Information Community Pharmacists Need to Help Patients Dr. Chrisita Ackermann Pharmacy Manager Kroger Bay City, Michigan June 8, 2017

Introduction June 8, 2017

Opportunity to Improve with Information Hospitals & Community Pharmacies & Nursing Homes Too! Common Need Real Barrier Opportunity to Improve with Information Pharmacists Must Communicate With Hospital Prescribers Lack of Information on Hospital Prescriptions Develop and Use an Active State-wide Prescription-Clinical Registry Decrease Readmissions Pharmacist is Unaware of Hospital Discharges Notify Pharmacists of Discharges Follow-up Post-discharge No Prioritization of Follow-up Needs Provide Patient-specific Risk/Benefit Analysis Reports June 8, 2017

Information Shared Among Community Pharmacies 1 2 Common Need Real Barrier Opportunity to Improve with Information Accurate Medication Lists! Pharmacy “Hopping” Consult an Active State-wide Prescription-Clinical Registry Make Rx Transfers More Efficient Lack of System Interoperability Partially Automate the Rx Transfer Process June 8, 2017

Opportunity to Improve with Information Doctor’s Offices, Walk-in Clinics & Community Pharmacies Common Need Real Barrier Opportunity to Improve with Information Accurate Med Lists! Problems with Accuracy with Electronic Prescriptions Check Prescriptions Using an Active State-wide Prescription-Clinical Registry Prior Authorizations Process is Opaque Automatically Update Status on Prior Authorizations Address Medication Therapy Gaps Fax and No Response Share Clinical Notes about Current Medication Therapies June 8, 2017

Opportunity to Improve with Information Insurers & Community Pharmacies Common Need Real Barrier Opportunity to Improve with Information Accurate Med Lists! Paying for Prescriptions With Cash (e.g., statins being sold for less than copays!) Develop and Use an Active State-wide Prescription-Clinical Registry June 8, 2017

Conclusion June 8, 2017