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September/October 2013 September/October 5 No THE INTERSECTION OF TECHNOLOGY AND MANAGEMENT COMPUTERTALK Vl. 33 No. 5 September/October 2013 FOR THE PHARMACIST Putting the Pieces Together in Long-Term Care Pharmacy From pharmacy management to automation and the evolving integration of a variety of systems, what’s current in the LTC pharmacy. Plus... •Do Adherence Programs Work? •Making Use of Social Media Tools Y N ITHACA, Permit #162 Permit ID PA Assisting with Health GE TA POS U.S. D ST T PRSR • Insurance Exchanges DiscoverDiscover thethe pharmacypharmacy networknetwork thatthat worksworks forfor you.you. Your Partner in Pharmacy Excellence Improving your pharmacy’s fi nancial and operational performance is hard. RelayRx™ Reimbursement Performance can help make it easier. Whether you need to automate prior authorizations, improve reimbursement accuracy, participate in REMS or be an advocate for lowering medication costs for your patients, Reimbursement Performance can help. Contact us today to learn more. Call 888.743.8735 or via email at [email protected] For more information, scan this QR barcode with your smart phone. September/October 2013 49 2433 Ad101_20130311_EVLV_ComputerTalk_Apr.indd 1 3/11/13 3:32 PM Outpace your competition ® with FrameworkLTC FrameworkLTC®, a SoftWriters solution, Pharmacies powered by FrameworkLTC have enables your pharmacy to run faster by several unique competitive advantages: creating unparalleled efficiencies and customer service capabilities. • Certified for ePrescribing of controlled substances • Short cycle billing and dispensing functionality Backed by decades of LTC pharmacy expertise, • Configurable therapeutic interchange per pharmacy, FrameworkLTC’s configurable design, flexibility, facility, or physician built-in efficiencies and resulting scalability make • Open architecture using Microsoft technologies it the industry’s premiere pharmacy management • A singular interface for your multiple connectivity system for long-term care pharmacies. needs; eMAR, packagers, remote dispense • Real-time communication with facilities via FrameworkHL7™ interface or FrameworkLink™ For more information... Call: 877-238-4516, option 3 Email: [email protected] Visit: www.FrameworkLTC.com © 2013 SoftWriters, Inc. September/October 2013 1 In This Issue THE INTERSECTION OF TECHNOLOGY AND MANAGEMENT COMPUTERTALK Vl. 33 • No. 5 September/October 2013 FOR THE PHARMACIST Putting the Pieces Together in Long-Term Care Pharmacy ong-term care pharmacy can present quite a puzzle to Lpharmacies looking for success. It’s a complex field that makes stringent demands on clinical and operational resources. But there are many pharmacies out there that are showing that with the right combination of smarts and technology, there continue to be new ways to streamline operations, lower costs, and create innovative service models. Story begins on page 21 Features: Departments: 12 Engineering Success: Pharmacies of the 4 Publisher’s Window Great Northwest A Changing Landscape by Bruce Kneeland 6 Industry Watch This second installment of the author’s journey through the Northwest features pharmacies in urban, suburban, 36 George’s Corner and rural settings that are prospering by offering some- Fraud Exposed thing that sets them apart in the eyes of customers and patients by extending beyond the core practice of filling 38 Technology Corner prescriptions. Navigating Popular Social Media Tools 17 Community Pharmacy in the European Union 40 Catalyst Corner by Robert Tinsley Medication Adherence Robert Tinsley, with the Independent Pharmacy Coop- 42 Viewpoints erative, popped into a community pharmacy in Kempen, Assisting Patients with Germany, during a trip this past summer. He learned Health Insurance Exchanges about how pharmacy practice in Germany 45 Conference Circuit is different from and National Association of Chain Drug similar to what we Stores Total Store Expo 2013 do here in the United States. And he sur- 47 PeopleTalk veyed the state of 47 Index of Advertisers technology there, from pharmacy manage- 48 Websites to Visit ment systems to drug dispensing, inventory management, point-of-sale systems, e-prescribing, and more. 2 ComputerTalk FOR THE PHARMACIST Putting the Pieces Together “They enable us to service our customers the way we want.” – Camille DeVille Boyken, RPh With QS/1, you just don’t have to worry about being ready for the next regulatory“ change. We’ve watched competitors close because they couldn’t keep up with changes in the business, but that just doesn’t happen with QS/1. That confidence and the built-in flexibility of the system enables us to serve our customers how we want. There’s a product for every aspect of our business. PrimeCare allows us to handle both retail and long-term care, Point-of-Sale handles the front end, and SystemOne manages the details of HME.” Learn how QS/1’s flexibility can help you serve your customers the way you want. Call 866.761.2201 or visit www.qs1.com today. 866.761.2201 www.qs1.com ©2013, J M SMITH CORPORATION. QS/1, PrimeCare and SystemOne are registered trademarks of the J M SeptemberSmith Corporation./October 2013 3 THE INTERSECTION OF TECHNOLOGY AND ANAGEMENT publisher’s M window COMPUTERTALK® FOR THE PHARMACIST www.computertalk.com Volume 33, No. 5 September/October 2013 Staff William A. Lockwood, Jr. A Changing Landscape Chairman/Publisher Maggie Lockwood e are moving into the era of personalized medi- Vice President/Director of cine — or, to use the new label it has been given, Production Wprecision medicine. In his article in a recent issue Will Lockwood of Penn Medicine, J. Larry Jameson, M.D., Ph.D., executive vice Vice President/Senior Editor president of the University of Pennsylvania for the health system Toni Molinaro and dean of the Perelman School of Medicine, cited the statistics Administrative Assistant that an estimated 10 billion doses of medicine are dispensed each year in the Mary R. Gilman United States, and that only one in three treated patients derives a benefit from Editorial Consultant this; one in three does not, he noted, and one in 10 patients experiences side effects — some serious. ComputerTalk (ISSN 0736- 3893) is published bimonthly by The new emphasis is on a person’s genetic makeup as the basis for tailoring drug ComputerTalk Associates, Inc. therapy for the desired outcome, which I find interesting. A few years ago Calvin Please address all correspon- Knowlton, a pharmacist and successful entrepreneur whom I’ve known over the dence to ComputerTalk Associates, Inc., 492 Norristown Road, Suite years, gave a talk at an American Society for Automation in Pharmacy confer- 160, Blue Bell, PA 19422-2339. ence and touched on this very point. A lot of prescribed therapy will not work Phone: 610/825-7686. Fax: for certain people, and in fact can do more harm than good. Knowlton had a 610/825-7641. good read on where we were headed. Copyright© 2013 ComputerTalk Associates, Inc. All rights In pharmacy we are now dealing with an entirely new breed of drugs made from reserved. Re pro duc tion in whole living organisms rather than from plant and chemical compounds. This biotech- or in part without written permis- nology trend has spawned what’s called specialty pharmacy and is placing new sion from the publisher is prohib- software demands on the pharmacy computer companies, based on the record- ited. Annu al subscription in U.S. keeping requirements and management of very expensive drug inventories. and terri tories, $50; in Canada, $75; overseas, $95. Buyers In the meantime, I see more and more press on the importance of patient adher- Guide issue only: $25. Printed ence to therapy. This was the topic of a Wall Street Journal article back in May. by Vanguard Printing. Keeping people from being admitted to the hospital due to failure to adhere is General Disclaimer bound to save a lot of money. The article referenced the New England Health- Opinions expressed in bylined care Institute’s estimate that “some $290 billion in costs is wasted each year on articles do not necessarily reflect the opinion of the pub- unnecessary hospital and doctor visits by people who failed to comply with their lisher or ComputerTalk. The medication schedule.” Now there are start-up companies developing new pre- mention of product or service scription vials that are designed to increase adherence. These “smart” prescrip- trade names in editorial mate- tion vials feature embedded chips that can remind people when a dose should be rial or advertise ments is not intended as an endorsement of taken and monitor adherence. those products or services by Pharmacy stands to benefit from patient adherence, as it can bring in more the publisher or ComputerTalk. prescription revenue while at the same time benefiting patient outcomes. That’s In no manner should any such data be deemed complete or an incentive for every pharmacy to offer some type of adherence program. The otherwise represent an entire need for adherence is not something new. The first adherence program I can re- compilation of available data. member was brought to market 25 years ago. It’s just that lately adherence seems to be a much higher pharmacy priority, as it should be. Member Times are definitely changing. CT ASAP 2013 Bill Lockwood, chairman/publisher, can be reached at [email protected]. 4 ComputerTalk Less work for you, and safer for your patients? Exactly! Protect everyone at your pharmacy w ihith Kirby Lester’s new KL100, the only robot with “FillSafe” technology The KL100 is the only 100-medication robot that combines the highest level of medication safety with the simplest operation. Your staff will thank you. And your patients will expect nothing less from you. Featuring “FillSafe” For Dispensing Safety – The KL100 features the unique “FillSafe” technology, setting a new standard for security on robotic dispensers. Perfect-Sized – The most compact 100-medication robot ever designed, less than 5’ deep. Workhorse – The KL100 is the extra set of hands you need. It handles about 50% or more of your total orders; in about 30 seconds, your filled, counted and labeled orders are ready to go.
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