19.1.20 PrimeCare Enhancements

The following enhancements provide a way to translate Wing Codes and descriptions so longer descriptions received from HL7 and 10.6 messages may be interchanged with QS/1's shorter Wing Codes.

Records are updated with the Room # and Wing Code when both incoming 10.6 Census messages and incoming HL7 ADT messages are processed.

When RxFill messages are created, the system inserts the Wing Description into the FacilityUnit element of the RxFill message before transmitting if a match is made between the wing characters pulled from the patient's room and the Wing Code entries on the facility's Wing Table.

The state of Arizona requires pharmacies to document the reason why counseling was not performed. To comply:

Added a field, Note, to the Pharmacist Login/New Prescription Pharmacist Required for Counseling window that displays during the signature capture process. Field allows up to 200 characters.

Added a link, Counseling Note, to Transaction/Transaction Signature screen. Click to view the entry from the Note field from the Pharmacist Login/New Prescription Pharmacist Required for Counseling window. Only a pharmacist's access has the ability to edit a note from this window. The user initials, date and time display for the person that last made updates in either the Transaction Signature screen or the prompt for counseling during signature capture.

Added a Print Options screen to the Counseling Log, to include the Print Option, Print Note. Type YES to print the counseling notes on the report below each prescription.

Updated the Transaction Signature Log to include any counseling note entered for a prescription transaction.

Renamed the Require RPH to Offer Counseling on New Rx option to Require RPH Login to Offer Counseling in Store Level Options/System, and added two checkboxes: New Rx and Refill Rx.

Require RPH Login to Offer Counseling:

Added an option, Require RPH Login to Perform Counseling, to Store Level Options/System. Default = Unchecked. Select option to display a pharmacist login to log the pharmacist when counseling is requested by the patient. Only used when the Offer Rx Patient Counseling option is selected.

Added an option, Patient Declined Counseling, to the Transaction/Transaction Signature screen. Default for new transactions = Unchecked. The flag is automatically selected if a patient declines counseling.

Added functionality to display the Pharmacist Login window to track the offering pharmacist, if the Require to Offer Counseling and Refill Rx options are selected and the patient is signing for at least one refill.

Added biometric fingerprint reader login ability to the Performing Pharmacist login window. The Pharmacist ID field needs to be populated and the Require Biometric Entry and Password Security Option must be unchecked.

Updated system logic to prompt patients at age 65 and up for BEERS drugs instead of age 55.

Integrated the ability to display patient controlled substances/drugs of concern and NarxCare score during the fill process and on the Patient Rx Profile via a link named PMP Analysis. PMP requests require a pharmacist identifier upon login. If a tech is initiating the request, a Pharmacist Login displays to prompt a Pharmacist ID and Password. Once logged into Appriss, PrimeCare uses the following to make a match to a customer record at Appriss:

Once matched, a window displays at the top of the screen (either Patient Profile or Prescription) with Analysis Details. Further details are provided for customers that sign up for a premium account with Appriss.

Added option, PMP Analysis Access, to Employee Security Access. Default = unchecked. Select to provide PMP analysis rights to the employee.

Added link, PMP Analysis, to the Prescription Additional Information. Select to access Appriss.

Added security journal option, PD - PMP Analysis Acsed, to the Customer Demographics file. The date and employee information that triggered the change is recorded.

Added three new transaction label routines that allow additional characters for MTD ACQ, MTD Price and MTD Quantity.

Incorporated the ability to automatically submit PA Requests once a claim is rejected that has a PA-related rejection code. Eight additional codes have been added to the Reject Code List for PA's. Also, updated the ECS Log Scan and Claim Rejection Detail so rejected claims eligible for a PA Web Request and/or whether a PA Request has been submitted can be easily seen.

Added a checkbox, Automatically Submit Prior Authorization Web Request, to Store Level Options, Prior Authorization Web Services hyperlink. Default = Checked. Keep selected to allow the system to automatically submit a PA Request to CoverMyMeds if the Reject Code received is on the list of Eligible PA Reject Codes. Note: If using automatic submission, PA Requests still display in the Tickler.

Added new codes to the PA Reject Code List. Send a PA Web Request Check from the Claim Rejection Detail screen when any of these codes are returned.

New PA Reject Codes

Added two Prior Authorization Identifiers to the ECS Log. When any of the new rejection codes are returned, PA displays to the left of the prescription in the ECS Log. PA displays in black by default. But, if CMM responds with Required Action or Manual Send responses, PA displays in red. A PA Web Request indicator displays in the Claim Rejection Detail screen when the claim rejects for the specific PA Request Reject Codes and a PA Web Request has been submitted. Note: Prior Authorization Web Services must be selected in Store Level Options for the identifiers to display.

Added options to the Transaction Prior Authorization field, 2 and 3. Depending on the setting for this field, the PA Web Request field on the Claim Rejection Detail screen displays different messages.

New Transaction Prior Authorization Options:

2 - Submitted - Additional Action Required, Click PA Button
3 - Manual Send Required, Click PA Button

Added new screen, Prior Authorization Web Request, accessible from the Claim Rejection Detail screen after the PA Web Request button on the ECS Log is utilized. CMM response messages and actions display on the screen. This new screen displays as opposed to the CMM website. The system sends the PA Request without intervention, regardless of being automatically sent or triggered by the user. Once submitted, the PA Request information displays on the new screen.

Prior Authorization Web Request screen:

DocuTrack® Implementation of Direct Client to Client Communication that Access eRx Messages

Created a direct DocuTrack Client to QS1 VB Client comm connection. When the DocuTrack Client initiates the Load NCPDP Message function, a direct search starts. If a record match is made, the type of message determines how the process proceeds. If a record match is not found, an error displays.

NewRx: Start Patient Match and display Patient Record if unique match or Patient Scan if no unique match is made. Then create the New Rx.

Census: Start Patient Match and display Patient Record if unique match or Patient Scan if no unique match is made. Now, update patient info.

Resupply: Start Prescription Match (i.e.; RxReferenceNumber) and display Prescription Record if match is made. Display Resupply Request window if match is not made.

CancelRx: Start matching Prescription Match (i.e.; RxRefNumber, PON) and display Prescription Record if match is made. Display the Cancel Request screen showing prescription not found if match is not made.

Refill Response: Match the prescription # and display the Prescription Record.

Updated the Documents button so that when clicked, the system checks for prior associated documents. If there are none, the system reads the DocuTrack defined Document Type and attempts to match it to a Document Description for that type of record. If a match is not made, the document type is saved as a new Document Description for that record. The association must be made to that document with that Document Description. If a match is made, an association needs to be made to that document with that Document Description. If there is no defined Document Type in DocuTrack, the application displays the list of Document Descriptions for that record.

If there are associated documents when the Documents button is clicked, the Documents Available scan displays.

Premium API (Application Programming Interface) is automatically available upon download of service pack 20. Click here to view the new fields for the Form Fill-In feature.

Increased the number of characters of multi sigs transmitted in electronic Refill Requests messages from 70 to 140 characters.

Added options to mask all but four digits of the SSN number and only allow certain employees to view the full number.

Added an option, View Full Social Security Number, to the Employee Record. Default = checked. The option is not selected by default for any newly created Employee Records. For employees with access to view the number, access via a link entitled SSN. Otherwise, the SSN number is masked all except for the last four digits.

View Full Social Security Number

Note: Third Party Forms and the E-Rx sidebar will continue to display the full SSN number. Security Journals will show a number before and after changes were made.

Added label routine, 793, to print the IVR callback number from the Patient Record/Additional Information screen.

Added label routine, 794, to print the 128 format barcode for the Medical Record Number field.

Added the ability to set up to print the following enhanced nursing home forms, text only, in WebConnect. The forms can be added in the new section, WebConnect NH Forms, on the Facility Record. Note: Actually printing the forms in WebConnect will be available in Service Pack 21.

Added the ability for additional nursing home forms to be printed at the facility via WebConnect.

Added the ability to set up Control and Print Options from the Facility Record for WebConnect forms via the Facility Forms Wizard.

Added a Patient Chart button to the Patient Record. Note: The Patient Chart is still accessible by clicking View, Chart from the Patient Record.

Next of Kin: Links to Next of Kin window with the following fields: First Name, Last Name, Middle Initial, Address, Address Line 2, City, State, Zip, Phone and a Relationship drop down. Click the double arrows to automatically populate information from the Patient Scan.
Multiple Birth Indicator: Values are Yes or No.
Birth Count: If Yes is selected in the Multiple Birth Indicator drop-down list, this field displays. Allows numeric values between 1-99.
Ethnicity: The drop-down options are now Unknown, Hispanic or Latino, and Not Hispanic or Latino. The field also allows for free text.
Race: The drop-down field defaults to blank with predefined codes and descriptions.

RX Number: A view-only field - if the Immunization Record was created from a Rx Record, the Rx Number displays here.
Immunization Type: This code determines which vaccine check box to mark on the Physician Notice Form.
Administration Site: The drop-down field defaults to blank with predefined codes and descriptions. This field also allows for free text.
Administration Route: The drop-down field defaults to blank with predefined codes and descriptions.
Administered By: This field also allows for free text or click the double arrows to display the Employee Scan.
CVX Code: This is a four-digit free text field.
VIS Version: This is a free text field.
VIS Presented Date: The field defaults to the Date Value in the Date of Immunization field.
Observation LOINC Code: This is a free text field.
LOINC Qualifier: This is a free text field.
LOINC Description: This is a free text field.
Financial Class (VFC): This is a free text field.
Did you provide the patient (or guardian) with a written record of the vaccination given?: The field is defaulted to unchecked.
Did you enter the administered vaccine information into the Regional Immunization Information System?: The field is defaulted to unchecked, unless the pharmacy is authorized for SMP Immunization.

Added the ability to print an Immunization Physician Notice from the Rx Summary screen and the Patient Chart/Immunization Records screen.

Modified the Store Level Options, System/Document Management Interface option, if the pharmacy is authorized for QS/1 Document Management (QDM).

After all fields are populated in Store Level Options for the Physician Notification of Immunization, the system automatically populates the fields on the Physician Notification of Immunization window. A Form option with a link beside it displays below the Print, Fax Notice options. The link defaults to the Default Form, but a New Form may be selected from the Available Forms list. The Fax Notice Option displays with the Subject Line entered in Store Level Options, but it can be changed. An Additional Comments field also displays. The Pend to Queue option defaults according to the value in Store Level Options. If Pend to Queue is selected, the system will NOT Queue the Fax for Sending, but will instead complete the document and merge it into the Default Queue specified in Store Level Options. When Pend to Queue is selected, the system disables both the Subject and Additional Comments fields.

Added a field, Compliance Pkg, to the Patient Record, Additional Info screen. Also added this field to the Patient Batch Record Update screen. The field is defaulted to unchecked. If the field is selected, the application will interface with SMARxT.

Added label routine, Pat Compliance Pkg. If Pat Compliance Pkg is in the label design, print Comp Pkg if Compliance Pkg is selected on the Patient Additional Information screen. If Pat Compliance Pkg is in the label design, do not print Comp Pkg if Compliance Pkg is unchecked on the Patient Additional Information screen.

Added Compliance Pkg to Customer Demographic Security Journals. If a change is made to the Compliance Pkg field and the field is set to log, an entry is made in the Security Journal.