Are you ready for CPESN?
How much do you know about these local networks that are transforming independent pharmacy? CPESN – community pharmacy enhanced services networks – offer a promising way to differentiate yourself with both patients and payers.
CPESN member pharmacies come together to improve patient outcomes with optimal medication use. They agree to provide enhanced services that go beyond dispensing and basic patient education. CPESN are clinically integrated, which means members help coordinate their patients’ care across conditions, providers, settings, and time. When their patients’ outcomes improve, costs decrease, and a big benefit of CPESN participation is the chance to engage with payers for a share of the savings.
Take a minute to evaluate your pharmacy against what CPESN requires.
- Are you committed to improved patient outcomes?
We know that community pharmacy is about more than dispensing. A deliberate, daily focus on patient outcomes is what differentiates CPESN pharmacies. Of course, improving outcomes for patients – from fewer hospitalizations to lower costs – requires tools in your pharmacy management system. For example, the patient chart should be able to document immunizations, monitor lab values, and help coordinate care with other providers.
- Are you using medication synchronization?
Setting a common refill date for all a patient’s medications brings so many benefits, you might ask why a pharmacy wouldn’t implement it. Customers get increased convenience and better medication adherence, while pharmacies build store loyalty and can better plan for patients’ store visits, which helps with inventory management, staffing, and delivery. To get going, you’ll need a feature in your software to help guide you through calculating prescription short-fill amounts to reach a common date. Then its auto-fill features keep refills easily on track.
- Can you collaborate with the whole healthcare team?
Working well with physicians, care managers, nurses, and social workers is integral to improving the outcomes of your mutual patients. Whether it’s an informal relationship or a collaborative practice agreement, it’s the sharing of information that’s key. Have you heard of eCare Plans? They allow you to create and send documents to other healthcare providers in a common technical language so that you can act together on the patient’s behalf. There are also lots of interfaces out there that help you share electronic health records and patient histories.
- Do you provide immunizations?
Because immunizations help patients and grow your reputation and revenue, think about holding monthly clinics or partnering with businesses to get their employees immunized. Also take time to recommend immunizations to your customers based on their age or disease state. The best pharmacy systems let you create and bill for immunizations directly from your software and print or fax notifications to physicians so they can update records. The system should also include an immunization reporting interface that automatically creates records to submit to the state registry.
- Do you perform medication reconciliation?
We know that medication reconciliation helps avoid errors by comparing orders to what the patient is actually taking, whether active, chronic, as needed, or over-the-counter. It’s especially helpful during transitions of care. Pharmacists bring superior value here with knowledge of therapeutically similar products and mechanisms of action. Your system’s patient records and charts should provide sortable data fields to make cross referencing efficient. For example, the last fill date can be valuable to assess the potential for patients to wrongly resume a medication stored at home if they’re not warned about it.
- Will patients receive a comprehensive medication review?
CPESN pharmacies must offer a systematic assessment of a patient’s medications and supplements on demand, to identify medication-therapy problems, prioritize them, and create patient-specific plans to resolve them in coordination with the extended healthcare team. Your software needs a patient chart where you can document non-prescription medications, store lab values, and create SOAP notes for customer visits. eCare Plan functionality and MTM features and interfaces are also important – for example, Mirixa® and OutcomesMTM® notify you of opportunities from directly within the application.
- Can you easily generate Personal Medication Records?
One of the easiest ways to impact outcomes, a patient’s personal medication record (PMR) is invaluable during care transitions and when multiple physicians are involved. The PMR provides current information to all prescribers to minimize duplication of therapy and drug interactions. You should be able to use reports based on the patient chart to provide legible PMRs for the healthcare team. Your system’s reports should have plentiful, selectable data fields including medication name, directions, physician, and last fill date.
- Can patients opt for delivery?
Research says medication delivery makes a difference in outcomes, especially for patients in a comprehensive medication management program. Not only will delivery give you a competitive advantage, it makes adherence easier for customers. Does your point-of-sale system have delivery features? Explore whether it allows drivers to use a tablet to scan drivers’ licenses, capture signatures, collect payments, and quickly reconcile transactions back into your pharmacy management system.
- Do you supply adherence packaging?
Adherence packaging is a smart way to help patients take the right medications, at the right time, every day. Options include blister packs, pouches, printable forms from vendors like IntegralRx, and programmable vial caps that beep at dose time. Adherence packaging couples nicely with medication synchronization, and your highest-risk patients can benefit the most. Hopefully your software can interface with a bevy of adherence packaging companies (filter by “packaging”) so you can choose packaging automation that fits your needs and budget.
How many of these CPESN-friendly services are you already providing? Any tips for fellow pharmacists? We’d love to hear your experiences.