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Pharmacy HIT Collaborative’s September 2016 Newsletter
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Today’s newsletter showcases two guidance documents developed by the Pharmacy HIT Collaborative’s volunteer work group and health IT standards development progress around the Pharmacist eCare Plan.
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“Overview of Pharmacists’ Role of mHealth in Medication Adherence”
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This document provides guidance and instructions for the development of pharmacy management systems to include health IT functionality. The document demonstrates the value for pharmacists in working with their pharmacy management system vendors to encourage them to program systems used by pharmacist in three practice settings (community, hospital and long-term post acute care) to assist in the electronic collection, documentation, and exchange clinical information.
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“Guidance for Use of SNOMED CT in Transitions of Care Documentation”
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This document is an environmental scan of clinical documentation strategies used by pharmacy professionals for transitions of care (ToC). Pharmacists play an integral role in patients’ successful transition from one care setting to another. The document defines examples of ToC processes and illustrates how clinical documentation codes can be used in practice to identify ToC documentation codes available for implementation, and identify additional SNOMED CT codes needed for ToC.
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National Council of Prescription Drug Programs (NCPDP) Announces the Completion of Pharmacist eCare Plan Guidance Document
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“WG10 Professional Pharmacy Services has developed the Pharmacist eCare Plan Version 1.0: Guidance on the Use of the HL7 CDA Consolidated Templates for Clinical Notes R2.1 Care Plan (as the topic Recommendations for Pharmacists on the Use of HL7 Consolidated CDA Templates) to enable pharmacists to capture their assessments of patient health status and health concerns, mutually defined patient care goals, recommendations, interventions and outcomes and to share them with other care providers, payers and the patient.
This NCPDP/HL7 harmonized standard is to support the CMS Innovation Center Medicare Part D Enhanced Medicare Therapy Management (MTM) program that starts on January 1, 2017. The development of the NCPDP Pharmacist eCare Plan C-CDA guidance document provides a roadmap to assist vendors in programming a mechanism to capture pharmacist-provided patient care services and share the data with providers and payers.
The eCare Plan is a standard the government and health plans are moving toward as a solution to collect electronic clinical data to validate provider services in transition of care, chronic care management and other value-based payment models. According to ONC, "to further validate the continued interoperability of certified health IT and the ability to exchange electronic health information with health IT certified to the 2014 Edition, 2015 Edition and potentially future editions, a new “transitions of care” certification criterion will rigorously assess a product's ability to create and receive an interoperable C-CDA".
Having a medication-related plan of care shared and incorporated with care plans developed by other care team members is critical to the overall success of patient’s reaching their proposed goals of care. The Pharmacist eCare Plan will provide for identification of resources for, and obstacles to, the patient’s compliance with the recommended treatment.” http://ncpdp.org/NCPDP/media/pdf/UploadLinks/Pharmacist-eCare-Plan-Version-1-0.pdf.
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Pharmacist eCare Plan Project Receives ONC High Impact Pilot Award
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On September 28, 2016, Office of National Coordinator for HIT (ONC) announced the recipients of the High Impact Pilot (HIP) program designed to improve the flow of health information to make sure it is available where and when it is needed for health and care. “The Lantana Consulting Group project will create a new standard for electronic pharmacist care plans (ePhCP). The project pilot will use health IT standards to integrate pharmacist care plans into coordination efforts for patient care across the health continuum.” http://www.hhs.gov/about/news/2016/09/28/hhs-awards-1-5-million-improve-information-flow-patients-and-providers.html
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Pharmacy HIT Collaborative Quoted in Drug Topics Technology in Community Pharmacy Article
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“Do community pharmacies currently have systems that can make meaningful secure exchange of health information as seamless as possible, and that allow for communications with all healthcare practitioners in a given region? Not as yet, said Shelly Spiro, RPh, FASCP, executive director of the Pharmacy Health Information Technology Collaborative in Alexandria, VA. The focus of the Pharmacy HIT Collaborative is to assure meaningful use of standardized EHRs to support safe and effective medication use and care, and to provide access to the services of pharmacists with other members of a patient’s care team.” http://drugtopics.modernmedicine.com/drug-topics/news/health-information-technology-community-pharmacy
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