Rx Manager - Rx Pad
Some workflow choices are now available in SOAPware 2010 that do not exist in previous versions:
Changes to prescriptions within Rx Manager are now automatically reflected in the currently active SOAPnote as long as an encounter note is displayed and unlocked (i.e. not signed off or in use elsewhere). For example, removing a prescription within the Rx Pad in Rx Manager removes it from the SOAPnote Medications field.
Rx Manager now allows new prescriptions to be created from within the manager itself. In other words, any/all prescriptions can be created just within the Rx manager which subsequently updates the encounter note.
*THIS LESSON CONTAINS THE FOLLOWING MEANINGFUL USE (MU) CORE REQUIREMENTS:
1. E-PRESCRIBING FOR 40% OF PERMISSIBLE SCRIPTS - SEE SUBMIT RX
2. MEDICATION INTERACTIONS/ALERTS - SEE INTERACTIONS BUTTON
Rx Pad Overview
1. Pharmacy Selection
3. Eligibility Information
4. Add Rx
5. Update Summary
6. Interactions Summary
8. Retrieve Eligibility Information
9. Submit Rx
Preferred Pharmacy Selection
A patient's preferred (or default) pharmacy can be designated as the pharmacy which is initially selected in the Rx Pad.
The Preferred Pharmacy drop-down menu in the Demographics chart section displays the pharmacy that will be used, by default, when prescribing. The reason for this is so that the default pharmacy can be defined (e.g. by front desk staff) in the patients General Demographics chart section as the patient's chart is initially created.
Change Pharmacy Selection
To change the preferred pharmacy while within Rx Pad, Click the down-pointing triangle (i.e. at the right in the Pharmacy field), and Click a pharmacy in your list of local, Quick Access pharmacies.
Add Pharmacy Selection
To add a new pharmacy to your local, Quick Access pharmacy list, Click the Add button (i.e. plus sign at the far right).
Once a preferred/default pharmacy is selected, prescriptions will be automatically sent to that pharmacy when the Send button is clicked as long as there is a check in their checkbox in the Actions column.
The Pharmacy viewer displays full pharmacy information on a single line/row. When beginning to type a pharmacy name in the field, a drop-down appears listing all pharmacies that match the typed letters (much like with Chart Rack). The list of pharmacies would actually be in columns/rows, so they can be sorted by column (i.e. Pharmacy name, city, street, Zip, phone, fax etc.).
Allergies / Eligibility
After Checking for Eligibility (either beforehand or when opening Rx Manager), several new tabs will appear within the "Notes" section of the Rx Manager. Each tab represents different coverage plans for this patient. Depending on the particular pharmacy benefit manager, the exact data and format returned for any given coverage will vary. At a minimum, the type of benefits will be displayed, e.g. retail, PBM (i.e. mail order or both). For example, in the above screen shot, the PBMA coverage supports only mail order.
Add Rx Button
The Add Rx button displays an Available Medications dialog. Type in a drug name, and a list of matching prescriptions is automatically displayed. Double-clicking a prescription in the list adds it to the Medication list in Rx Pad.
1. Click the Find Rx button.
2. Begin typing a drug name in the Find field/box. After three characters have been typed, a list will appear. Further typing will result in a more refined list of results.
Alternatively, Click the prescription in the list once, then Click Insert. Only Structured Rx SMARText items that exist in the local library system will be displayed in this viewer. This list can contain your pre-defined, most commonly prescribed medications and their default values. Each user has their own list.
Update Summary Button
The Update Summary button displays a Summary Merger dialog. This dialog allows for the merging of prescriptions in the Medication List in Rx Pad to the Summary Medications field. That is, it allows the user to specify whether or not to update/add a particular prescription to the Summary Medications list of on-going or chronic medications.
The Interactions button is grayed-out unless interactions are found. Clicking it displays the Interactions.
*REQUIRED FOR MEANINGFUL USE (MU) CORE REQUIREMENT - MEDICATION INTERACTIONS/ALERTS
Show Header Checkbox
The Show Header checkbox toggles the display of the Rx field-headers names on and off. Above is a screenshot with a check in the checkbox and the headers displayed.
The Medication List area of Rx Pad displays all the individual prescriptions to be sent electronically, faxed, printed, or given as samples. Each medication listed in the patients Rx Pad view can be directly edited (much like using a spreadsheet).
Clicking on the drug name drops-down a list of predefined Drug Courses for automatic Sig/data entry.
The Actions column allows individual prescriptions to either be included or excluded from a particular action. For example, there could be multiple prescriptions listed with all but one to be sent electronically. Simply uncheck the one not to be sent electronically. Note that faxing is not considered the same as sending electronically (This is an industry-government differentiation and not the opinion of SOAPware, Inc.).
The Rx column displays multiple fields offering detailed information about the prescription.
* Drug Name - e.g. Amoxicillin
* Strength - and form such as 250 mg. capsules
* Sig - (dose, frequency, route)
* Dispense - amount or quantity of medication
* Substitution - whether or not to allow generics
* Refills - the number entered here indicates how many refills are allowed
* Comment - location for typing in free-text message to be sent to the pharmacy
Clicking the down-arrows in each field displays the same pick list selections as when working with prescriptions in the Medications field in SOAP encounter notes.
The Misc column displays status information such as:
* Submitted Via - This will say pending until sent, then it will be replaced by e-Rx, faxed, written (printed), or samples.
* Pharmacy - the destination pharmacy name.
* Provider - the clinician responsible for the prescription.
* Valid Status - indicates whether the prescription can be sent electronically (this has nothing to do with faxing).
Retrieve Eligibility Information
This button will send the prescriptions that are selected. It will send the prescriptions via the default method set under Tools - Options. For more information on these settings, see: Tools - Options.
*REQUIRED FOR MEANINGFUL USE (MU) CORE REQUIREMENT - EPRESCRIBING FOR 40% OF PERMISSIBLE SCRIPTS