No matter where someone receives care, or who provides that care, patients expect and deserve a consistent, high-quality, seamless experience. Unfortunately, that’s not always the norm when it comes to prescription medication. Missing the mark can result in medication non-adherence, prescription abandonment and hospital readmission.
Consider Laila, a fictional patient being treated for chronic psoriasis and diabetes. She cares about the quality of her medical treatment, as well as its cost, especially since she is taking high-cost specialty medications. Like many patients with significant medical histories, Laila has seen multiple clinicians in a variety of care settings. As she moves across the country for her career, she begins to experience worsening symptoms and seeks care in her new community. This complicates both quality and cost, as she has to familiarize herself with a new health system for routine primary care and find specialists to help manage her psoriasis and diabetes. She also has a new health plan, complete with its own drug formulary and benefits.
The good news is that, as an industry, we’re making great strides in providing doctors more efficient ways to prescribe affordable and effective medication, and complete medication prior authorization. E-prescribing tools that also enhance clinical exchange, offer price transparency and automate the cumbersome prior authorization process can deliver actionable insights at the point of care and encourage meaningful conversations between clinicians and patients.
With e-prescribing and clinical exchange tools available, Laila’s clinicians can work with her to deliver the most affordable medication that meets her therapeutic needs. By using their EHRs to connect to a nationwide health information network, her clinicians can quickly and easily access her medication and clinical history to make informed and rapid decisions about her treatment path.
With the prevalence of specialty medications on the rise, introducing clinical exchange into the specialty pharmacy workflow plays a very large role in expediting the time to fill and increasing the patient’s adherence of the specialty medication. This allows a specialty pharmacy to quickly look up patient information such as lab values, allergies and other clinical history to avoid a call to the prescriber and any further delays to therapy.
As we move toward realizing the promise of value-based care, patients like Laila are already saving thousands of dollars on drugs. Only an interoperable nationwide network that connects virtually all health systems, pharmacies and pharmacy benefit managers can deliver actionable insights to any clinician at the point of care. In fact, such a network is critical to realizing truly seamless prescribing and clinical exchange.
To experience this network in action, visit the HIMSS Interoperability Showcase, Booth #8300-43, and join us for our education session in the showcase, 11:30 am – 12:30 pm ET on Tuesday, March 10.
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