Watch the video below to learn how to turn clinical work into action by leveraging your pharmacy data and our powerful clinical engine to drive targeted interventions through:
- Pharmacy Tasks: Identifies high-value clinical opportunities and sends them to your queue, helping staff act quickly to improve outcomes and performance.
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Tasks identified include:
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Needs Refill – Flags Star measure patients (Diabetes, Cholesterol, Hypertension) who are overdue for a refill of their medication (1–30 days past due, with a 180-day lookback).
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Adherence – Needs 100- or 90-Day Fill – Identifies patients whose last fill was 29–83 days ago within the past 120 days, supporting improved adherence and Star ratings.
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Adherence – Needs Check-In – Highlights patients with a Proportion of Days Covered (PDC) between 70–80% (rolling year or YTD), so staff can intervene before they fall below adherence thresholds.
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Statin Therapy (Diabetes) – Identifies diabetic patients with two diabetes medication fills in the last 180 days but no statin therapy, ensuring alignment with clinical guidelines.
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- Active Patients Page: Provides a clear view of your pharmacy’s performance against CMS Star Ratings, with interactive rings and filters to drill down by patients, demographics, medications, and plans.
- Adherence Trend Graphs: Displays patient progress toward specific Star measures, such as hypertension. They show how medications (e.g., lisinopril) contribute to adherence, track current PDC percentages, and project future fills to estimate whether patients are on track to reach the 80% adherence goal by year-end.
- Medicare Plan Finder tool: Empowers pharmacies to evaluate patients’ Medicare options by comparing plans tailored to their current medications, allowing in-pharmacy review or a seamless transition to Health Pilot for convenient online enrollment.