Latest / Pharmacy Podcast Network / More Than Meds: The Mission Behind PRISM | Pharmacist-Prescribed
Transcript
- 0:05Speaker 1: You are listening to the global network of podcasters dedicated
- 0:09Speaker 1: to the pharmacy profession.
- 0:10Speaker 2: Welcome to the Pharmacy Podcast Network. Welcome to Pharmacist Prescribed,
- 0:33Speaker 2: a series about the expanding role of community pharmacists in
- 0:36Speaker 2: patient care. In today's episode, More Than Meds, we explore
- 0:42Speaker 2: the mission behind PRISM and how pharmacists can close critical
- 0:45Speaker 2: gaps in healthcare access.
- 0:48Speaker 3: Hey, welcome Pharmacy Podcast Network listeners. Special series today and
- 0:53Speaker 3: this is all dedicated to our pharmacists out there. Shout
- 0:57Speaker 3: out to Tamera Rugel's who's out there consulting and working
- 1:03Speaker 3: for long term care pharmacies throughout the country. I thought
- 1:06Speaker 3: of you when we were building this series, Pharmacists Prescribed
- 1:12Speaker 3: Podcast series. And we have some special guests today, people
- 1:15Speaker 3: that I've learned to trust in driving technology to be
- 1:20Speaker 3: put in the hands of our pharmacist. With the evolution
- 1:22Speaker 3: and the changes happening, we're getting away from the dispensing fee.
- 1:26Speaker 3: We're going to start getting deeper into treatment tracking and
- 1:29Speaker 3: treatment notes sharing and being able to do more with
- 1:33Speaker 3: that data. I would like to welcome doctor Devin Bustin
- 1:38Speaker 3: and Mary Acoustic to the show.
- 1:41Speaker 1: It's so good to see both of you.
- 1:43Speaker 4: Thank you so much. We're excited to be here.
- 1:45Speaker 5: Thanks for having us.
- 1:47Speaker 3: All right, Devin, you're up first. Want to introduce yourself
- 1:50Speaker 3: to the listeners and just give a short background before
- 1:53Speaker 3: we get into today's episode. In today's episode is more
- 1:59Speaker 3: than meds in. This is the mission behind PRISM.
- 2:02Speaker 6: Yeah, now, thank you so much for having us. I'm
- 2:04Speaker 6: Devin Buston. I'm an emergency medicine physician with a decade
- 2:07Speaker 6: of experience clinically and I also do clinical informatics as well,
- 2:12Speaker 6: and I got to partner up here with Mary to
- 2:15Speaker 6: build out what we're going to be talking about today.
- 2:17Speaker 6: So very excited to be here, and you know, huge
- 2:20Speaker 6: ally for pharmacists and just really excited to kind of
- 2:24Speaker 6: be part.
- 2:25Speaker 4: Of the revolution. Mary.
- 2:28Speaker 3: I am proud of you as a father of four
- 2:31Speaker 3: daughters who I want to empower. I want to make
- 2:34Speaker 3: them feel safe in such a crazy world. I want
- 2:38Speaker 3: to infuse them with the passion to look into push
- 2:44Speaker 3: and to keep going with knowledge and backing themselves with
- 2:48Speaker 3: evidence and with proof. And so I've talked about you
- 2:52Speaker 3: to my own wife and I will introduce yourself to
- 2:56Speaker 3: our listeners.
- 2:57Speaker 4: Thank you so much.
- 2:58Speaker 5: My name is Mary Cusick, and I'm the founder ANDEO
- 3:00Speaker 5: of over It, which was the company behind the Prism
- 3:05Speaker 5: application that we are talking about today, and I have
- 3:10Speaker 5: over fifteen years of experience and technology that's been mostly
- 3:14Speaker 5: focused around health and science it. So I've been working
- 3:18Speaker 5: with departments of health and departments at agriculture. So it's
- 3:23Speaker 5: been a joy and we're really proud that we've been
- 3:26Speaker 5: able to acquire NIH grant funding to really push the
- 3:30Speaker 5: PRISM application to life and to make sure that we're
- 3:34Speaker 5: doing everything evidence based and science based and working with
- 3:38Speaker 5: the pharmacists on the ground to get them exactly what
- 3:40Speaker 5: they need. So we're excited to be here and excited
- 3:42Speaker 5: to share about it.
- 3:44Speaker 3: We're excited to hear about it, and listeners, just in
- 3:48Speaker 3: case you might be jogging or running around or doing
- 3:51Speaker 3: something where your hands are not free, don't worry about it.
- 3:54Speaker 3: In the show notes, there's going to be a link
- 3:57Speaker 3: and it's going to be to the website that I
- 3:59Speaker 3: want you to reach out out and explore, and that
- 4:01Speaker 3: website is get prism ourx dot com. Once again, that's
- 4:06Speaker 3: get prismurx dot com. Today we're going to be talking
- 4:10Speaker 3: about that mission. You know, it's more than meds. We
- 4:13Speaker 3: know that this is a mission behind PRISM. We know
- 4:17Speaker 3: that treatment and tracking and being able to make money
- 4:20Speaker 3: as a provider and as a specialist digging down into
- 4:24Speaker 3: d prescribing or a disease state management. If you don't
- 4:27Speaker 3: have a system to do that, if you don't have
- 4:29Speaker 3: a system to connect that to billing abilities and getting
- 4:33Speaker 3: into incident two billing and in someday not having to
- 4:37Speaker 3: have necessarily incident two billing, but then also collaborating with
- 4:41Speaker 3: physicians like like Devin, then we can't really move forward.
- 4:46Speaker 3: So the mission of PRISM is in line with what's happening.
- 4:50Speaker 3: And to kick this off, I just want to ask,
- 4:53Speaker 3: you know why, behind why the name prism? Why is
- 4:58Speaker 3: addressing healthcare desert and reproductive access and the underutilization of pharmacists.
- 5:03Speaker 1: Why is that important to you guys?
- 5:05Speaker 6: Yeah, I'll answer the PRISM why Prism question.
- 5:10Speaker 4: So we did a clinical trial actually we're just finishing
- 5:13Speaker 4: it up.
- 5:13Speaker 6: And I don't know if you guys know as the
- 5:15Speaker 6: listeners about the clinical trials, but man, they love acronyms,
- 5:18Speaker 6: don't they.
- 5:19Speaker 4: So you know, we developed.
- 5:21Speaker 6: A modular system to help pharmacists do medical services right,
- 5:26Speaker 6: So the PRISM name stands for Pharmacist Resource and implementing
- 5:31Speaker 6: services as modules.
- 5:34Speaker 4: Right, you don't have to remember that, it's just PRISM PRISM.
- 5:37Speaker 5: Yes, I always laugh. And Devin is great at coming
- 5:40Speaker 5: up with names. He came up with over it. He
- 5:42Speaker 5: came up with PRISM and he's the acronym king. I
- 5:46Speaker 5: think it's just the medical training and background.
- 5:48Speaker 4: So they beat that into us when we do research.
- 5:51Speaker 5: I will always make him repeat it, just because it
- 5:53Speaker 5: sounds so ridiculous when you said that.
- 5:58Speaker 3: What I like about your name is the fact that
- 6:01Speaker 3: you have multi sources of data coming into a system
- 6:06Speaker 3: that has this powerful light.
- 6:08Speaker 1: Of knowledge and transfer.
- 6:10Speaker 3: So we have all these different lights coming in have
- 6:13Speaker 3: We have the red physicians and the purple data, all
- 6:17Speaker 3: these colors, and then white comes out, which is the
- 6:20Speaker 3: evidence based stuff.
- 6:21Speaker 6: The way we see it is like the white light
- 6:24Speaker 6: is the patient, right, like coming into the system into PRISM,
- 6:27Speaker 6: and then PRISM is spitting out the colors, which are
- 6:29Speaker 6: your service lines that you're able to do because of
- 6:32Speaker 6: the system.
- 6:33Speaker 5: I love it, but I like both scenarios.
- 6:35Speaker 4: Actually they're both beautiful. Yeah, exactly, I love it.
- 6:38Speaker 1: I love it all right, let's get into this.
- 6:41Speaker 3: So our system's pretty messed up right now. It's a
- 6:45Speaker 3: wild time to be a pharmacist, a wild time to
- 6:47Speaker 3: be in healthcare. We were talking about a little bit
- 6:50Speaker 3: about leadership right now and questionable things, and so when
- 6:55Speaker 3: we have something like data, data is like you don't
- 6:59Speaker 3: have to mess around. You don't have to you can
- 7:01Speaker 3: look at the late it's black and white. You can
- 7:03Speaker 3: dig in and take analysis and obviously make better decisions.
- 7:07Speaker 3: Right out of the gate, we know that nearly eighty
- 7:09Speaker 3: percent of rural America is considered medically underserved, and over
- 7:14Speaker 3: forty five percent of the US counties have no low
- 7:19Speaker 3: cost reproductive health center.
- 7:22Speaker 1: I think that's a good way to kick this mission off.
- 7:25Speaker 3: I'd like to hear from you and just some of
- 7:27Speaker 3: that background and setting the stage for the creation of PRISM.
- 7:31Speaker 4: Yeah.
- 7:32Speaker 5: So, I mean when we originally started with PRISM, we
- 7:38Speaker 5: realized that there was an entire patient population that was
- 7:41Speaker 5: completely being messed in the United States. And I know
- 7:45Speaker 5: we all laugh and joke about our favorite statistic in
- 7:49Speaker 5: the world, but as ninety percent of pharmacy of pharmacy
- 7:53Speaker 5: or ninety percent of America is within five miles of
- 7:55Speaker 5: a pharmacy, they're able to touch and reach these patients
- 8:01Speaker 5: and actually see them. You know, there's about a nineteen
- 8:06Speaker 5: thousand person physician shortage right now and that's estimated to
- 8:11Speaker 5: increase to one hundred and forty thousand physicians by the
- 8:14Speaker 5: next decade. And so we need pharmacists to really kind
- 8:19Speaker 5: of step into this role which they've been trained upon.
- 8:25Speaker 5: They just need to feel emboldened and have the correct
- 8:28Speaker 5: tools to be able to do so. So when you
- 8:31Speaker 5: look at you know, the physician shortage next to the
- 8:35Speaker 5: three hundred and thirty some odd thousand pharmacists community pharmacists
- 8:41Speaker 5: that are capable and trained that can kind of fill
- 8:46Speaker 5: this gap and provide that care by doing more than dispensing,
- 8:51Speaker 5: you see that there's a match made in heaven here.
- 8:53Speaker 6: Yeah, And I think, you know, it's important to note that, like,
- 8:57Speaker 6: you know, it has to make sense for everyone, and
- 9:00Speaker 6: it's you know, we should use carrots not sticks, right, Like,
- 9:03Speaker 6: you can't say, hey, we have this gap in America
- 9:07Speaker 6: and pharmacists must like solve it and be heroes like
- 9:10Speaker 6: they were in COVID. Again, we need to create a
- 9:12Speaker 6: system that incentivizes pharmacists to do it because it makes
- 9:15Speaker 6: sense to do it, they enjoy doing it, they have
- 9:17Speaker 6: the digital infrastructure to do it, and it's creating new
- 9:20Speaker 6: revenue streams that are better margins than dispensing. And it
- 9:24Speaker 6: takes you, It kind of gives you power back from
- 9:27Speaker 6: the you know, pharmacy benefit managers because they don't control
- 9:31Speaker 6: that part of it. So it's kind of like a
- 9:34Speaker 6: power play kind of transformation of community pharmacy. And you know,
- 9:40Speaker 6: we think that it's super important quite frankly from a
- 9:43Speaker 6: public health perspective that it that it happened, but we
- 9:46Speaker 6: need we need to help it happen right Like there
- 9:48Speaker 6: needs to be a catalyst, and that's what we're trying.
- 9:50Speaker 4: To help create.
- 9:53Speaker 3: There are so many people out there who I've talked
- 9:56Speaker 3: to pharmacists that have said, Hey, I wanted to start
- 10:00Speaker 3: into medical school. I wanted to be a physician. Then
- 10:04Speaker 3: when I start thinking about it, I didn't really want
- 10:07Speaker 3: to get into the blood or that I don't want
- 10:11Speaker 3: and I just wanted to maybe be a scientist but
- 10:13Speaker 3: still help people. And the pathway of being a pharmacist.
- 10:18Speaker 3: I've heard that story many many times. I feel the
- 10:21Speaker 3: same way, I can work on an ATV and get
- 10:25Speaker 3: my hands that way, but certainly not human beings for
- 10:28Speaker 3: goodness sake, So lend you dustin.
- 10:32Speaker 1: You and your team out there.
- 10:33Speaker 3: That are the quarterbacks of healthcare that are pitching it
- 10:36Speaker 3: out to the farms.
- 10:38Speaker 6: It's a team sport, right, Like without the offensive line,
- 10:40Speaker 6: the quarterback is not going to play well and vice versa.
- 10:44Speaker 4: Right, you need to have someone to throw the ball to.
- 10:47Speaker 6: Oftentimes that's the pharmacist, right, But there's no reason that
- 10:51Speaker 6: the pharmacists can't run a wildcat play where they take
- 10:55Speaker 6: the snap and run up the middle, you know what
- 10:56Speaker 6: I mean. Like, it's collaborative. It needs to be collaborative.
- 10:59Speaker 6: And we have the shortage, so you would think it's
- 11:03Speaker 6: pretty common sense that.
- 11:04Speaker 4: We need to empower all the roles to fill the gaps.
- 11:07Speaker 6: But it seems like that has not really been incentivized
- 11:10Speaker 6: from many organizations. He who shall not be named the AMA,
- 11:16Speaker 6: But yeah.
- 11:17Speaker 4: It's interesting.
- 11:19Speaker 3: Yeah, the fact that there's going to be a national
- 11:23Speaker 3: shortage of one hundred and forty thousand physicians by twenty
- 11:26Speaker 3: thirty six. Yeah, a shout out to our young scientists
- 11:31Speaker 3: and chemistry students and biology students who do want to
- 11:35Speaker 3: become physicians.
- 11:36Speaker 1: We need you.
- 11:37Speaker 3: However, in the interim, we need pharmacists to step up
- 11:41Speaker 3: and to start doing medication management, deep dives and treatment
- 11:46Speaker 3: tracking and pivoting and like you said, making a pathway
- 11:52Speaker 3: based on the original prescription, in the original treatment, but
- 11:56Speaker 3: be able to take a system like PRISM and run
- 11:59Speaker 3: with it.
- 12:00Speaker 6: Yeah, And you know, with PRISM, the pharmacist is the provider, right,
- 12:04Speaker 6: like we believe pharmacists are providers, and PRISM makes it
- 12:07Speaker 6: possible to do that, right.
- 12:09Speaker 4: And you know, it's.
- 12:12Speaker 6: Interesting because you can't just turn you can't just turn
- 12:14Speaker 6: a switch and create more physicians.
- 12:16Speaker 4: Right.
- 12:16Speaker 6: There's a lot of money that it takes to trained physicians.
- 12:19Speaker 6: It takes a lot of time, right, they have to
- 12:20Speaker 6: do residency and all these things. So you're talking about
- 12:23Speaker 6: like a decade, like you make a policy change right now,
- 12:26Speaker 6: there's no benefit for a decade.
- 12:28Speaker 4: So how do we solve this problem in the near
- 12:30Speaker 4: term quickly?
- 12:31Speaker 6: Well, we already have infrastructure, right, We already have pharmacies
- 12:35Speaker 6: and as Mary mentioned, ninety percent of you know, the
- 12:37Speaker 6: patient population is within five miles of a pharmacy, so
- 12:40Speaker 6: that already exists, and we already have trained experts that
- 12:44Speaker 6: can do this.
- 12:46Speaker 4: So really the only way to.
- 12:48Speaker 6: Quickly address this problem is to flip the switch there
- 12:51Speaker 6: and create kind of decentralized public health care access.
- 12:57Speaker 3: Mary, what do you think, So we have the these
- 13:00Speaker 3: rural areas that are now getting further and further away
- 13:04Speaker 3: from healthcare from a facility. We have pharmacies that are
- 13:09Speaker 3: shutting down thousands, and now we're like, okay, we're still
- 13:15Speaker 3: asking our physicians and our nurse practitioners and our and
- 13:20Speaker 3: our pharmacists to do more with less and inset PRISM.
- 13:24Speaker 1: So talk to us about this whole situation.
- 13:27Speaker 3: Where you have a need, the community has needs, the population.
- 13:32Speaker 3: What are we at three hundred and thirty five million
- 13:34Speaker 3: people in America and that's rising to four three hundred
- 13:38Speaker 3: and forty five million, you know, within the next three
- 13:41Speaker 3: to five years. So talk to us about, you know,
- 13:44Speaker 3: the positioning of PRISM and how you see this as
- 13:47Speaker 3: a as a way to empower our pharmacists.
- 13:50Speaker 5: Yeah, so our mission is really to allow pharmacists to
- 13:54Speaker 5: practice at the very top of their license, create new
- 13:57Speaker 5: revenue streams for within their pharmacy, and help patients in
- 14:02Speaker 5: their community. When you know, I was recently on I
- 14:05Speaker 5: was on TikTok recently and watching APHA videos and they
- 14:10Speaker 5: were talking about, you know, way way back when when
- 14:15Speaker 5: the community pharmacists and pharmacy was like the cornerstone of
- 14:20Speaker 5: the community and just kind of like how it's slipped
- 14:27Speaker 5: a little bit throughout the years and has you know,
- 14:30Speaker 5: we have massive conglomerates now and the mom and pop
- 14:34Speaker 5: shops are often you know, overlooked a little bit, and
- 14:37Speaker 5: so we want to re empower those mom and pop shops.
- 14:41Speaker 5: We want to bring action and access back to that
- 14:45Speaker 5: patient population to make those moment pop shops back into
- 14:49Speaker 5: the cornerstone that.
- 14:50Speaker 4: They were originally supposed to be.
- 14:52Speaker 5: So, you know, we built PRISM, so there's that lack
- 14:58Speaker 5: of a better term, bridge to allow the pharmacists and
- 15:03Speaker 5: the patient to communicate effectively. Prison allows for clinical decision support,
- 15:08Speaker 5: workflow automation, There's tons of regulatory compliance that has been automated,
- 15:14Speaker 5: and so it really helps the pharmacist get started easily
- 15:18Speaker 5: to provide safe, efficient, effective care throughout the community. And
- 15:25Speaker 5: so we believe that you know, allowing these types of
- 15:28Speaker 5: services is going to transform not only the communities oh
- 15:33Speaker 5: you know in the community focus and access points, but
- 15:37Speaker 5: it is really going to bring that soul back to
- 15:42Speaker 5: pharmacists and pharmacy rather than just oh they're going to
- 15:45Speaker 5: dispense my meds. It's now creating that relationship that has
- 15:49Speaker 5: been so important where pharmacists are the most trusted healthcare providers, right,
- 15:55Speaker 5: and they retained that, but I think that this position
- 16:00Speaker 5: them in such a way where no one's going to
- 16:03Speaker 5: want to leave their pharmacist when I have to move
- 16:07Speaker 5: or anything, I'm like, oh, no, I have to leave
- 16:09Speaker 5: my doctor. I don't want to have to leave my doctor,
- 16:12Speaker 5: usually because they're the ones that provide me that care
- 16:15Speaker 5: that I need and they know everything about me. And
- 16:19Speaker 5: so with pharmacists taking on this role of being able
- 16:24Speaker 5: to provide these clinical services, it's not so much as
- 16:27Speaker 5: a transactional role as a relationship and back into the
- 16:30Speaker 5: community role again. And so it really repurposes, reframes, reshifts
- 16:35Speaker 5: the narratives. Even with that consumer patient interaction where it's
- 16:40Speaker 5: like that's my person. I never want to leave them.
- 16:43Speaker 5: It doesn't matter if I'm also picking up my prescription
- 16:46Speaker 5: from them. It removes that kind of transaction viewpoint and
- 16:51Speaker 5: makes it more of that community based relationship. So PRISM
- 16:55Speaker 5: is just the tool to really help bring that straightforward
- 17:00Speaker 5: get the pharmacist back into the communities.
- 17:02Speaker 6: And I think it's it makes you it like that
- 17:05Speaker 6: change from transactional to relational, like that is how you
- 17:09Speaker 6: fight against the large chains exactly. Like they're not going
- 17:11Speaker 6: to be able to do that. It's just not really feasible.
- 17:15Speaker 6: They didn't even try, right They instead of empowering pharmacists
- 17:19Speaker 6: to do this stuff, they hired physicians, right, Like they
- 17:21Speaker 6: made it very clear. But you know, by doing this
- 17:26Speaker 6: in the twenty thousand plus independent pharmacies in the US,
- 17:29Speaker 6: we're actually decentralizing public healthcare to address the current access
- 17:33Speaker 6: and spending crisis that we have. And then we're actually
- 17:36Speaker 6: shifting clinical service revenue from large healthcare corporations to small
- 17:39Speaker 6: local businesses. So I just can't imagine like a more
- 17:43Speaker 6: American thing than supporting your local small business and kind
- 17:47Speaker 6: of fighting the oligarchy that we have.
- 17:49Speaker 4: In this country right now.
- 17:51Speaker 6: And so we're talking about like this is a healthcare revolution,
- 17:54Speaker 6: like we we want to change the way that patients
- 17:58Speaker 6: think of the system and where they go. First, we
- 18:02Speaker 6: think that that for non emergent healthcare services should be
- 18:05Speaker 6: their community pharmacy as it once was, as it once
- 18:09Speaker 6: was exactly and as it is in many other countries
- 18:12Speaker 6: still to this day.
- 18:13Speaker 4: Yeah.
- 18:14Speaker 3: So, out of the three hundred and thirty seven thousand
- 18:17Speaker 3: community pharmacists throughout the country who are trained and capable
- 18:22Speaker 3: of providing much care, talk to us about the simplicity
- 18:26Speaker 3: of the system. Pretend that I'm a pharmacist and I
- 18:30Speaker 3: want to implement PRISM. Talk to me about getting started,
- 18:33Speaker 3: and then things like the financial ability that it provides,
- 18:39Speaker 3: the essential health services that you're tracking, and then you
- 18:44Speaker 3: know where to go from here from a perspective of
- 18:47Speaker 3: next steps for a PRISM implementation.
- 18:51Speaker 6: Yeah so, I mean for first step is to reach
- 18:53Speaker 6: out to us, get a demo. We're happy to speak
- 18:56Speaker 6: with anyone, you know, single pharmacy owners, multi pharmacy owners,
- 18:59Speaker 6: small chain, grocery based, et cetera. Like we're built for
- 19:02Speaker 6: all of you. But from like the pay let's think
- 19:05Speaker 6: of it like starting with the beginning of the pathway, right,
- 19:08Speaker 6: So first and foremost, it creates a digital scheduling and
- 19:13Speaker 6: kind of entry way to your pharmacy. So the patient
- 19:17Speaker 6: creates a profile, they find your pharmacy, you know, or
- 19:20Speaker 6: they scan a QR code in your store and you know,
- 19:23Speaker 6: a book and appointment same day, or like walk in
- 19:28Speaker 6: with your pharmacy and they create an account with the
- 19:32Speaker 6: typical stuff that you'd expect, right, the typical demographics, insurance,
- 19:36Speaker 6: et cetera.
- 19:37Speaker 4: And then they pick a service. You know, so let's
- 19:40Speaker 4: go with contraceptives.
- 19:42Speaker 6: For contraceptives, you know, each state actually has different rules
- 19:46Speaker 6: in terms of like what form they have to fill
- 19:48Speaker 6: out and what the outputs are. So that m in
- 19:51Speaker 6: prism modular is that we have created an EHR, an
- 19:55Speaker 6: electronic health record system that compensates for what state you're
- 19:59Speaker 6: in and what service you're providing, to make sure that
- 20:02Speaker 6: the patient fills out the right form, that the algorithm
- 20:05Speaker 6: is the one that the state says you need to do,
- 20:08Speaker 6: so that you remain compliant, and that the outputs are
- 20:10Speaker 6: automated when you sign the note, so that if you
- 20:13Speaker 6: get audited, you don't have to really worry about it.
- 20:16Speaker 4: So the patient enters this information.
- 20:19Speaker 6: To your point, Todd, you said, you know, data is
- 20:21Speaker 6: it kind of makes everything possible, And that's one hundred
- 20:23Speaker 6: percent true, but you know it's the best type of data.
- 20:26Speaker 4: Data that you didn't enter yourself, right.
- 20:29Speaker 6: This data entry takes time and it's inefficient, and so
- 20:32Speaker 6: the patient enters the data for you, creates an appointment.
- 20:36Speaker 6: It shows up on your portal. They show up, you
- 20:39Speaker 6: go into their encounter, or you can check out their chart.
- 20:41Speaker 6: You can see all of their medical history and.
- 20:43Speaker 4: Whatnot in the chart.
- 20:44Speaker 6: But you go into the encounter and your soap note
- 20:46Speaker 6: is already done for you, Like, there's zero typing there.
- 20:49Speaker 6: You have a soap note that you would be proud
- 20:51Speaker 6: to show an OBGUI. They would say, wow, like this
- 20:53Speaker 6: pharmacist really knows what they're doing, which is awesome. And
- 20:56Speaker 6: then when it comes time, you know you can make
- 20:58Speaker 6: edits very easily. When it comes to time to pick
- 21:00Speaker 6: a medication, we have three categories. We have something called
- 21:04Speaker 6: qualified that means you are allowed to prescribe this medication
- 21:07Speaker 6: for this patient based on the protocol. We have something
- 21:10Speaker 6: called insights, which takes a step further. Hey, you could
- 21:13Speaker 6: prescribe this one, but maybe, like maybe don't because they
- 21:16Speaker 6: used a similar one with an active pharmaceutical ingredient and
- 21:19Speaker 6: they had a bad response to it. They were vomiting
- 21:21Speaker 6: too much or whatever it may be. So you don't
- 21:24Speaker 6: have to memorize. Now all of the other contraceptives that
- 21:27Speaker 6: have the same pharmaceutical ingredients.
- 21:28Speaker 4: We will filter that out for you or vice versa.
- 21:31Speaker 6: They had a great experience, Okay, well why don't we
- 21:33Speaker 6: stick to similar you know, a similar one. Maybe that
- 21:35Speaker 6: one's off the market, but you know, maybe there's one
- 21:38Speaker 6: that replaced it. So we help you with that called insights.
- 21:42Speaker 6: And also we learned through our feasibility study that pharmacists
- 21:46Speaker 6: want to know why they shouldn't do something.
- 21:48Speaker 4: So in there we have real time educational feedback. Hey,
- 21:53Speaker 4: this patient has you know, migraine with aura.
- 21:56Speaker 6: They're not qualified for estrogen and you say, well, I
- 21:59Speaker 6: wanted to prescribe junel. Well you searched you now and
- 22:02Speaker 6: you hover over it and says you can't prescribe you
- 22:04Speaker 6: now because it has estrogen and the patient doesn't qualify
- 22:07Speaker 6: for that and it's against the protocol. Right, So that
- 22:10Speaker 6: decreases liability, increases confidence, right, increases patient safety, and you know,
- 22:18Speaker 6: it makes it a lot easier to get started. Like
- 22:20Speaker 6: you know, pharmacists know a lot and you know, with
- 22:23Speaker 6: a little bit of you know, clinical guardrails there, I mean,
- 22:26Speaker 6: they're really ready to go. I mean we're seeing it
- 22:28Speaker 6: in our current clinical trial. I can't discuss the results
- 22:30Speaker 6: yet because we're going to publish it. But I mean
- 22:32Speaker 6: they're crushing it, absolutely crushing it. And then once you
- 22:36Speaker 6: pick your med we're sure Scripts certified for electronic prescribing.
- 22:39Speaker 4: Did I say that right?
- 22:40Speaker 5: Ok?
- 22:40Speaker 4: For new prescription for new prescriptions. Sure Scripts has like
- 22:44Speaker 4: legal verbiage just to say exactly.
- 22:46Speaker 6: But you know, essentially this this integrates our system to
- 22:51Speaker 6: the existing workflows. You prescribe it electronically to yourself automatically,
- 22:55Speaker 6: it goes into your pharmacy management system, and you dispense
- 22:58Speaker 6: it like you normally would. There's no interruption in your
- 23:01Speaker 6: workflow there. It's just fully integrated.
- 23:04Speaker 5: And it reduces the data entry, right, You're not moving
- 23:06Speaker 5: between one system and then having to repeat it into
- 23:09Speaker 5: another system, which is where I would say ninety nine
- 23:12Speaker 5: point nine percent of the solutions are to date. Is
- 23:15Speaker 5: you're constantly filling it in one location and then okay,
- 23:19Speaker 5: let me also put it into my PMS. Okay, let
- 23:21Speaker 5: me scan this okay. And so yeah, the patchwork has
- 23:25Speaker 5: just we got.
- 23:26Speaker 4: Rid of it.
- 23:27Speaker 6: It's inefficient, right, like you asked earlier, Todd, actually you said, well,
- 23:31Speaker 6: they're already very busy.
- 23:32Speaker 4: Pharmacies are already very busy. Totally.
- 23:34Speaker 6: Absolutely, that's why we create a PRISM, not because we're
- 23:37Speaker 6: trying to add more to your plate, because we're trying
- 23:39Speaker 6: to make it efficient, so efficient that you can do
- 23:42Speaker 6: this without it causing disruptions.
- 23:47Speaker 3: Yeah, there's a common landscape that's happening to all of
- 23:51Speaker 3: our healthcare providers in different systems as well as shutting
- 23:55Speaker 3: down private hospitals and big business buying up more our
- 24:00Speaker 3: hospitals and putting this into insurance systems. And it's just
- 24:03Speaker 3: it's not good healthcare from a from a business scalable perspective.
- 24:07Speaker 3: It's crushing the private owners. So this is the tipping point. This,
- 24:12Speaker 3: this is the current landscape. Talk to us a little
- 24:14Speaker 3: bit about that and what this means for listeners as
- 24:17Speaker 3: well as pharmacist who are concerned with with fertility and
- 24:24Speaker 3: management of that and in contraception for their for their
- 24:28Speaker 3: patients and the ability to take advantage of a system
- 24:30Speaker 3: like PRISM.
- 24:32Speaker 4: Well, I think I'll take this one.
- 24:34Speaker 5: And the contraception now, I mean, everything you just stated
- 24:39Speaker 5: is extremely unfortunate. And with the loss of Title ten
- 24:43Speaker 5: funding and CMS reimbursement uncertainty right now, there's a lot
- 24:50Speaker 5: of women that are facing this reality of can I
- 24:55Speaker 5: even get my contraception at my normal location?
- 25:00Speaker 1: If not, where do I go?
- 25:02Speaker 4: How do I afford it?
- 25:03Speaker 5: And so planned parenthood, regardless of anybody's political beliefs or
- 25:08Speaker 5: opinions of planned parenthood, they issue over two million prescriptions
- 25:15Speaker 5: for contraception annually, and with many of these programs either
- 25:22Speaker 5: closing or no longer allowing for that funding to occur
- 25:27Speaker 5: for contraception or STI prevention testing or anything else. Realistically,
- 25:33Speaker 5: all of it, we're going to see a lot of
- 25:36Speaker 5: patient displacements. And this is where I look at it
- 25:40Speaker 5: and go, this is horribly unfortunate. But the pharmacists in
- 25:45Speaker 5: our local communities can really take up this role and opportunity,
- 25:51Speaker 5: just just like you know when COVID occurred and pharmacists
- 25:56Speaker 5: stepped up before.
- 25:57Speaker 4: I hate to say.
- 25:59Speaker 5: This is women's version of but we are about to
- 26:03Speaker 5: be on the precipice of two million women not obtaining
- 26:09Speaker 5: access to contraception affordably in the United States. So sixty
- 26:14Speaker 5: percent of the clinics and planned parenthoods are they're either
- 26:18Speaker 5: in the process of closing or may close, and they're
- 26:21Speaker 5: already in underserved areas. So that's a huge and unfortunate
- 26:26Speaker 5: stat that needs to be filled. And I think that
- 26:29Speaker 5: our local pharmacists can can really.
- 26:31Speaker 4: Take it on.
- 26:32Speaker 6: And you know, like the demand for contraception is stable,
- 26:36Speaker 6: right or increasing, it's not going down, but now the
- 26:40Speaker 6: access is going down dramatically unfortunately, and we're losing our
- 26:43Speaker 6: safety net. So just basic economics there, right, Like that
- 26:47Speaker 6: creates an opportunity. I hate to say it like that
- 26:49Speaker 6: because it's a tragedy, right, but you know someone has
- 26:52Speaker 6: to fill that gap, and it might as well be
- 26:54Speaker 6: a small business pharmacy that you know, stays in business
- 26:58Speaker 6: because they can do that, and then that creates additional
- 27:00Speaker 6: value to their community.
- 27:02Speaker 4: But you know, you got to think of like each
- 27:03Speaker 4: of these.
- 27:03Speaker 6: Closures, you know, she Mary mentioned a bunch of kind
- 27:07Speaker 6: of big numbers, right, and but let's think about it
- 27:09Speaker 6: from like the like each person's perspective. So you know,
- 27:13Speaker 6: you remove this critical access point, right that may be
- 27:16Speaker 6: the only one in the area for many people, right,
- 27:19Speaker 6: and now all of a sudden, you can't get contraception
- 27:21Speaker 6: STI testing, cancer screenings, well, that actually decreases, like that
- 27:24Speaker 6: makes outcomes worse.
- 27:25Speaker 4: So there's morbidity and mortality.
- 27:27Speaker 6: We know that in places with decreased access, you know,
- 27:31Speaker 6: maternal morbidity goes up and mortality, right, So like there's
- 27:34Speaker 6: a real light human life cost to this problem. The
- 27:39Speaker 6: other thing is, even if they don't close, right, a
- 27:41Speaker 6: lot of people are relying on publicly funded assistance. Right,
- 27:45Speaker 6: So the title ten that Mary mentioned, you know, medicaid.
- 27:48Speaker 6: If they lose Medicaid, so now they may have to
- 27:50Speaker 6: pay higher out of pocket rates. So even if the
- 27:53Speaker 6: safety net facility exists, they it becomes unaffordable to them
- 27:57Speaker 6: all of a sudden. So there's a lot of bars
- 28:00Speaker 6: that we've got to think about. We got to think
- 28:01Speaker 6: about like how far of travel? Right, what if your
- 28:04Speaker 6: single mom, you have two jobs. Well, probably the last
- 28:07Speaker 6: thing a single mom needs that doesn't want to have,
- 28:09Speaker 6: you know, have another child is an unintended pregnancy. That's
- 28:12Speaker 6: economically devastating, right, But how are they going to go
- 28:15Speaker 6: fifty miles when they have two jobs and a kid
- 28:18Speaker 6: to go get access to care? And you know we
- 28:21Speaker 6: didn't mention this earlier, but the average physician appointment in
- 28:24Speaker 6: metropolitan areas is thirty eight days out. So that's kind
- 28:29Speaker 6: of far. And that's that's it's been getting worse every
- 28:31Speaker 6: year over year every.
- 28:32Speaker 4: Time they do the survey.
- 28:34Speaker 6: And that's just metropolitan areas, So rural areas we already
- 28:36Speaker 6: know is significantly worse than that. And so it's going
- 28:40Speaker 6: to lead to delayed care, it's going to lead to
- 28:42Speaker 6: unintended pregnancy, cervical cancers that could have been prevented, maternal mobidity, immortality,
- 28:47Speaker 6: and you know, this can a lot of this can
- 28:49Speaker 6: be prevented through, you know, empowering pharmacists to step in
- 28:53Speaker 6: and do it in a profitable way that makes sense
- 28:55Speaker 6: for them. And then the other thing is like, okay,
- 28:58Speaker 6: well our patients to go to pharmacies for clinical services, right,
- 29:02Speaker 6: because there needs to be a customer base. Well, the
- 29:05Speaker 6: national surveys that have come out are fairly clear. Yes,
- 29:09Speaker 6: most patients said that they would go to a pharmacy
- 29:11Speaker 6: first for non emergent services, that they would actually prefer that,
- 29:14Speaker 6: and eighty one percent stated that they trusted pharmacists to
- 29:17Speaker 6: provide that care. And then in studies specifically about pharmacists
- 29:22Speaker 6: prescribed contraception, about two thirds intended to go to a
- 29:28Speaker 6: pharmacy to get a contraceptive service. So if they know
- 29:30Speaker 6: about it, they're super interested because it's more convenient. You know,
- 29:34Speaker 6: there's this trusted relationships that Mary mentioned. Some people don't
- 29:38Speaker 6: have a regular physician, walk ins are available, extended hours,
- 29:43Speaker 6: you know, et cetera. There's just so many things that
- 29:46Speaker 6: you know, the pharmacy infrastructure decreases.
- 29:48Speaker 5: Barriers for patients, and I think a lot of patients
- 29:50Speaker 5: actually want to see a provider, right, Like there's always
- 29:53Speaker 5: going to be a place for telehealth. There's always going
- 29:55Speaker 5: to be a place where that type of relationship makes sense,
- 29:59Speaker 5: but it doesn't always and I, you know, I would
- 30:03Speaker 5: have loved to go into a pharmacist to go.
- 30:07Speaker 4: Pick up a prescription.
- 30:08Speaker 5: And I even do outreach, like patient outreach for some
- 30:11Speaker 5: of our clinical trial participants. And when I'm calling patients
- 30:16Speaker 5: and when I'm talking to people like on their store,
- 30:18Speaker 5: like in the storefront, they're super excited to hear about
- 30:22Speaker 5: what we're doing. And some people are signing up because
- 30:25Speaker 5: they're like, I believe in this so much. I just
- 30:27Speaker 5: want to be on the cutting edge science of it.
- 30:28Speaker 5: Like it's really cute to see patients that are just
- 30:31Speaker 5: like I want to do this for women, Like we're
- 30:33Speaker 5: in it to win it at this point. So there's
- 30:38Speaker 5: so much enthusiasm also from the patients that you might
- 30:41Speaker 5: not have anticipated, and it's because they're actually feeling empowered
- 30:46Speaker 5: and they're actually starting to feel like they're finally getting
- 30:49Speaker 5: clinically served in their communities rather than going to the
- 30:52Speaker 5: back of the line and waiting forty days to talk
- 30:55Speaker 5: to somebody for three minutes. Right, Like, that's the that's
- 30:59Speaker 5: the freshtration of just you know, the patient population right now,
- 31:03Speaker 5: specifically with women's health and contraception.
- 31:06Speaker 6: The patient experience for in person healthcare is dismal, right, Like,
- 31:10Speaker 6: think about it. You know, we used to wait in
- 31:13Speaker 6: a lot of lines, right, and the lines have gone
- 31:14Speaker 6: away with technology for most things, even the bank.
- 31:16Speaker 4: Right, you used to have to go wait in the
- 31:18Speaker 4: line in the bank. Now you just go to the ATM.
- 31:19Speaker 6: You can do whatever you want from the ATM.
- 31:23Speaker 4: That has not translated to healthcare.
- 31:25Speaker 6: And telehealth came in and said, hey, like we'll make
- 31:28Speaker 6: it convenient, but they just lifted and shifted traditional health
- 31:32Speaker 6: care models, so the people who didn't have access still
- 31:33Speaker 6: didn't have access.
- 31:35Speaker 4: When you look at health telehealth as a.
- 31:39Speaker 6: Modality to increase access, what we find is that it
- 31:42Speaker 6: increases access for those who already have access, already insured,
- 31:45Speaker 6: so like that, Yeah, that's important.
- 31:47Speaker 4: It's nice to have choice. I think you know that's American.
- 31:50Speaker 5: Is like companism, right, convenience that it's finus.
- 31:54Speaker 4: You're the patient decide, right.
- 31:56Speaker 6: But a lot of these telehealth companies have kind of
- 31:58Speaker 6: gone the e commerce route. It it's really very it's
- 32:01Speaker 6: i would call it no longer medicine. So patients want
- 32:05Speaker 6: to see someone they trust. They don't want some doctor
- 32:07Speaker 6: behind the scenes that you don't even know their name
- 32:09Speaker 6: clicking a button to approve your prescription that was generated
- 32:12Speaker 6: by a computer, right, Like. They want to talk to somebody,
- 32:16Speaker 6: but there's not a really great way to do that
- 32:18Speaker 6: unless you want to spend a lot of money on
- 32:20Speaker 6: a concierge provider.
- 32:23Speaker 3: Yeah, there's another element to this, and that is that prism.
- 32:28Speaker 3: It's fundamentals, it's technology. It aligns with are pharmacists moving
- 32:33Speaker 3: towards national provider status and that provider status is available
- 32:39Speaker 3: in different states throughout the country, obviously like California, but
- 32:44Speaker 3: it's it's the thirty seven states that are that are saying, hey,
- 32:49Speaker 3: there's there's you are a provider, You're going to be
- 32:52Speaker 3: able to do things like prescribe, contraception and and other
- 32:56Speaker 3: things that you know, test to treat and and trap
- 33:00Speaker 3: and pep and tobacco sensation. That's wonderful and that's tied
- 33:04Speaker 3: into the evolution of this. But talk to us about
- 33:08Speaker 3: that alignment in what that means for the future of
- 33:11Speaker 3: healthcare and accessing healthcare.
- 33:16Speaker 5: Yeah, so the barrier isn't primarily the pharmacist scope anymore.
- 33:22Speaker 5: We're starting to see kind of the ball move a
- 33:25Speaker 5: little bit further, which is great, but there's a lag
- 33:31Speaker 5: on everything else. Right, We're starting to see pharmacists slowly
- 33:35Speaker 5: get to provide our status ever so slightly. But that
- 33:39Speaker 5: means there needs to be a digital infrastructure, reimbursement pathways.
- 33:45Speaker 5: The fact that you know, there's lack of workflow support.
- 33:49Speaker 4: They're expected to wear.
- 33:51Speaker 5: Every hat without any real technological help.
- 33:55Speaker 4: Still it's overwhelming.
- 33:58Speaker 5: So there needs to be solutions to repair these gaps.
- 34:03Speaker 5: And you know, the traditional pharmacy management systems, they're built
- 34:07Speaker 5: for dispensing and they're great, but it's not necessarily been
- 34:11Speaker 5: built for direct patient care, and so it still leads
- 34:16Speaker 5: to scanning and fecting and manual documentation and patchworking of
- 34:22Speaker 5: multiple systems kind of like what we talked about earlier. Yeah,
- 34:26Speaker 5: by the end of it, you're paying like five hundred
- 34:29Speaker 5: dollars to one thousand dollars a month. Franken, Yeah, Frankenstein
- 34:33Speaker 5: your systems in a way that's still hip a compliant
- 34:37Speaker 5: because you still have to follow all the compliance guidelines. Right.
- 34:40Speaker 5: So there's just there's so many obstacles still in the
- 34:45Speaker 5: path for pharmacists that even once full provider status is established,
- 34:51Speaker 5: there's still a number of things that can kind of
- 34:54Speaker 5: hinder And that's really what we're trying to make sure
- 34:57Speaker 5: that we alleviate there.
- 35:00Speaker 6: And I mean, you know, we look at you mentioned,
- 35:02Speaker 6: you know, the movement of provider status, and you know,
- 35:04Speaker 6: the ECAPS Act right now, bipartisan support has a pretty
- 35:09Speaker 6: good chance of passing, is.
- 35:10Speaker 4: What I'm being told.
- 35:12Speaker 6: You know that's so important, right, So, like that would
- 35:14Speaker 6: allow pharmacists to build medicare part beat for the first
- 35:18Speaker 6: time ever. And you think about, like what doors does
- 35:21Speaker 6: that unlock? Lots of doors? So I would almost say this,
- 35:26Speaker 6: you know, you want to be already providing services before
- 35:29Speaker 6: that gets past, right, because when it does, the floodgates
- 35:32Speaker 6: open and you have you have a running start.
- 35:35Speaker 3: Yeah, yep, all right, I want to go through some
- 35:39Speaker 3: of the functions for our listeners of this amazing platform.
- 35:43Speaker 3: It's a pharmacist specific electronic health record in workflow platform
- 35:49Speaker 3: to solve specific challenges kind of list. Maybe each of
- 35:53Speaker 3: you take take turns kind of going down through a
- 35:56Speaker 3: list that we've come up with to share with our listeners.
- 35:58Speaker 3: It's going to be in the show notes, by the way,
- 36:00Speaker 3: so that you can reach out to the team at
- 36:03Speaker 3: getprismarx dot com.
- 36:05Speaker 1: But take us through these Yeah.
- 36:07Speaker 4: So, I mean from like a theme perspective.
- 36:09Speaker 6: Now you have a digital doorway that you might not
- 36:13Speaker 6: you don't have you otherwise have that.
- 36:15Speaker 5: The patient portal, Right, I have a patient portal that
- 36:18Speaker 5: includes multi factor authentication and has all the security guidelines
- 36:21Speaker 5: that are absolutely required. It automatically posts all of the
- 36:26Speaker 5: medical information that you are required to provide to a patient.
- 36:30Speaker 4: Right.
- 36:30Speaker 5: So, a lot of the states say you have, particularly
- 36:35Speaker 5: with contraception, like you have to prove.
- 36:37Speaker 4: That you also you know, counseled or at.
- 36:41Speaker 5: Least provided information about IUDs as soon as you prescribe
- 36:45Speaker 5: a medication.
- 36:45Speaker 4: IUDs is right there.
- 36:47Speaker 5: It's in the patient it's in the patient education forms
- 36:49Speaker 5: and that's also available to the patient in the in
- 36:52Speaker 5: their patient portal, but it also posts to the pharmacist portal,
- 36:56Speaker 5: so they can prove for any audit checks that they've
- 37:00Speaker 5: done everything right. So there's this two headed approach of like, oh,
- 37:05Speaker 5: look at this nice thing patient portal, and we did
- 37:09Speaker 5: all the regulation behind it so you don't have to
- 37:10Speaker 5: worry about it, and like that's kind of the common themes.
- 37:13Speaker 4: That we've done.
- 37:13Speaker 6: Yeah, I mean you think about like, I don't know
- 37:15Speaker 6: any of the listeners if you've you know, started doing
- 37:19Speaker 6: contraceptive services already, but if you have, it's probably on
- 37:21Speaker 6: the paper forms that your board of Pharmacy requires, right,
- 37:24Speaker 6: and you can't do anything else with it. You have
- 37:27Speaker 6: to you know, scan it, fax it or what you know,
- 37:29Speaker 6: scan it into your system just for documentation repository or
- 37:31Speaker 6: file it in a cabinet or something and keep it
- 37:33Speaker 6: for seven years. Well, we've digitized all that, and some
- 37:37Speaker 6: states still want you to have that form, so we
- 37:40Speaker 6: re recreate it for you, right, Like there's we've thought
- 37:43Speaker 6: of everything from an audit perspective.
- 37:45Speaker 5: If a state requires that form to be complete, the
- 37:48Speaker 5: patient can interact on their pharmacy portal with a more.
- 37:53Speaker 5: It's the same questions, it's the same everything, but it's
- 37:55Speaker 5: a little bit friendlier viewpoint.
- 37:58Speaker 4: Right, it's dynamic, so.
- 38:03Speaker 5: That automatically prepopulates all of the information in that state form.
- 38:08Speaker 5: So the state form still shows up, it's still there.
- 38:11Speaker 4: It's you're still.
- 38:12Speaker 5: Following complete compliance, but the patient didn't have to sit
- 38:16Speaker 5: there and do.
- 38:17Speaker 4: A m form.
- 38:18Speaker 6: Yeah, and then on top of that, now you have
- 38:20Speaker 6: your soap note done. Right, Like that form is worthless
- 38:23Speaker 6: for communicating with other providers. I want to make that
- 38:25Speaker 6: extremely clear. If someone faxed me that form as a physician,
- 38:29Speaker 6: I'd be like, what.
- 38:29Speaker 4: The hell is this?
- 38:30Speaker 6: Right, So the soap note that we create for you
- 38:34Speaker 6: is like, that's real medical documentation, not just some check
- 38:37Speaker 6: boxy form. Like that's check boxy form. Is like, that's crazy. Right,
- 38:41Speaker 6: So now you have the soap note.
- 38:43Speaker 4: Now you have care coordination ability.
- 38:45Speaker 6: Right when you prescribe something, a lot of states say,
- 38:48Speaker 6: you know, you need to notify their primary care physician. Well,
- 38:50Speaker 6: we already collected that information and we automate for you
- 38:54Speaker 6: the notification form.
- 38:55Speaker 4: If an utitor says, did you notify.
- 38:57Speaker 6: Their primary care Yeah, look right here here's the form
- 38:59Speaker 6: that did right, So again we've thought of all of
- 39:02Speaker 6: those aspects.
- 39:03Speaker 4: We also allow for referrals.
- 39:05Speaker 6: I mean some people may come in and not be
- 39:06Speaker 6: a good candidate for what they want and maybe they
- 39:08Speaker 6: do need an IUD or a long acting reversible contraceptive.
- 39:11Speaker 4: We allow you to.
- 39:12Speaker 6: Have pre saved referral outlets so you can just click,
- 39:16Speaker 6: like you know, doctor Johnson down the street, and then
- 39:20Speaker 6: patient needs aud in the comment, and all of a sudden,
- 39:23Speaker 6: now you have like a referral document that you can
- 39:25Speaker 6: send to doctor Johnson so that he'll see your patient
- 39:27Speaker 6: and give her an IUD.
- 39:28Speaker 4: If she wants one.
- 39:29Speaker 6: So you know, we've kind of helped with all of
- 39:32Speaker 6: that care coordination aspect.
- 39:34Speaker 4: We're working on billing. We're going to have billing very shortly, which.
- 39:38Speaker 6: Is going to be helpful that that is a whole
- 39:40Speaker 6: another topic of conversation. I think anyone who's gotten into
- 39:44Speaker 6: services billing with insurance companies will know. But we're going
- 39:48Speaker 6: to have something that's very low barrier to entry with that.
- 39:54Speaker 6: You know, we mentioned the Church scripts e prescribing. I
- 39:57Speaker 6: mean that's huge because that integrates this work flow of
- 40:00Speaker 6: clinical services into your existing dispensing workflow. And then we
- 40:04Speaker 6: kind of touched already on the clinical decision support, but
- 40:07Speaker 6: making sure that you can't prescribe something that's going to
- 40:09Speaker 6: harm the patient or get you in trouble or get
- 40:11Speaker 6: your license revoked, right, and you know, helping you choose
- 40:16Speaker 6: from the hundreds of available options to try to narrow
- 40:19Speaker 6: them down to something that makes a lot of sense
- 40:21Speaker 6: for the patient.
- 40:22Speaker 5: When we were first starting this process, we actually did
- 40:26Speaker 5: a hypocompliance survey and reached out to nearly two thousand
- 40:30Speaker 5: different women who have been previously prescribed contraception, and one
- 40:35Speaker 5: of the qualifying questions was have you tried multiple forms
- 40:39Speaker 5: of contraception? Nearly thirty percent of those who had tried
- 40:43Speaker 5: multiple were on the same exact medication active pharmaceutical ingredients
- 40:50Speaker 5: with just a different name.
- 40:51Speaker 4: Yeah.
- 40:51Speaker 5: Right, So they were taking the same exact medication going
- 40:55Speaker 5: in saying, hey, this gave me a side effect of acne,
- 41:00Speaker 5: breakthrough bleeding or whatever. And then they were provided the
- 41:03Speaker 5: same exact medication with the same act of pharmaceutical ingredients,
- 41:09Speaker 5: but under a different name. And so patients are this
- 41:13Speaker 5: is happening to patients in real life?
- 41:16Speaker 1: Happened?
- 41:17Speaker 5: I've taken the same pill over and over again and
- 41:19Speaker 5: before I knew better, and I'm super annoyed. But to
- 41:22Speaker 5: know that it wasn't just happening to me and it's
- 41:24Speaker 5: been happening, Like the fact that it was nearly thirty
- 41:27Speaker 5: percent of all of the patients that we had even
- 41:30Speaker 5: done the survey to, I think that was that aha
- 41:34Speaker 5: moment where it was, Okay, we need to do something
- 41:38Speaker 5: with this clinical decision support to make sure because women
- 41:42Speaker 5: just think that they're not good with any birth control
- 41:44Speaker 5: right like, they'll try too and if you gave them
- 41:46Speaker 5: the same thing both times, they're just like, oh, I'm
- 41:50Speaker 5: not good with any birth control.
- 41:52Speaker 4: Yeah, I'm just not going to take it anymore.
- 41:54Speaker 5: And it's like, oh, you just slipped between the cracks
- 41:58Speaker 5: on a broken system and you tried the same exact
- 42:01Speaker 5: thing twice and expected different results, not knowing any better.
- 42:04Speaker 6: The truth is that no physician, no OBGN, zero percent
- 42:09Speaker 6: of obgyns. I feel very confident in this fact. Zero
- 42:12Speaker 6: percent of obgyns have every every contraceptive on the market
- 42:16Speaker 6: memorized by the brand name and know and can recite
- 42:19Speaker 6: what active pharmaceutical ingredients.
- 42:20Speaker 4: Are in there. If there's no BGI out there to
- 42:22Speaker 4: prove me wrong.
- 42:23Speaker 6: I would love to do it a live testing to
- 42:26Speaker 6: try to prove me wrong, but I can.
- 42:27Speaker 4: Guarantee you you're going to get something wrong. And the
- 42:30Speaker 4: truth is, machines are better at that.
- 42:31Speaker 6: Right, Like, it's a lot easier for us to just
- 42:33Speaker 6: put that into our database structure and help empower pharmacists
- 42:38Speaker 6: to avoid things that have been poorly tolerated in the past.
- 42:41Speaker 6: So this is a complex problem that machines are better
- 42:44Speaker 6: at solving than you.
- 42:48Speaker 3: Well, we're excited to be supporting PRISM. I'm excited to
- 42:52Speaker 3: be able to talk about more of this for you
- 42:55Speaker 3: to show up on this Week in Pharmacy, But we're
- 42:58Speaker 3: also going to be having Mary and Devin show up
- 43:02Speaker 3: on other podcasts throughout the network where this solution and
- 43:06Speaker 3: these systems fit into those subjects. And I'm going to
- 43:10Speaker 3: be reaching out to Daniel Plummer and Jenna Quinn and
- 43:14Speaker 3: Tom Tamara Aruguls and all these superstars that you should
- 43:17Speaker 3: definitely be tied in. I want you, as a pharmacist,
- 43:20Speaker 3: I want you as a pharmacy owner, to reach out
- 43:23Speaker 3: to this team, ask lots of questions, get a hold
- 43:26Speaker 3: of Mary or Devin, get a demo scheduled, go to
- 43:30Speaker 3: get prismarx dot com and you'll be hearing more. This
- 43:36Speaker 3: is part one of a three part series where we're
- 43:38Speaker 3: going to be concentrating on the future of our pharmacists
- 43:42Speaker 3: and the role of pharmacist expanding with Pharmacists Prescribed.
- 43:48Speaker 1: This is the Pharmacist Prescribed podcast series. Thank you both
- 43:52Speaker 1: for being here and for launching this.
- 43:54Speaker 5: Thank you so much. Thank you to be back at
- 44:11Speaker 5: the