
when rushed for time!
© Creative Pharmacist 2016. Confidential. Do Not Distribute.
Health Screening
Tracking
Recording and Tracking
Biometrics
Ability the document,
monitor and trend the
patients response to
CLINICAL
INTERVENTIONS
Body Measurements
• Weight
• Body Fat
• BMI
• Misc.
• Height
• Waist
Patient Intervention
Documentation
Ability the document,
monitor and trend the
patients OVERALL
HEALTH
SOAP Notes
Add patient-tailored notes to a
patient’s profile
Z
Patient Profile Notes
Patient Intervention Documentation
At time of
completion,
custom notes and
results can be
added for
documenting and
tracking purposes.
Chronic Care Management
Tools
Post-Encounter Technology
Solutions
Post-Encounter: Interactive
Communication Via a Patient App
Pharmacists receive
messages from their
patients for:
• Weekly check-ins
• Biometric data
• Other data entered via
the Strand app
© Creative Pharmacist 2016. Confidential. Do
Not Distribute.
Prescriber Engagement
The Patient Adherence
Report Card can be used to
enlist prescribers in
medication therapy
management for their
patients. The patient report
card is grouped by
therapeutic class for each
prescriber, giving an overall
view of their patients
medication adherence.
Patient Notification and
Management Tools
• Outbound call reminders
• Text alerts confirming medication is ready
for pick up
• App to manage medications
Dashboard of Actionable
Items
Incomplete MTM Actions dashboard
provides a centralized list of all
actionable items that need attention.
The dashboard layout allows filtering,
sorting, and grouping for custom
review preferences.
Chronic Care Management
Tools
Additional Considerations
Clinical Platform Integration
Patients that have open cases in Outcomes
will be noted by the “Outcomes” button
shown on the filling and RPH Check
screens. Once the Outcomes button is
selected, the “MTM Services” screen will be
appear with the link to the open case.
Adoption Timeline
• Plan benchmarks that trigger technology
investment and adoption.
• Base the benchmarks on perceived operational
needs, and only then consult the budget.
Budget
•
•
•
•
•
•
•
•
Sales Price
Tax
Maintenance
Expendables
Transmission Fees
Yearly price increases (5%)
Tax Implications
Budget for Growth
Neil, Jimmy. Explore Your Financing Options for Automation Systems. Computer Talk for the Pharmacist; May/June
2016
Are You Ready?
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Technology Assessment
•
•
•
•
Where am I now?
Have I achieved minimum adoption?
What is my budget & my next step?
Have I tailored my adoption to my
community’s needs?
Pictorial
Aids
Patient
Assistance
Programs
Adh.
Pack
Complexity
DUR
MTM
Sync
Formulary
Management
Technology
Calls
Alarm
App
Sync
Poor
Adherence
Delivery
MTM
Adh.
Pack
Sync
Access
Mobile
App
Counseling
Monitoring
Performance
Benchmarks
Mitigate
Risks
Predict
Risks
Progressive
Encounter
Documentation
Customer
Management
Software
Dreaming of
Automation
Tools
Apps for Pharmacy
Use and Patient Use
Patient
screening/mo
tivation
Connectivity
Other
HealthCare
Providers
Patients