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QS/1 Interfaces: Technology that Meets the Demands of Today’s Pharmacies

Whether it’s an independent retail, chain, hospital outpatient or long-term care (LTC) pharmacy that serves facilities with various levels of care, or an HME business that must stay up to date with technology, QS/1 offers an array of interfaces to serve its customers.

These interfaces are developed and maintained using government and industry standards, such as HL7, XML, web services and National Council for Prescription Drug Programs (NCPDP) SCRIPT, to ensure reliable and accurate communications.

QS/1 has partnered with a variety of interface vendors to offer many different solutions that can help with day-to-day processes. Electronic health records (EHRs), electronic medication administration records (eMARs), packaging devices, medication cabinets, dispensing devices, document management, robotic systems, shipping, delivery and consulting are several of the most frequently used interfaces that QS/1 offers today.

Tried-and-True

To ensure customers have a competitive edge in the industry that improves efficiency, QS/1’s software interfaces with the following vendors and more.

Mirixa® – “Mirixa is the leading provider of medication therapy management (MTM) and targeted, pharmacist-delivered services to health plans. As an MTM pioneer, it has built connections that harness the knowledge and skills of pharmacists to engage more patients and deliver measurable results.”1 Mirixa offers a web-based clinical platform used by pharmacists to deliver standardized patient care services including:

  • MTM
  • Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating and Safety Improvement
  • Formulary Interchange
  • Gaps in Care, including Omissions and Adherence
  • Disease Management

QS/1’s Pharmacy Management Systems began integrating with Mirixa with the release of Service Pack 19.1.15 to display patients that are eligible for MTM opportunities.

CoverMyMeds® (CMM) – This service assists pharmacies with the process of requesting prior authorization (PA) from physicians.

  • Assists physicians and pharmacists in completing PA
  • Integrates with NRx® and PrimeCare® to initiate and track PAs
  • Pre-populates PA forms via third-party claim information that is passed automatically to CMM
  • Reduces Rx abandonment
  • Eliminates administrative waste
  • Provides faster determinations

For more than four years, QS/1 and CMM have worked together to provide assistance with PAs. Upon receiving a rejection for Product/Service Not Covered or Prior Authorization Required (rejection codes 70, 75 or 76) within NRx or PrimeCare, pharmacies that are signed up with CMM can click PA Web Request and submit all third-party claim information automatically. This claim information pre-populates the forms based on third-party payor, which is set up by the pharmacy during enrollment. The pharmacy can then manage and track the PA within CMM. The service is free for pharmacies and physicians. For more information, or to enroll, visit www.covermymeds.com.

NCPDP SCRIPT 10.6 eMARs – As of November 1, 2014, LTC pharmacies were no longer exempt from the CMS mandate requiring all new electronic prescriptions for Medicare Part D eligible patients to be sent using version 10.6 of the NCPDP SCRIPT standards. These 10.6 eMAR interfaces include Census, NewRx, Resupply, CancelRx and RxFill messages. QS/1’s PrimeCare pharmacy system currently interfaces with the following vendors: ADL Data Systems, Inc., American HealthTech®, Answers™ On Demand (AOD), BlueStrata EHR, Collain Healthcare (LG CNS), ExactMed (iMAR), Health Systems Connection (cueSHIFT), MDI Achieve (MatrixCare®), Mobile MedSoft (MedTablet), New Tech (PioneerACMS), NTT Data (Keane Care), Optimus, PointClickCare® (PCC), Reliable Health Systems and SigmaCare® (eHealth Solutions).

Trending

QS/1 added interfaces in 2015 and 2016 that are quickly picking up in participation among customers.

eMAR/eHR – CoCENTRIX, iCareManager, Medtelligent (ALIS), MedUnison, NTT Data (Keane) Care and Sushoo. Different vendors use various standards (HL7 and/or NCPDP 10.6) to exchange patient demographic information and orders.

Remote Dispensing – Capsa Solutions® (FirstDose) and XChangeLabs (SiteMed). For remote dispensing interfaces, PrimeCare sends ADT (patient demographics) and orders to the vendor. The vendor then sends the usage information back to PrimeCare to update the quantities on the Fill List so the appropriate quantities are billed.

Digital Signage – DisplayRx™. The QS/1 pharmacy system sends every transaction (after adjudication, if applicable) to the DisplayRx sign board. QS/1 also sends a message to the DisplayRx board once the Rx has been picked up by the patient.

Packaging – SureMed™ Guided Packing (MTS/Omnicell®). Prescriptions are entered into QS/1’s pharmacy system and a file is created and imported into the SureMed Guided Packing solution from MTS/Omnicell.

As more eMAR/eHR systems begin adopting NCPDP 10.6 standards, and becoming Electronic Prescriptions for Controlled Substances (EPCS) certified, e-Prescribing transactions are also on the rise. While LTC pharmacies are increasingly frustrated with the lack of fields/information needed in the NCPDP messages (HOA times, frequency, SIG, etc), these issues will not be addressed until later versions of NCPDP unfortunately.

New York I-STOP Mandate – Although the state of New York previously allowed e-Prescribing for non-controlled and controlled substances, as of March 27, 2016, it is now required that all prescriptions be sent electronically by physicians. The Internet System for Over-Prescribing (I-STOP) Act aims to reduce the number of deaths caused by opioid addiction and the over-prescription of painkillers by implementing improved electronic monitoring methods. It was passed in 2012 as part of New York’s continuing effort to lead the way in programs to track, monitor and protect against prescription drug abuse.2

Prescribers must select and use a certified computerized physician’s order entry (CPOE) software that meets all federal requirements in order to send EPCS prescriptions. Pharmacies should check with their physicians and/or facilities to ensure they are compliant.

Those not in the state of New York may wonder what this has to do with them. Various leading vendors and key players in the industry believe the success or failure of the I-STOP Act will determine how quickly other states follow suit. QS/1’s NRx and PrimeCare systems have been EPCS certified with Surescripts® since the release of Service Pack 19.1.12. QS/1 has customers covered if, or when, the change occurs in the states they serve.

Here’s what one New York pharmacist had to say about his pharmacy’s experience with preparation for the mandate:

On March 27, 2016, New York implemented a mandate that all prescribers electronically prescribe with limited exceptions. In the retail setting, this was not considered much of an issue, as most prescriber practices have adopted some sort of electronic medical record (eMR) technology. Long-term care (LTC), however, proved to be a concern, with numerous last minute meetings, filings and waiver requests with the regulatory committees.

Many LTC facilities adopted and implemented eMRs over the years, but it seems as though only a few of the eMR platforms have successfully completed their certification and roll out of the e-Prescribing module. This has left most facilities at the mercy of the eMR software they installed, with hopes that the company would obtain certification prior to the deadline.

In our practice, with QS/1 PrimeCare installed, we have six different eMR platforms in use by the 30 facilities we service. The employees at QS/1 were incredible at working through the various challenges that we posed. Pulling all of the different eMR vendors’ software together and producing a usable format into PrimeCare certainly wasn’t easy; however, they certainly made it seem that way. When we begin conversations with each eMR vendor, we quickly realized that each company processes claims and sends messages a little bit differently. Initially, we heard that our software vendor wasn’t processing correctly or that we had to make adjustments to the way we processed incoming orders. Once we got QS/1’s interface team involved, and started coordinating, the software vendors would often solve the issues for us, and that allowed us to continue operating in a manner that didn’t disrupt the flow of data from physician to facility and pharmacy, and vice-versa.

For example, the interface for MatrixCare was recently deployed at our pharmacy and has proven to be a reliable and accurate interface. We see virtually no transmission failures; the data coming over is clear, concise and simple for our Order Entry and Pharmacist Verification departments. Split/Multi-sigs are handled correctly, and the nurses on the facility end report it as very user-friendly. We worked with QS/1 to facilitate training between the facility, software vendor and pharmacy, and couldn’t have been happier with the outcome…

Looking towards March 27, I was comforted in knowing that QS/1 had worked diligently and provided a stable system for the e-Prescribing mandate. With their assistance and expertise, we were able to safely transition from a paper-heavy medical-record driven pharmacy to a nimble, electronic-ready pharmacy able to service all LTC facilities…

— Jamie Branshaw, R.Ph.,
Harbor Pharmacy Companies, Oswego, NY

More is Better

QS/1 always strives to enhance products and services to keep customers at the forefront of technology and compliant with pharmacy regulations. Our vendor partners do the same. The following are examples of existing tools and some enhancements that are in process.

NCPDP 10.6 e-Prescribing Intermediaries – There are groups that operate as intermediaries between the pharmacy, the facility and the prescriber. Many eHR, eMAR and eMR systems have integrated with these intermediaries. QS/1 is certified with PrescribersConnection® in PrimeCare Service Pack 19.1.14 and higher and is currently undergoing vendor-to-vendor certification with Surescripts for LTC messaging.

NCPDP 10.6 and EPCS – QS/1 is currently certified with Surescripts for EPCS prescriptions on NRx and PrimeCare Service Pack 19.1.12 and higher. Certification testing is ongoing with the following vendors as e-Prescribing intermediaries and direct 10.6 eMARS: ADL Data Systems, Inc., American HealthTech, MatrixCare, PointClickCare and PrescribersConnection.

Integra® DocuTrack and DeliveryTrack – In September 2015, QS/1 and Integra launched an NCPDP 10.6 interface, DocuTrack eRx Module, for PrimeCare and NRx. The interface allows QS/1 to send a copy of all 10.6 messages into DocuTrack while maintaining compliance with NCPDP 10.6 standards. The eRx Module enables DocuTrack to receive NCPDP 10.6 messages, using the same workflow rules applied to incoming faxes. When the 10.6 message is selected from a queue in DocuTrack, a series of steps kicks off within the QS/1 pharmacy system to automate the processing of the message.

To use the eRx Module, pharmacies must be running DocuTrack version 6.0 or higher and NRx or PrimeCare Service Pack 19.1.14 or higher. To inquire about installation, or ask additional questions, contact an Integra sales representative at 866.257.4279 or sales@integragroup.com.

QS/1 and Integra are also working to create a tighter integration with DocuTrack to provide additional features and functionality. Also, NRx will soon interface with DeliveryTrack, offering the same seamless integration our PrimeCare customers experience today.

For a complete list of vendors and interfaces offered through QS/1, visit www.qs1.com/about/interfaces.

Sources:
1 Mirixa. Web. 08 Feb. 2016. http://www.mirixa.com/#/about-us
2 Practice Fusion. Web. 08 Feb. 2016. http://www.practicefusion.com/new-york-istop-epcs-requirements/

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