Clinical (EHR) Release Notes May 24, 2018

1. Search for and open the patient's chart.
2. Click Account > Rx Eligibility.
   1. The plan name of the medication coverage.
   2. Pharmacy Benefit Manager (PMB) administers the prescription program for the plan.
   3. The Rx plan number associated to the name.
   4. The date of the last eligibility check.
   5. The Pharmacy Coverage displays what is covered under the plan. It will display Covered, Not Covered, or N/A based on the information provided by the PMB.
   6. Error messages will display if there is a discrepancy in the patient information.

Note: Retail, Mail Order, Specialty, and Long Term Care are different pharmacy types.

1. Search for and open the patient's chart.
2. Click Medications > + Prescription. The Prescribe Medication window will open.
3. Populate the Drug, Quantity and Pharmacy field.
   1. The system will verify if the drug is Non-Formulary, On-Formulary/Non-Preferred, On-Formulary/Preferred, Unknown Formulary (no coverage was found or the drug could not be found in the formulary database), or Non-reimbursable (no coverage).
   2. When available, the Coverage Factors will display any Quantity Limits, Age Limits, Gender Limits, General Information, Prior Authorization, and Step Therapy.
   3. Click on the drop-down to select a plan when multiple are available.
   4. Alternative medications that can be prescribed. Clicking on the alternative drug name will automatically update the prescribed medication. The list is sorted by highest coverage to least within the same therapeutic treatment family.
   5. The patient cost section will display the copay amount based on the Rx plan. If the exact cost is not displayed, the patient will need to check their plan information for more information.
   6. The patient cost section will display the copay amount based on the Rx plan. If the exact cost is not displayed, the patient will need to check their plan information for more information.

Add a Not Administered medication without details:

1. Search for and open the patient's chart.
2. Click Medications.
3. Click +Med List. The Add to Med List window opens.
4. Select the Not Administered status.
5. Add the Drug name.
6. Click Save & Close.

For Quality Measures, a specific reason is required as to why the medication is under Not Administered.

Add a Not Administered medication with details:

1. Click +Med List. The Add to Med List window opens.
2. Select the Not Administered status.
3. Add the Drug name.
4. Click Add more details....
5. Select a Reason for non administration.
6. Click Save & Close.
7. The medication will now be under the Not Administered tab with a comment icon.
8. Hover over the icon to view the comment.
    

1. Search for and open the patient's chart
2. Click Medications.
3. Click +Prescription. The Prescribe Medication window will open.
4. Enter an ICD-10 code into the Reason for Rx or click Browse for more options.
5. If applicable, click Add Another Reason to enter a second diagnosis.
   1. Enter an ICD-10 code into the Reason for Rx or click Browse for more options.
6. Click Preview and Send or Print Rx once the necessary fields have been populated.

Note: If a new diagnosis is selected, it will not be added to the patient's problem list.

1. Search for and open the patient's chart.
2. Click Medications. The Active Medication page displays.
3. Scroll down to the Med History via Surescripts section.
4. Select Yes > Save. The medication history will pull from Surescripts.

5. The medication will populate on the screen with the following:
   1. The filled drug name, strength and when it was last filled.
   2. Copy to Active Meds will add the selected drug(s) to the Active Medication list or Copy to Discontinued Meds will add the selected drug(s) to the Discontinued Medication list.

6. Check the checkbox next to the drug to select.
7. Click Copy to Active Meds or Copy to Discontinued Meds.
8. The medication will be added to the list showing the filled drug name, strength, when it was last filled, available refills, and prescriber with the source as Surescript.

1. Hover over the Clinical Icon.
2. Click eRx Requests. The eRx Request page displays.
3. Click Fill Responses.
   1. The status of the fill response will be shown as New or Closed.
   2. The Fill Status will show as Filled, Partially Filled or Not Filled.
   3. Click Mark as reviewed to close all New task.

The fill status will also show in the patient's medication list.

1. Hover over the Clinical Icon.
2. Click eRx Requests. The eRx Request page displays.
3. Click Change Requests.
4. Click on the Change Request to view the details.
   1. The status of the change request will be shown as NEW or CLOSED.
   2. The patient's name and date of birth associated to the prescription.
   3. The original drug prescribed, pharmacy information, and the prescriber.
   4. The requested medication(s) change from the pharmacy including the change type.
   5. Options to process the change request.
5. Click Submit to complete the change request.

Note: If a new medication is approved, the previously prescribed medication will be marked as discontinued.

Send the cancel request:

1. Search for and open the patient's chart.
2. Click Medications. The Active Medication page displays.
3. Click on the medication that needs to be canceled. The ePrescription window opens.
4. Click the drop-down arrow next to Discontinue > click Send Cancel Request. The Send Cancellation Request? window opens.
5. Click Yes.

A Cancellation Pending banner will show in the patient's medication list. The provider can click on the banner to go directly to the Cancel Rx task.

View a cancel request:

1. Hover over the Clinical Icon.
2. Click eRx Requests. The eRx Request page displays.
3. Click Cancel Requests.
   1. The status of the change request will be shown as NEW, PENDING, or CLOSED.
   2. Detailed status information will show as Approved by Pharmacy, Awaiting Response from Pharmacy, Denied by Pharmacy, No Response from Pharmacy, or blank.
      1. If the status is NEW, the details can be: Approved by Pharmacy, Denied by Pharmacy, or No Response from Pharmacy.
      2. If the status is PENDING, the details will be Awaiting Response from Pharmacy.
      3. If the status is CLOSED, the details will be blank.

Closing a cancellation request:

1. Click on a request with a NEW status.
2. Select what to do with the medication.
3. Click Submit.

To add the bonus:

1. Hover over the Clinical Icon.
2. Click MIPS 2018 Advancing Care Dashboard.
3. Select Yes under Met Requirements for Used 2015 Edition Certified EHR