19.1.6 NRx Enhancements

Updated the QS/1 Server to support Windows Server 2008 R2 Operating System.

Delivery/Will Call

Added a new Workflow feature, Delivery/Will Call, to facilitate prescription storage and retrieval. Prescriptions and batch barcodes can be scanned and then placed in predetermined locations in the pharmacy.

New options to support Will Call include:

• Renamed Patient Signature with Delivery to Record Patient Signature in Store Level Options/Rx Processing Options/Workflow Process.

• Added a Create Locations link below Record Delivery Information in Store Level Options/Rx Processing Options/Workflow Process. Click the link to create Will Call Locations. The table has entry fields for Location, Refrigerated and Usage/Capacity. When entries are complete and saved, the link changes to Edit Locations. Click the link to display the locations. Show Me. Click Edit and the Will Call Edit screen displays. Show Me. To add a new location, click New . To print shelf labels, click Print. Show Me.  

  

  

  

• Added an Auto Assign Location check box below Create Locations. When checked, locations are automatically assigned during prescription processing. If Label and Dispensing is turned on, locations are assigned during this step. If it is not turned on, locations are assigned in the previous step (Verification). Prescriptions are assigned to the bin with the most storage space available. If a batch number has been assigned and one prescription processed, all subsequent prescriptions are placed in the same location. If a prescription requires refrigeration, it will be assigned to a refrigerated location with the most available storage space. Any additional refrigerated items for the same batch number will be assigned to the same refrigerated location.

• Added Return to Stock After (Days) below Auto Assign Location. This value cannot be set below the IVR Days Between Fill and Last Call (if it is in use). During the Service Pack installation, the default value is three more days than the IVR value.

• Added the option to type or scan the prescription number barcode or the batch barcode to return items to stock. Click from the Delivery/Will Call Queue. The Return to Stock screen displays. Show Me. Options are:

  

  

• • Remove Rx from List: Removes the selected prescription from the list of returns.

  • Cancel: Closes the screen without making any changes and returns to the Workflow Scan.

  • Process: Cancels IVR Call Outs, reverses all claims associated with the transaction and voids the transaction. Inventory is adjusted, Workflow and Tickler Records are completed, the prescription is removed from the batch, prescription and transaction chains are adjusted and Rx/Tx audit trails are created. Credits are posted to Accounts Receivable and the prescription is then removed from the Return to Stock screen.

• Added a button, Assign Locations, to Rx Processing Tasks. This button displays if the following three criteria are met: 1) Workflow Delivery/Will Call option is turned on in Store Control/Store Level Options/Rx Processing; 2) the employee logged in has the access flag Assign Locations checked; and 3) locations have been set up in the store. Use this option to scan prescriptions or batch barcodes. After scanning, the system displays the prescription or batch. Scan the barcode again to select a location.

• Added two columns, Location and Price, to the Prescription Status screen.

• Added a description of Delivery/Will Call to Transaction Billing History Records.

• Added a row, Delivery/Will Call, to the Workflow Additional Information screen which is accessible from the Transaction, Prescription Records and Workflow Queue.

• Added an option, Use these options for future Workflow Lists?, to Select Options in Workflow. Select this option for any Workflow tasks and the Select and Sort options are bypassed, and the selected queue displays immediately.

• Added a check box, Refrigerate, to the Drug Record Additional Information screen.

• Added a check box, Refrigerate, to the Compound Drug Record Additional Information screen.

• Added a report, Return to Stock List, to print items that were not picked up and are due to be placed back on the shelf. This report is found in the Delivery/Will Call Queue.

• Added a security access option, Assign Locations, to Workflow. This option must be checked for the employee signing onto the system to display the Assign Locations icon on Rx Processing Tasks.

• Added a label routine, 617 - Deliv/Will Call Location, to print the location/description in Will Call.

Pharmacy at a Glance

Pharmacy at a Glance is a new dashboard application which enables pharmacies to view statistical data from Workflow, Tickler, the ECS Log and Electronic Information. Functions added to support this new module include:

• Added Pharmacy at a Glance Security Rights to the Employee Record. Show Me.

  

• Added Pharmacy at a Glance to the System Utilities menu. When selected, this launches the dashboard application. Show Me.

  

• Updated the ECS Log to filter results based on status: (None), DUR Messages, PPE Messages, Failed Claims, Paid/Captured Claims, Rejected Claims and Reversals.

• Added a File menu which includes Refresh, Options, Select Store and Exit. Show Me. Click Refresh and the web service refreshes the data displayed in the dashboard. Click Options to set the download frequency for each category. Show Me. Open Workflow, ECS or Tickler categories and click Display in each category to set options. Show Me. Click Threshold under each category to set the Warning and Critical threshold counts. Show Me.

  

  

  

  

• Added Home and Priority to the horizontal menu bar. Show Me. Click Home and counts for Tickler, ECS Log, Workflow and Electronic Information categories display. Show Me. Click on any option in any category to display the scan for that option. Users must have security access set up to view a section, or sections, of the Home panel.  Click Priority and user-defined warning threshold counts display. Show Me.

  

  This is a sample screen. Not all categories are displayed here.

  

  

• Added support for Pharmacy at a Glance through QS/1 Web Services Gateway Configuration for the Dashboard.

First DataBank's Drug Allergy Module (DAM) 4.0

Updated the current drug allergy screening program to First DataBank's Drug Allergy Module (DAM) 4.0. This module screens for both active and inactive ingredient allergies. The allergen pick list, created and maintained by FDB, is now available for the selection of an allergy. QS/1 has combined patient allergies (currently stored across several files) into Clinical Data File Records.  Up to 99 allergies can be added to each Patient Record. Functions added to support this new module include:

• Updated the Drug Record/Clinical window to include testing for inactive ingredients to determine if allergies are available for the drug. If allergies are available, the Allergies button is enabled.   Show Me. Click the Allergies button and the allergies, both active and inactive, and their status display. Inactive ingredients are based on the NDC number of the drug and active ingredients are based on the GCN sequence number. Show Me.

  

  

• Added a Status column under Allergies currently selected on the Patient Record/Allergies screen. A # sign displays for allergies flagged for deletion and an R displays for allergies retired without replacement. Show Me. More than 10 allergies now display if available.

  

• If the No Known Allergies box is selected on the Patient Record/Allergies screen, the system automatically checks for existing allergies flagged for deletion. If allergies are detected, the message, Allergies exist for this patient, unable to add No Known Allergies, displays.

• If an allergy is added for a patient, the system automatically checks to see if that allergy exists, but is flagged for deletion. If the allergy exists, the record is unflagged, saved and the message, Allergy (name of allergy) was Reactivated, displays. If the allergy exists, but is not flagged for deletion, the message, Allergy (name of allergy) Already Exists, displays.

• Updated all Patient Chart Reports to print active patient allergies and corresponding reactions from the new clinical data file.

• Updated Price Code/Plan Messages to read patient allergies from the new clinical data file.

• Updated numerous reports to read patient allergies from the new clinical data file.

  Detail Patient List

  Compound Worksheet

  Patient Information Leaflet

  Patient Allergy List

  Compound SAR Form

  Label Printing (Routine 294)

  Consultant Worksheet

  Side Effects Report

  Precautions Report

  Physician's Review of Antipsychotic Drug Therapy

  Physician Interim/Telephone Orders

   

• Updated clinical checking (allergy and cross-sensitivity) to include active and inactive drug ingredient codes. If a drug has not yet been reviewed by First DataBank for inactive ingredients, a message displays indicating inactive ingredients could not be screened and the package insert for the drug should be reviewed.

• Added a new message which displays after allergies have been checked and there are cross-sensitivity hits. The message is:

The patient has reported an allergy to (allergy description). The patient may also have a

cross-sensitivity to (drug name) which is a (allergen group description), related to the

allergy group (cross-sensitive allergen group description).

File Options

Created a single screen to display all printer defaults for each document in the system. Click File, Default Printer Selection. The following options display:

• Default: Displays a list of documents with the option to assign each document to a specific printer. Show Me.

  

• Directional Printing: Offers the ability to direct labels to specific printers according to the drug dispensed. Show Me. When the printer and label design are selected from the drop-downs, click Continue to select the drug. Show Me.

  

  

• Workstation Printing: Displays a list of documents with the option to select a printer, the font and drawer for each document displayed. Show Me.

  

• Printer Selection Analysis Utility: Offers the option to view which printer is selected for a given document, along with the reason for the selection. Show Me.

  

Prescription Processing

Added a new column (Sys) to the Patient Search scan to indicate which QS/1 products contain the Patient Record. The Sys column product codes are:

prh = POS, Pharmacy and HME Patient

pr = Pharmacy and POS Customer

ph = POS and HME Patient

rh = Pharmacy and HME Patient

r = Pharmacy Patient

p = POS Customer

h = HME Patient

Renamed two fields on the Drug Record General Information screen Package section. Package is now Size and Cost is now Cost (AWP).

Expanded the DEA Suffix on the Prescriber Record to 11 positions to support ePrescribing Updates. Expanded the Prescriber name field:

Last Name field contains a maximum of 30 characters

First Name field contains a maximum of 25 characters

The sum of these two fields equals a maximum of 50 characters, including the comma and space.

The position of the comma moves depending on the length of the last name.

For example, if the last name contains 30 characters, the first name can only contain 18, plus the comma and space to equal a total of 50 characters being saved.

Another example, if the last name contains 25 characters, the first name can contain 23, plus the comma and space to equal a total of 50 characters being saved.

The Prescriber Record has been rearranged; the Identifiers section is now Prescriber Identifiers and the DEA Number field supports the 11 character suffix. Show Me. Also expanded the following fields: State Code field from 11 to 25 characters, Medicaid # field from 10 to 20 characters, and the Email field from 40 to 80 characters.

Added the following information to electronic prescription hardcopy: the Rx Tracer C Reference Number for all states, the prescriber reference number (35 alpha-numeric characters) for all states, and Sender Line to electronic prescription hardcopy for Iowa.

Added a field, Add Additional Fees after TP Adjudication, to Store Level Options/Pricing Options. Check this field to add patient fees to the transaction after third party adjudication has been completed. Show Me. When this option is checked, the Transaction Record displays Additional Fees in the Billing Recap. Show Me. Click Additional Fees to display a pop-up window with fees and the dollar amount (user-defined) to be added. Show Me. To use this option, check the employee security access flag, Update Checked Out, under Transaction Access.

Enlarged the image size of the prescription, drug or dispensing image that displays to the right of the Rx Summary. Screen resolution must be at least 1280 pixels in order to view the new size. If Workflow is being used, the NDC verification bar displays at the top of the Prescription Record, taking the place of the NDC verification pop-up window. If running an NDC verification for an electronic prescription, the electronic prescription information displays to the right of the Rx Summary, with the title being a link to the electronic information display.

Added a feature to the Drug, Prescriber and Patient Records which allows an alias to be entered. Show Me. Adding a user-defined alias eliminates bringing up the scans to locate the record during new order entry. When entering a new prescription, type the alias in the Patient, Prescriber or Drug fields to automatically populate this information without accessing the scans.

Modified the Workflow process to check for the Require Hardcopy Scanning flag in Store Level Options/Rx Filling Options. If the flag is checked, and the Rx Origin field on the Prescription Record is 1, 2 or 4, the prescription may only be profiled in any step of Workflow until the prescription hardcopy is scanned.

Added a feature, Suggested Prescription Bottle Size/Packaging List, which is especially beneficial for pills dispensed via pill dispensing systems because it maximizes bottle usage by suggesting the appropriate size bottle for the medication dispensed. Functions added to support this new feature include:

• Added a field, Quantity per Dram to the Drug Record Inventory Screen. Show Me. Click View Drugs per Vial to display a list of vial sizes currently available in stock. Bottle sizes not in stock are greyed out. Click Calculate and the Calculate Quantity Per Dram wizard displays. Follow the instructions to find the calculated quantity per dram for the drug.

  

• Added a option, Prescription Packaging List, to Store Level Options/Rx Filling Options. Click Create to display the Prescription Packaging List. Show Me. This information is populated after accessing the Drug Record Inventory Screen and calculating the Quantity per Dram and the Drug per Vial.

  

• Added a field, Bottle Size, to Filling Options. The system calculates the smallest bottle available in which the medication will fit. If it will not fit in one bottle, it calculates the number of bottles required using the largest size available. If more than one bottle is required, the appropriate number of labels will print. Show Me.

  

Added a option, Default Date Written as Blank, to Store Level Options/Rx Filling Options. Check this box and a red asterisk displays next to Date Written on the New Prescription screen indicating a required entry. The date must be populated before processing can continue.

Added a option, Perform POS Check, under Quality Assurance Check in Store Level Options/Rx Processing. Check this box to prevent prescriptions that have not been processed through QA from being checked out in Point-of-Sale. This option does not display if not authorized for Point-of-Sale.

Added the option to print the DPS Number on the Daily Audit Report (Prescription). Select Option 7 for Prt Detail...? on the Print Option screen.  

NRx and Multi-Site Management Systems Only

Updated Transaction Billing Information to change fields that can be updated:

• On the General Information screen of the Transaction, changes to Quantities, Dates, Days Supply, Rx Origin or A/R cannot be made. The Date Change option is disabled. Changes to the Lot Number, Delivery Method and Label Information can be made.

• On the Additional Information screen of the Transaction, changes to Prescription Monitoring, Partial Fill, Coupon and Intermediate Authorization fields cannot be made. Changes to Miscellaneous and Printer Option fields can be made.

• On the Delivery Information and Transaction Signature screens, changes can be made.

• On the Primary, Secondary and Tertiary Billing screens, changes cannot be made. Functions for Reversing and Resubmitting are still enabled.

• On the Transaction History screen from the prescription, update functions are disabled.

• On the System Utilities menu, Transaction Batch File Updates and On-Line Transaction Updates are disabled.

Transactional Accounting

Added options to record and report transaction amount changes with a focus on items that adjust revenue:

• Added a Store Level Option, Transaction Accounting Reports, as a check box. Show Me. When checked, Transaction Billing History is automatically checked and the Daily Audit, Monthly Audit, Sales Analysis and Revenue Reports print adjusted values.

  

• Updated Transaction Billing History to display amount changes. Columns display the amount before and after, as well as the actual change. The ability to toggle between primary, secondary and tertiary views is available. Show Me.  

  

• Added a transaction automatic reversal feature. When a claim is voided, the system automatically reverses the claim for that transaction. Show Me. If an error is encountered, a message displays the reason for the error, along with the option to Retry. Show Me.

  

  

• If the grace period for claim resubmittal has expired, the system prompts to re-bill manually. Show Me. The system automatically displays warnings and prompts if errors are encountered during this process.

  

• To support rebilling manually, a field, Resubmittal Grace Period, was added to the Price Plan General Information screen. Show Me.

  

Reports

Added the ability to store Custom Report Templates on the QS/1 Customer Support Web Site with the option to export report templates to the site to share, or import templates from the site into your system:

• Export a Custom Report

Click Reports. Select Customized and click Select a Saved List. The Custom List scan displays. Select a report and click Export. The Export Custom Report displays and prompts for a brief description for the report (up to 56 characters). Show Me. Type the name/description of the report and click .

   displays when the report is exported successfully to QS/1.

Import a Custom Report

Click Reports. Select Customized and click Import. The Import Custom Report window displays. Show Me. The first option from this screen is to click Load Template which opens the folder for the last saved file from the web site. The second option is to browse the QS/1 Web Site for reports saved online. Show Me.

Select a Custom Report Category and select a report from the list. Click the Report Name to review the printed fields. Click Download to save a copy to the workstation that accessed the web site. When the download prompt displays, click Save. Select a file location on the hard drive for the report and click Save. Click Close.

Access Customized Reports and click Import List. Click Load Template. Select the name of the report and click Open. A message displays indicating a successful import:

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