Analysis of the Lone Star Circle of Care Pharmacy and providing recommendations on how health information technology can improve their workflow.

1. Preparing a Pharmacy for HIT Brenda Wilson Altaf Prasla Michael Yao Mandi Taveechai BAMM HIT Consultants

3. Most patients are uninsured or under Medicaid or Medicare

4. 2 Pharmacists

5. "Medium Size" Pharmacy

6. Peak on Mondays: 240 prescriptions filled

7. Other days: 170 prescriptions filled

8. Currently have QS/1-NRx

10. Physicians:NextGen

11. Pharmacists: QS/1-NRx

12. Almost all (over 99%) of prescriptions are hard copies or faxed from across the hall

13. Phone occupies the majority of the staff's time

15. Reduce phone call time to less than X% of pharmacy's staff labor.

16. Improving interoperability and workflow.

17. Providing the pharmacist the most recent medication guidelines for counseling.Key Benefits The pharmacy will be more efficient, reduce costs and provide more service at better quality with the same staffing levels (scalability). Charter Statement

19. Budget

20. Current Workflow Diagram

21. Spaghetti Diagram

22. Summary of current vendors

23. Recommendations

25. QS1 is functional in the pharmacy and NextGen is installed in the clinic.

27. Assist the pharmacy in choosing the appropriate IVR (Integrated Voice Response) system.

28. Provide recommendations for improving efficiency and workflow.Charter Statement Cont.

30. Deliverables

32. Assisting the pharmacy in choosing the appropriate IVR vendor.

34. Workflow

35. Workflow: Front Counter

36. Workflow: Back Counter

37. Workflow: QA and Checkout

38. Getting Connected: Switch Vendors? Pharmacy Software Vendor Comparison

40. The Largest: SureScripts

41. Also supported by QS/1: ProxyMed, Emdeon, RxNT

42. Charge per script

43. SureScript's 25 cents/script (but free to doctors!)

44. "Script Brokers"

45. Geared towards independent pharmacies and chains

47. NextGen and QS/1 e-script modules: $42,000

49. Pill Counters

51. Questions? Special Thanks to: Corbin Ferrell, Director of Pharmacy Operations and Joe, Pharmacist at Lake Aire LSCC