The ways in which drugs are being prescribed, administered and distributed in the United States are speedily changing. The central to this kind of transformation is Health Information Technology (HIT). The HIT adds a wide array of tools used in handling and share-out of the information of patient through electronic way instead of paper records and conventionally through fax or phone methods.
Achieving outside the real time to takes assessment, the HIT has set up value for the pharmacies and the chances for the pharmacists to apply their skills professionally in the modern ways in the current development of the care system that is based on value. The outcome is that pharmacists will make use of the HIT to touch patient’s care in a positive way, ameliorate the results of the patients and as well minimize the care cost. When all these are put in mind, then here are five technologies that are based on trends which are making great impact on pharmacy in a rapid way.
5 Technology Trends that Transform Pharmacy Practice Today and in Future
1. Electronic Prior Potency (ePA)
As it was believed in the horizon for pharmacy, ePA has not been enforced to practice. Based on the CoverMyMeds’ National Adoption Scorecard publication in March 2015, it was shown that about 67 percent of pharmacies were having a Live solution for ePA. There are two types of work flow of Prior authorization; retrospective and prospective. These two have great effect on pharmacy in fundamental but in different manners.
A pharmacy can achieve PA after a claim has been rejection at first. For instance, when a pharmacy is not aware that PA is needed, it is possible for him to tender the claim to the payer only to find out thereafter that it was rejected. By making use of the pharmacy software system, the pharmacist can write a code or hit an “easy” button that will lead to forwarding a form to the provider in order to get PA. This transaction is depending on the great standard that is being maintained by the National Council for Prescription Drug programs (NCPDP). This will lead to subsequent submission of claim by the pharmacy and get paid without receiving a PA edit thereafter from the paper. The retrospective model has leverages the standards of NCPDP telecommunication and SCRIPT.
In this model, ePA is initiated by prescriber. The person that prescribed is informed alarmed by the software in e-prescribing application or within electronic health record that PA is needed. Temporarily, the prescription is delayed and request is forwarded to the payer for the measures. To some payers, the request sent might lead to instant approval but in most cases, questions are returned to the person prescribed who will then complete the request and afterwards get approval. However, if the tendered claim succeeds without editing, the pharmacy might not be aware that the person prescribed requested and got approval from the payer. This kind of model has enhances the pharmacy to tender a claim without getting a PA edit thereafter. And this model has leveraged the formulary of NCPDP, take advantage of flat file and the standard of SCRIPT transaction.
To crown it all, at the point of prescribing, ePA will help to set value for the pharmacies through removal of many Pas form their work waiting line and free up the valuable times that permit the pharmacists to concentrate on the patients and activities that facilitates revenue. The new standard was set up to resolve the need for a more efficient process as a result of the increase in Pas. All the same, many states are making the procedures of PA compulsory thereby setting up the possibility for different processes and standards for each of the state. By making use of ePA standard will include clarity and substance all through the health care time and the process of state regulatory. It has ability to reduce costs, boost access and results by removing the pending treatment or abandoned prescription that usually occur with the present systems and processes.
2. Medical Therapy Management (MTM)
Pharmacists have been very effective in their organizations as they leverage the technology to give the services of patient care and medication therapy management (MTM). This MTM helps in the description of wide range of health care services offered by the pharmacists. The services include reviews on comprehensive drug, drug reconciliation, review the medication use, ordering and reviewing oft eh lab tests, immunizations, adjustments of drug dosage and detecting the gaps in care.
3. Engaging in War Against Substance Abuse
Both state and federal government agencies have realized that technology has a vital role to resolve the issue of substance abuse. Electronic prescribing of controlled substances (EPCS) and the prescription drug monitoring programs (PDMPs) are the technologies presently used in the pharmacy and their application will increase in the nearest future. The EPCS is gaining ground and must quickly increase because of the requirements from federal and state. The regular e-prescribing and EPCS can assist the clinicians to detect substance abuse via the medication history examinations. This shows the controlled and uncontrolled drugs that were paid for via the insurance of the patient. Both e-prescribing and pharmacy systems can as well flag possibility of deadly prescription errors and drug interactions that are associated with the opioid use. By so doing; it will prevent accidental deaths and overdoses. Also, by refilling the request monitoring can as well be applied so as to assist in flagging abuse and diversion.
4. Increase of Specialty Prescribing
Prescriptions are greatly rising for specialty medications. There medications are very costly and the complex treatments that need special handling, administration and monitoring. Specialty medications are said to be accounted for less than a percentage of the prescriptions but yet above 25 percent of prescription spending that is expected to attain 50 percent in 2018 while the outlays are expected to be four times to $402 billion in two years after. At the moment, specialty prescribing is on the radar of the stakeholders of pharmacy that are in search of technology that will help them balance the high costs of the specialty medications when compared to their benefits.
5. Benefit of Real-Time Pharmacy
There is tendency that the Real-Time Discount Online Pharmacy Benefit (RTPB) will not be broadly available in the nearest future even though it is being on pilot test currently. The RTPB will definitely take the place or help the present process of connecting and eligibility response to download the data files. This has limitations as a result of the latency of the update process and the inconsistent quantity and the data quality. The verification of real-time benefit will ultimately improve the width, precise and potency of formulary data that are available to the prescriber at the care point. This will help to resolve the perceptions of most prescribers that presently available formulary and benefit data are not correct. With the information on real-time benefit in the HER, it will let the prescriber see other desired decision factors like co-pay amounts for each of the patients at the prescribing point.
In summary, the HIT has become vital in the pharmaceutical industry and transforming the manner drugs are ordered and administered as it set up value in dramatic way. With this, both pharmacists and patients are looking forward to a better future enabled technology.