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From Counter to Clinic: Implementing Prescribing Services | Pharmacist-Prescribed · Pharmacy Podcast Network

• 0:07
  Speaker 1: Thanks for listening to the Pharmacy Podcast Network.
• 0:27
  Speaker 2: Welcome to Pharmacist Prescribed, a series about the expanding role
• 0:31
  Speaker 2: of community pharmacists and patient care. In this episode, we
• 0:37
  Speaker 2: focus on the practical side of pharmacist led clinical care.
• 0:41
  Speaker 2: How do pharmacies actually implement prescribing services in the real world.
• 0:45
  Speaker 2: Will break down workflows, regulatory pathways, team based care, and
• 0:50
  Speaker 2: the operational details that turn clinical services from a good
• 0:54
  Speaker 2: idea into a sustainable part of everyday pharmacy practice.
• 0:58
  Speaker 3: Hey listeners, Pharmacy Podcast Network, Welcome back. This has been
• 1:02
  Speaker 3: a three part series. This is part two with PRISM
• 1:06
  Speaker 3: the team at over It, Mary and Devin. I wanted
• 1:10
  Speaker 3: to welcome you back to this discussion. We first kicked
• 1:14
  Speaker 3: it off with more than Meds, the mission behind PRISM
• 1:17
  Speaker 3: and the pharmacists Prescribed in this episode, like I said,
• 1:21
  Speaker 3: has been really generating a lot of conversation on LinkedIn
• 1:26
  Speaker 3: and social media. Excited to have part one out. Mary, Devin,
• 1:32
  Speaker 3: welcome back for having us. Thank you so much. Okay,
• 1:35
  Speaker 3: so big changes. In twenty twenty five, we saw with
• 1:39
  Speaker 3: electronic prescribing ANACDS at the Chaine Store. Had an entire
• 1:45
  Speaker 3: session on how data is being driven through electronic health
• 1:49
  Speaker 3: record connections. But there's a freedom that PRISM is presenting
• 1:54
  Speaker 3: to pharmacist pharmacy consultants, and you've dug down into several subjects.
• 1:59
  Speaker 3: I want to give a shout out to doctor Daniel
• 2:01
  Speaker 3: Plumber for having you on Maternal RX. What a great
• 2:04
  Speaker 3: conversation there to kind of stage this, but let's talk
• 2:07
  Speaker 3: about this. Pharmacists are increasingly recognized as essential access points
• 2:13
  Speaker 3: for care. The pharmacist knows that they are integrated into
• 2:18
  Speaker 3: the ecosystem of healthcare, medication management. Patients trust their pharmacist.
• 2:23
  Speaker 3: It's an easy conversation to kick up something on Hey,
• 2:26
  Speaker 3: I need more information and contraception, I need more information
• 2:30
  Speaker 3: on tests to treating or tobacco sensation. We're coming up
• 2:33
  Speaker 3: with the new year, so this is all going to
• 2:35
  Speaker 3: be percolating up. But I wanted to kick things over
• 2:38
  Speaker 3: to Devin and just give us a little insight into
• 2:42
  Speaker 3: what we're going to be talking about today on episode
• 2:45
  Speaker 3: two of the series.
• 2:46
  Speaker 4: Yeah, So, I mean, on this episode, we're going to
• 2:49
  Speaker 4: be looking at the challenges that pharmacists have had implementing
• 2:53
  Speaker 4: clinical services, how we address those issues, and just kind
• 2:59
  Speaker 4: of over you just got an overview of that whole
• 3:03
  Speaker 4: that whole practice.
• 3:06
  Speaker 3: Remember we were mentioning freedom of practice and digging down
• 3:11
  Speaker 3: into clinical and helping people where they are. Of Mary,
• 3:16
  Speaker 3: you and I have talked about this before on twerqus.
• 3:19
  Speaker 3: You were on this Week in Pharmacy, and that is
• 3:22
  Speaker 3: the freedom that this is kind of a mission based system.
• 3:26
  Speaker 3: But kind of open up a little bit. Just in
• 3:28
  Speaker 3: case our listeners didn't get the chance to listen to
• 3:31
  Speaker 3: episode one, the link will be in the show notes
• 3:33
  Speaker 3: so you can listen. But Mary, give us an overview
• 3:36
  Speaker 3: of what that means to be free to practice as
• 3:39
  Speaker 3: a pharmacist and taking more control of what a patient needs.
• 3:43
  Speaker 5: Yeah, so, you.
• 3:45
  Speaker 1: Know, we look at what other countries are doing, and
• 3:48
  Speaker 1: they had such affordable healthcare options. I mean pretty much
• 3:52
  Speaker 1: most other countries have very affordable healthcare options outside of
• 3:56
  Speaker 1: the United States, and pharmacists are a key place in
• 4:00
  Speaker 1: that ecosystem. And so we're just saying, let's match that
• 4:05
  Speaker 1: energy and pharmacists should be practicing at the top of
• 4:08
  Speaker 1: their license. They should be able to prescribe, they should
• 4:10
  Speaker 1: be able to manage medications, they should be able to
• 4:13
  Speaker 1: do a lot more, and they should go back to
• 4:16
  Speaker 1: being kind of like that cornerstone of public health in
• 4:19
  Speaker 1: their communities they once were, you know, many decades ago,
• 4:23
  Speaker 1: and so we just want to shine a light and
• 4:26
  Speaker 1: pay homage to all the pharmacists where you guys are needed,
• 4:30
  Speaker 1: not just in the United States, across the globe. We're
• 4:34
  Speaker 1: just trying to help you live your best freedoms in
• 4:38
  Speaker 1: life in the United States as of pharmacist, because the
• 4:41
  Speaker 1: regulations have gotten them down so much and they deserve
• 4:45
  Speaker 1: better and more for their job satisfaction.
• 4:47
  Speaker 3: Even there's a business angle to this, Devin, open up
• 4:52
  Speaker 3: to the listeners as well. We're talking about new revenue
• 4:55
  Speaker 3: streams that aren't subjected or not held hostage to the
• 5:00
  Speaker 3: PBM schemes. That in itself is freedom. Talk to us
• 5:04
  Speaker 3: a little bit about that. Talk to us about expanding
• 5:06
  Speaker 3: into the secret sauce of the PRISM system and how
• 5:10
  Speaker 3: this can empower our consultant pharmacists.
• 5:12
  Speaker 4: Yeah, so, I mean, I think you know, we've talked
• 5:15
  Speaker 4: to hundreds of pharmacies, We've looked at all the research,
• 5:17
  Speaker 4: we've done clinical studies ourselves. We've just finished up a
• 5:20
  Speaker 4: clinical trial implementing contraceptive services on PRISM in four states
• 5:25
  Speaker 4: in the US. So We've learned a lot about this topic,
• 5:28
  Speaker 4: and it seems like, according to most studies as well
• 5:32
  Speaker 4: as our own personal experience, pharmacists want to provide clinical
• 5:35
  Speaker 4: services in general, the majority right, and that studies have
• 5:39
  Speaker 4: evaluated the safety of these services and consistently it's shown
• 5:43
  Speaker 4: that pharmacists have both the knowledge and skills required to
• 5:47
  Speaker 4: provide them. You know, you mentioned that pharmacists or pharmacies
• 5:52
  Speaker 4: need to diversify revenues to kind of protect themselves from PBMs.
• 5:55
  Speaker 4: It's one hundred percent true. Right In the medication dispensing
• 6:00
  Speaker 4: side of things, the PBMs really have the power and
• 6:04
  Speaker 4: you're at their mercy. But on the services side, PBMs
• 6:06
  Speaker 4: have nothing to do with it. There are insurance companies.
• 6:09
  Speaker 4: It's kind of like the other side of the PBM
• 6:11
  Speaker 4: in the sense, but it's different and it allows you
• 6:15
  Speaker 4: to kind of protect yourself against external forces much better.
• 6:20
  Speaker 4: We've seen that the scope of practice has been rapidly
• 6:23
  Speaker 4: expanding since COVID, which has provided the legal authority for
• 6:26
  Speaker 4: clinical services in most states, and that seems to be
• 6:29
  Speaker 4: rapidly expanding. There's a new California bill that's a standard
• 6:32
  Speaker 4: of practice you know, requirements, so it's not as prescribed.
• 6:40
  Speaker 4: It's just you know, practice standard of care medicine, which
• 6:43
  Speaker 4: is great. Iowa and Idaho have similar laws, so we're
• 6:46
  Speaker 4: starting to see it go that direction, which gives a
• 6:49
  Speaker 4: lot more legal authority to provide all sorts of services,
• 6:52
  Speaker 4: which is great. So based on all that alignment, you
• 6:55
  Speaker 4: would think that pharmacist led services would be widespread in
• 6:57
  Speaker 4: community pharmacies, but the which is actually showing the opposite.
• 7:01
  Speaker 4: The uptake is extremely low and from a public health perspective,
• 7:05
  Speaker 4: that leaves a lot of untapped potential. And that's exactly
• 7:08
  Speaker 4: why the NIH funded us to develop the PRISM system
• 7:12
  Speaker 4: to try to solve this puzzle. And here's what we
• 7:16
  Speaker 4: know from our own research and the other public published
• 7:19
  Speaker 4: research about uh, you know what the barriers are. So,
• 7:22
  Speaker 4: for one, you know, pharmacists and business owners are busy,
• 7:25
  Speaker 4: so it needs to be easy to implement. We've heard
• 7:27
  Speaker 4: that over and over again with talking to pharmacy owners.
• 7:31
  Speaker 4: Integration into existing dispensing work workflows as a must, right.
• 7:35
  Speaker 4: You can't have these kind of workflows that don't integrate
• 7:38
  Speaker 4: in what you're already doing. So it has to fit
• 7:40
  Speaker 4: into what you're already doing. Clinical decision support is very important.
• 7:45
  Speaker 4: Pharmacists don't necessarily out of you know, out of the gun,
• 7:49
  Speaker 4: feel comfortable doing these services without additional support, and it
• 7:54
  Speaker 4: is really hard to do them on kind of paper algorithms,
• 7:57
  Speaker 4: and you know, having a electronic workflow mediated clinical decisions
• 8:03
  Speaker 4: support is huge and that showed major benefit in all
• 8:07
  Speaker 4: of our studies so far. The entire pharmacy team needs
• 8:11
  Speaker 4: to be incorporated, and this includes pharmacy technicians. They're incredibly important,
• 8:15
  Speaker 4: so when you're training your staff, you need to incorporate everyone,
• 8:19
  Speaker 4: but also have a unified platform and defined roles so
• 8:23
  Speaker 4: that everyone can work as a team to implement clinical services.
• 8:27
  Speaker 4: We also know that the existing solutions before PRISM are
• 8:32
  Speaker 4: very fragmented and pharmacies often have to use multiple disconnected
• 8:36
  Speaker 4: systems to deliver a single service, and that requires a
• 8:39
  Speaker 4: lot of redundant data entry and just administrative work that
• 8:45
  Speaker 4: is not value added and quite frankly, it makes it
• 8:48
  Speaker 4: really hard to implement. The other thing that's really confusing
• 8:52
  Speaker 4: for a lot of small businesses is that the rules
• 8:55
  Speaker 4: and regulations are complex. You need to follow both federal
• 9:00
  Speaker 4: relations like the Hippo law, but each state has their
• 9:02
  Speaker 4: own scope of practice and oftentimes there's conditions tied to that,
• 9:07
  Speaker 4: like you can do service X, but you have to
• 9:09
  Speaker 4: do X, Y and Z as well to be compliant.
• 9:13
  Speaker 4: So that gets really challenging from a regulatory perspective. And
• 9:16
  Speaker 4: then there's the documentation side. Right, You're already busy having
• 9:19
  Speaker 4: to type a full soap note and you create all
• 9:23
  Speaker 4: these documents manually is really hard. Care coordination can be
• 9:27
  Speaker 4: challenging as well, and it creates this unrealistic administrative task workload.
• 9:34
  Speaker 4: And then really the lack of a standardized workflow model
• 9:38
  Speaker 4: where each pharmacy has to figure it out for themselves
• 9:40
  Speaker 4: from scratch, makes it really hard to scale at a
• 9:43
  Speaker 4: national level. And quite frankly, we're just finding that a
• 9:46
  Speaker 4: lot of pharmacy owners and pharmacists they just don't really
• 9:48
  Speaker 4: know where to start. They want to do it, but
• 9:50
  Speaker 4: they don't know what the implementation plan should look like
• 9:52
  Speaker 4: and how to get started.
• 9:56
  Speaker 3: Mary, thirty four of our fifty states are encouraging and
• 10:02
  Speaker 3: supporting pharmacists to counsel patients on contraception. And if I
• 10:09
  Speaker 3: started giving you some data points, and I said, places
• 10:12
  Speaker 3: where there's pharmacy deserts, places where minority communities don't have
• 10:17
  Speaker 3: enough health care services places where teen pregnancy is on
• 10:22
  Speaker 3: the rise. If we started putting this data together, you
• 10:25
  Speaker 3: could probably spit out a place where our independent community
• 10:29
  Speaker 3: pharmacies are centered right there in a perfect storm to
• 10:34
  Speaker 3: implement such the system of prism and move forward in
• 10:37
  Speaker 3: reaching out to their community and their health centers and
• 10:40
  Speaker 3: say and say, hey, we are here to attack this issue.
• 10:44
  Speaker 3: Tell us more, because this is your words, not my words,
• 10:46
  Speaker 3: this is your heart and what we wal before.
• 10:49
  Speaker 5: Yeah, so.
• 10:52
  Speaker 1: Obviously I love data on the it geek of the group.
• 10:56
  Speaker 1: So data to me actually provides meaningful metrics. And when
• 11:02
  Speaker 1: we look at what you just suggested, even we're trying
• 11:06
  Speaker 1: to do just that. Recently, I pulled a list of
• 11:09
  Speaker 1: even all the planned parenthoods that have closed, because two
• 11:12
  Speaker 1: million individuals currently get their contraceptive access and method from.
• 11:17
  Speaker 5: A planned parenthood. And when we look at, you.
• 11:20
  Speaker 1: Know, regardless of anybody's you know, political beliefs or anything
• 11:23
  Speaker 1: else around planned parenthood, two million birth control prescriptions essentially
• 11:29
  Speaker 1: potentially being eliminated within America is really going to be
• 11:33
  Speaker 1: problematic from a public health perspective.
• 11:36
  Speaker 5: And so you know, we've done announcements, we've done LinkedIn posts.
• 11:41
  Speaker 1: We've done as much as we can so far on
• 11:45
  Speaker 1: just getting the information out, especially to locations that I
• 11:49
  Speaker 1: have a planned parenthood that closed around them, we will
• 11:52
  Speaker 1: help and even you know, give them a sweetheart of
• 11:56
  Speaker 1: a deal essentially where we're we won't even charge you
• 12:00
  Speaker 1: for the first few months to get this stood up,
• 12:04
  Speaker 1: get up in place, and give you lead time to
• 12:06
  Speaker 1: start offering these types of services. And that's just you know,
• 12:10
  Speaker 1: our hearts kind of going into this public health access
• 12:14
  Speaker 1: point situation that's currently you know, going on throughout the
• 12:19
  Speaker 1: United States. So if any pharmacies have a planned parenthood
• 12:24
  Speaker 1: that has recently closed down near them, reach out to
• 12:28
  Speaker 1: us and we are happy to help get you set up,
• 12:32
  Speaker 1: and we will still give you a sweetheart of a
• 12:34
  Speaker 1: deal regardless if it happens now or a year from now,
• 12:37
  Speaker 1: or whenever you're hearing about this. If you see a
• 12:40
  Speaker 1: planned parenthood has closed around you or access is limited
• 12:44
  Speaker 1: around you for contraception, just reach out to us. That
• 12:48
  Speaker 1: is our north star, that's our guiding star, and we'll
• 12:52
  Speaker 1: make sure that whatever happens, it's going to be equitable
• 12:55
  Speaker 1: and you know you're able to provide services. We can
• 12:58
  Speaker 1: keep our lights on and a lot of patients are
• 13:01
  Speaker 1: going to win. So yeah, hopefully, hopefully that helps in
• 13:07
  Speaker 1: the future.
• 13:07
  Speaker 4: Yeah, And I mean we've already been implemented in like
• 13:11
  Speaker 4: the most rural of places and made a huge impact.
• 13:14
  Speaker 4: So one of our sites in the clinical trial is
• 13:18
  Speaker 4: in a county I think is four hundred people or
• 13:20
  Speaker 4: something like that in Montana. I mean, I mean it's
• 13:22
  Speaker 4: called you know, when you look at the USDA Urbanicity scores,
• 13:27
  Speaker 4: it counts as Frontier Rural, so it's the most rural
• 13:30
  Speaker 4: possible designation. And you know, you don't need to see
• 13:36
  Speaker 4: that many patients in a county of four hundred to
• 13:38
  Speaker 4: make quite a big impact. And you know this, this
• 13:42
  Speaker 4: pharmacy saw twenty, you know, twenty something patients in a
• 13:45
  Speaker 4: couple of months, so you started doing the math on
• 13:47
  Speaker 4: what percentage of reproductive aged women that is in the county,
• 13:51
  Speaker 4: and it's huge.
• 13:53
  Speaker 5: Yeah.
• 13:53
  Speaker 4: So I mean, you really can make a big impact,
• 13:56
  Speaker 4: even if your role I'd say almost especially.
• 13:58
  Speaker 5: If your rural. Yeah.
• 14:00
  Speaker 3: I want to say something that I've observed since knowing
• 14:04
  Speaker 3: you both, since working with you, you have knowledge to
• 14:09
  Speaker 3: pass on to our pharmacy owners and our pharmacists to
• 14:13
  Speaker 3: position them to communicate faster and better with what this
• 14:17
  Speaker 3: could do for their community back to health and human
• 14:20
  Speaker 3: services within their county or at the state level or
• 14:24
  Speaker 3: a state representative. This is a marketing opportunity for you
• 14:28
  Speaker 3: to stand out as the community healthcare providers that you are.
• 14:32
  Speaker 3: That you're just not banging your gong because pharmacists gets
• 14:35
  Speaker 3: so busy that they're like, I don't have a chance.
• 14:37
  Speaker 3: But this is a three three birds with one stone
• 14:42
  Speaker 3: kind of scenario where you're able to offer these services
• 14:46
  Speaker 3: to your community. You're able to stand out as that
• 14:49
  Speaker 3: healthcare provider for the new year twenty twenty six in
• 14:52
  Speaker 3: number three to strategize with your community healthcare providers and
• 14:56
  Speaker 3: the clinics and the lack of planned parenthood. And like
• 15:02
  Speaker 3: you said, Mary, I agree, it's if you pour the
• 15:06
  Speaker 3: humanism water downhill, the water runs where it's going to run.
• 15:10
  Speaker 3: Regardless of your religious or your political or whatever stance
• 15:14
  Speaker 3: you're taking, that water still runs downhill. It's just humans
• 15:19
  Speaker 3: just do what humans are going to do. So we
• 15:22
  Speaker 3: need to make sure that we're catching those opportunities and
• 15:25
  Speaker 3: those people and keeping them out of harm's way and
• 15:28
  Speaker 3: keeping them healthy and keeping them in control of their
• 15:33
  Speaker 3: lives at the time of their lives. So this is
• 15:36
  Speaker 3: a mission that I want to give a call out
• 15:38
  Speaker 3: to the buying group associations that we're partnered with, also
• 15:42
  Speaker 3: your state pharmacy associations. A shout out to Pennsylvania Pharmacist
• 15:46
  Speaker 3: Association in Ohio and West Virginia who does a great
• 15:50
  Speaker 3: job communicating with our pharmacists. This is a public health
• 15:54
  Speaker 3: opportunity to really make a difference for the new year
• 15:59
  Speaker 3: coming up. Kind of expand upon that Mary from a
• 16:04
  Speaker 3: technology perspective, going back to what Devin was saying, we
• 16:09
  Speaker 3: can become scared with new systems and implementing new systems.
• 16:13
  Speaker 3: But from a technology perspective, how easy is this for
• 16:16
  Speaker 3: a pharmacist to get up and running?
• 16:18
  Speaker 1: Yeah, So, I mean from a technological perspective, we tried
• 16:21
  Speaker 1: to make it as turnkey as possible.
• 16:24
  Speaker 5: Obviously, implementation of any new service is going to present
• 16:27
  Speaker 5: new challenges, but we our solution is truly working on
• 16:32
  Speaker 5: eliminating as many barriers as possible, like what Devin was
• 16:35
  Speaker 5: talking about. With all those barriers, so early on in our.
• 16:38
  Speaker 1: Research, we saw that very few commercial tools existed that
• 16:46
  Speaker 1: were comprehensive. There might have been siloed approaches. There might
• 16:50
  Speaker 1: have been like it could offer one or two pieces,
• 16:53
  Speaker 1: but those big bang type of scenarios really didn't exist,
• 16:57
  Speaker 1: and so it made it really difficult for unity pharmacies
• 17:01
  Speaker 1: to figure out what platform or bolt together multiple platforms.
• 17:07
  Speaker 5: So we made it to.
• 17:08
  Speaker 1: Our mission to try to build as much of a
• 17:10
  Speaker 1: comprehensive model for each pharmacy in each state and making
• 17:17
  Speaker 1: sure that it met all of the regulatory requirements of
• 17:20
  Speaker 1: each state as humanly possible.
• 17:23
  Speaker 5: And we still made it affordable.
• 17:25
  Speaker 1: Right because we were able to get an NIH grant,
• 17:28
  Speaker 1: which is not easy to do. Because we were able
• 17:33
  Speaker 1: to get that NIH grant, we look at it and
• 17:36
  Speaker 1: we said, okay, we aren't beholden to a private equity
• 17:40
  Speaker 1: firm or a bunch of people that we had to
• 17:43
  Speaker 1: pay back the government invested in us. So we're going
• 17:47
  Speaker 1: to take that and invest into these small businesses and
• 17:51
  Speaker 1: kind of pay it forward. Right, trickle down economics is
• 17:54
  Speaker 1: working in real time here where we're taking that savings
• 17:59
  Speaker 1: and making the solution affordable, but we're packing it full
• 18:03
  Speaker 1: of all of these different features and functions, and so
• 18:08
  Speaker 1: you know, by doing that, we're not becoming another barrier
• 18:12
  Speaker 1: we're eliminating many of the process barriers and not adding
• 18:16
  Speaker 1: a financial barrier where a lot of other companies.
• 18:20
  Speaker 5: Might have one because they had to go do a
• 18:21
  Speaker 5: bunch of fundraising.
• 18:23
  Speaker 1: So, you know, no other pharmacy solution is really going
• 18:30
  Speaker 1: through so many of the clinical trials or the scientific
• 18:35
  Speaker 1: validation or having their users test it non stop and
• 18:40
  Speaker 1: actually measuring each one of the metrics to make a
• 18:45
  Speaker 1: meaningful improvement, not just like eyeing something and going oh, okay,
• 18:49
  Speaker 1: yeah I'll switch this out or yeah we'll put that
• 18:52
  Speaker 1: on the next release in twelve months from now. We're
• 18:56
  Speaker 1: working really hard to make sure that we are listening
• 18:59
  Speaker 1: to the users, were listening to patients, and we're making
• 19:02
  Speaker 1: changes that have science and metrics behind them.
• 19:07
  Speaker 5: So when you're looking at the barriers that Devin discussed
• 19:11
  Speaker 5: and kind of what we packed into this application, the patient.
• 19:15
  Speaker 1: Portal, you know, we have a secure patient portal that's
• 19:20
  Speaker 1: hip a compliance and soon to be Sock two compliant.
• 19:26
  Speaker 1: That was rough, but the patient portal, you know, we're
• 19:30
  Speaker 1: using MFA, multi factor authentication and single sign on, so
• 19:34
  Speaker 1: patients have a secure portal where they can look at documentation,
• 19:38
  Speaker 1: where they can schedule appointments where they can you know,
• 19:46
  Speaker 1: kind of do anything that a normal patient portal would do.
• 19:52
  Speaker 1: And so that alleviates a lot of the administrative burdens
• 19:55
  Speaker 1: that could occur to a pharmacy.
• 19:57
  Speaker 5: Right you don't want patients calling in and saying they
• 19:59
  Speaker 5: need medical records. They can sign into their patient portal
• 20:02
  Speaker 5: and pull them all right there.
• 20:04
  Speaker 1: It also gives pharmacies, you know, a location to point
• 20:07
  Speaker 1: to on our site where patients can book the appointments
• 20:11
  Speaker 1: and take care of all of those different tasks and
• 20:14
  Speaker 1: all of it. Again, it's state dependent in states specific,
• 20:19
  Speaker 1: So going back to that regulatory complexity of everything, you know,
• 20:25
  Speaker 1: the application essentially takes all of that state specific workflow
• 20:30
  Speaker 1: and automates the documentation. It ensures that you're only prescribing
• 20:34
  Speaker 1: things that are allowed to be prescribed in your state.
• 20:37
  Speaker 1: So some states allow for you know, depot, some states
• 20:41
  Speaker 1: do not allow for depot injections. All of that is
• 20:44
  Speaker 1: already baked into those algorithms, and so it really kind
• 20:49
  Speaker 1: of puts, I don't want to call it like barriers,
• 20:53
  Speaker 1: but it puts some guardrails on things so someone doesn't
• 20:56
  Speaker 1: accidentally do something unintentionally, you know, going back to that
• 21:01
  Speaker 1: documentation aspect.
• 21:03
  Speaker 5: It's automating a.
• 21:04
  Speaker 1: Soap note as Devin talked about, and there's virtually no
• 21:08
  Speaker 1: data entry, so the system is essentially audit ready right
• 21:14
  Speaker 1: out the gate. So if someone you know from the
• 21:16
  Speaker 1: state comes back and says, hey, let me see X,
• 21:18
  Speaker 1: Y and Z, you have all of it and you
• 21:21
  Speaker 1: can just print it out and make.
• 21:23
  Speaker 5: It really easy.
• 21:26
  Speaker 1: And from a workflow integration standpoint, it's sure script certified
• 21:31
  Speaker 1: for new prescriptions.
• 21:33
  Speaker 5: I always got to put that ending part in there.
• 21:36
  Speaker 5: So the Electronic Prescriptions really automates everything and makes it so.
• 21:44
  Speaker 1: Your prescription that you're writing goes into your pharmacy management system,
• 21:48
  Speaker 1: and it's essentially just like.
• 21:50
  Speaker 5: If any other doctor were to write a prescription. It
• 21:53
  Speaker 5: comes through your pharmacy management system, same thing. So you're
• 21:55
  Speaker 5: going to see your name as the prescriber and your
• 21:58
  Speaker 5: pharmacy management system. And it also allows.
• 22:01
  Speaker 1: You to send the prescription to another pharmacy should you
• 22:05
  Speaker 1: have to do that, because patients federally have freedom of
• 22:09
  Speaker 1: choice for where they're getting and getting their prescription from,
• 22:14
  Speaker 1: so you know you you might actually be able to
• 22:17
  Speaker 1: provide the clinical service and then send it over to
• 22:21
  Speaker 1: another pharmacy like at Costco where the patient can buy
• 22:25
  Speaker 1: a full year supply in very cheap bulk.
• 22:28
  Speaker 5: Right, that's all possible within the system. And so yeah,
• 22:34
  Speaker 5: I mean one of the other big pieces that we
• 22:36
  Speaker 5: saw was team based care. Now, as Devin mentioned, the.
• 22:43
  Speaker 1: Pharmacy technicians, it's an important rule, but it's not a
• 22:45
  Speaker 1: required role in the system. And you know, pharmacy technicians
• 22:51
  Speaker 1: can they can help with checking a patient in, they
• 22:55
  Speaker 1: can help with calling patients and letting them know about
• 22:58
  Speaker 1: the service. They can reach out for follow ups.
• 23:03
  Speaker 5: They can schedule a follow up for the pharmacist, they
• 23:08
  Speaker 5: can reschedule patient appointments.
• 23:09
  Speaker 1: They can do all kinds of things within the system.
• 23:12
  Speaker 1: But it's your choice as the pharmacy owner and a pharmacist.
• 23:17
  Speaker 1: We didn't want to make really strict rules necessarily that
• 23:21
  Speaker 1: you know, everybody needs can only do these certain functions.
• 23:24
  Speaker 1: We tried making it so it was going to fit
• 23:26
  Speaker 1: every scenario and every type of team.
• 23:29
  Speaker 5: So yeah, I mean it's really easy to get started.
• 23:32
  Speaker 1: I just like you know, blurted out a bunch of
• 23:37
  Speaker 1: different things, but it's really easy to get started within PRISM.
• 23:42
  Speaker 5: In order to you know, create lasting adoption within the system.
• 23:48
  Speaker 3: I really like the workflow suggestions. I also really like
• 23:52
  Speaker 3: hearing more about pharmacy technicians getting involved, because with the
• 23:58
  Speaker 3: changing roles of our fire PARMI to start starting to
• 24:01
  Speaker 3: dig deeper into clinical management, we're going to need our
• 24:04
  Speaker 3: pharmacy technicians to step up with processes and those processes
• 24:09
  Speaker 3: can be backed backed into a business model that brings
• 24:13
  Speaker 3: in more patients, more revenue, more you know, touch points
• 24:17
  Speaker 3: for engagement. I really like this. I like the fact
• 24:21
  Speaker 3: that it's come full circle, and also the online support
• 24:26
  Speaker 3: that's designed into this. I wanted Devin to talk to
• 24:30
  Speaker 3: our listeners about the website usage myprismhealth dot com to
• 24:35
  Speaker 3: push clinical service connections from our patients. There's QR codes
• 24:40
  Speaker 3: that you're being leveraged so you can get pharmacy owners
• 24:42
  Speaker 3: to be able to make things easy to access. Talk
• 24:45
  Speaker 3: to us more about that, Devin to the pharmacy owners listening.
• 24:49
  Speaker 4: Yeah, So, I mean Mary mentioned the patient portal and
• 24:51
  Speaker 4: what that does is it gives you a digital front door, right,
• 24:54
  Speaker 4: So essentially, you know, traditionally the patient would have to
• 24:58
  Speaker 4: be physically in the store, they'd have to fill a
• 25:00
  Speaker 4: pay per.
• 25:00
  Speaker 3: Form, right.
• 25:02
  Speaker 4: You can't do that digitally online. You can't recruit a
• 25:05
  Speaker 4: patient through a digital ad, or through your Facebook page
• 25:09
  Speaker 4: or through your pharmacy website. So what we did was
• 25:12
  Speaker 4: we made it easy where those things can point back
• 25:15
  Speaker 4: to a website. It's called myprismhealth dot com and that's
• 25:19
  Speaker 4: where the patients sign up for services. So that's how
• 25:22
  Speaker 4: they can book a service at your pharmacy. We also
• 25:25
  Speaker 4: know that when patients are in the store, you want
• 25:27
  Speaker 4: to be able to recruit them as well, and so
• 25:29
  Speaker 4: we did create a workflow for walk ins and that
• 25:34
  Speaker 4: can be as easy as them scanning the QR code
• 25:36
  Speaker 4: on the poster that you have in the store to
• 25:38
  Speaker 4: get started and book their encounter. So we made it
• 25:42
  Speaker 4: very easy to recruit patients because that's very important.
• 25:47
  Speaker 3: It's easy steps, easy to follow, it's marketable, which is terrific,
• 25:53
  Speaker 3: and it also shows a way to engage the patient
• 25:58
  Speaker 3: electronically through their mobile. Everybody is using mobile for everything
• 26:02
  Speaker 3: since very few times are people going to their desktops,
• 26:06
  Speaker 3: although you know it's still available, so you have to meet,
• 26:10
  Speaker 3: like you said, meet patients where they are and be
• 26:13
  Speaker 3: able to engage as well as rely on the technology
• 26:17
  Speaker 3: that's out there to come back through existing notes or
• 26:21
  Speaker 3: existing follow up or something that you've already implemented to
• 26:25
  Speaker 3: be able to deliver clinical services safely and effectively. Confidently,
• 26:30
  Speaker 3: this is where a lot of our pharmacist consultants are
• 26:33
  Speaker 3: going They're going to build, They're going to build their
• 26:35
  Speaker 3: entire practices around this, and their consultancy around this. Community
• 26:39
  Speaker 3: pharmacy is to be part of this as well. Talk
• 26:44
  Speaker 3: to us just a little bit more about some of
• 26:48
  Speaker 3: the case studies maybe or some of the outcomes from
• 26:52
  Speaker 3: that direct revenue attracting new patients kind of expand upon
• 26:57
  Speaker 3: the revenue opportunity, just even for some ex samples from
• 27:01
  Speaker 3: one state to the next.
• 27:02
  Speaker 5: Yeah, so we're.
• 27:03
  Speaker 4: Gonna we're definitely gonna cover a lot of that in
• 27:05
  Speaker 4: Part three. So I don't want to get two in
• 27:08
  Speaker 4: the weeds. But each state obviously has a different mix
• 27:11
  Speaker 4: of payers, including you know, Medicaid. There's direct Medicaid, which
• 27:17
  Speaker 4: allows pharmacists to bill in many states. In many states
• 27:21
  Speaker 4: there's also a rules that make it so they have
• 27:27
  Speaker 4: to get paid a certain percentage of what a physician
• 27:29
  Speaker 4: would get paid. Sometimes it's equal, which is great. When
• 27:33
  Speaker 4: you get private payers involved, it does get a little
• 27:36
  Speaker 4: bit trickier, but the direct Medicaid is completely doable in
• 27:41
  Speaker 4: the future. Medicare Part B hopefully will be doable as
• 27:43
  Speaker 4: well if the ECAPS Act passes, So fingers crossed on that.
• 27:47
  Speaker 4: But a lot of pharmacies get started with cash pay.
• 27:49
  Speaker 4: It's really a great way to go because if you
• 27:53
  Speaker 4: think about it, most ensured patients pay about thirty five
• 27:56
  Speaker 4: plus dollars in their copay, and if the average appointment
• 28:01
  Speaker 4: with a new physician is about forty days out, the
• 28:04
  Speaker 4: convenience of being able to walk into a pharmacy pay
• 28:07
  Speaker 4: thirty five dollars or something like that set by the pharmacy.
• 28:10
  Speaker 4: It's up to you, guys, what you want to charge,
• 28:12
  Speaker 4: but the average is about thirty five, So thirty five dollars,
• 28:15
  Speaker 4: you pay that and you walk out with prescription in
• 28:18
  Speaker 4: hand and refills and that's it easy, one stop shop.
• 28:21
  Speaker 4: You don't have to go to an appointment and then
• 28:23
  Speaker 4: go to a pharmacy. It just makes a lot of sense.
• 28:26
  Speaker 4: So if you have the right pay or population, going
• 28:29
  Speaker 4: live with cash pay is the way to start. We
• 28:31
  Speaker 4: are building out claim submission capabilities and that will be
• 28:36
  Speaker 4: out in the next couple of months. At that point
• 28:39
  Speaker 4: we'll be looking for some early adopters to start building
• 28:41
  Speaker 4: medicaid and then we'll expand from there.
• 28:46
  Speaker 3: All right, you heard it here. This has been part
• 28:49
  Speaker 3: two of a three part series featuring Prism and what
• 28:53
  Speaker 3: this system can do for our independent community pharmacies and
• 28:57
  Speaker 3: our pharmacy consultants to reach out to Devin and Mary
• 29:02
  Speaker 3: and just ask questions, get a demo, understand what this
• 29:05
  Speaker 3: can do, how this can implement with your system. They're
• 29:08
  Speaker 3: going to be able to dive in to the workflow
• 29:10
  Speaker 3: and the specifics of implementation and how easy this is.
• 29:14
  Speaker 3: Devin and Mary, this has been great to have you back.
• 29:17
  Speaker 3: Appreciate you doing this follow up and we can't wait
• 29:21
  Speaker 3: to hear part three where the money comes into it all.
• 29:25
  Speaker 5: Absolutely, thank you so much for having us again.
• 29:27
  Speaker 3: Yeah, thank you. Head on over to myprismarx dot com.
• 29:32
  Speaker 3: You see it there on your screen. It's myprism rx
• 29:36
  Speaker 3: dot com. And we will be back for episode three
• 29:40
  Speaker 3: of the Pharmacist Prescribed podcast series by over it in
• 29:44
  Speaker 3: the PRISM System. Bumpy