Allscripts App Challenge Presentation

presents

REFILLWIZARD

Jonathan Baran, Chief Executive Officer
Dr. Lyle Berkowitz, Chief Medical Officer
Ash Gupta, Chief Technology Officer

½
of primary care providers are burnt out due
to work outside the patient visit.

We automate and delegate that work.

A perfect example of this work is

THE PRESCRIPTION RENEWAL REQUEST

which is a crucial task in the management
of high-cost chronic diseases.

On average, each doctor will receive 15 reﬁll
requests per day from patients and
pharmacies.

RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL
REQUEST REQUEST REQUEST REQUEST REQUEST



Some organizations place all these requests
on the doctor’s plate.

DOCTOR




30 MINUTES DAILY

Each request takes about 2 minutes of doctor time.

However, this does not mean that quality is maintained.

DC’ED MED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED
MED MED MED MED MED MED MED

DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED
MED MED MED MED MED MED MED MED




~ 1 of every 50 discontinued medications is ultimately mistakenly
refilled by the doctor. This is only 1 of the 5 quality checks that need
to performed to refill a medication.

Adrienne S. Allen, Thomas D. Sequist; Pharmacy Dispensing of Electronically Discontinued Medications. Annals of Internal Medicine. 2012 Nov;157(10):700-705.

Some organizations use But then the work falls on
protocols to take the the staff.
majority of the Each request takes about 4
15 refill requests off the minutes of staff time.
doctor’s plate.
DOCTOR STAFF

RENEWAL RENEWAL RENEWAL RENEWAL
RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST
REQUEST REQUEST REQUEST

RENEWAL
8 MINUTES DAILY RENEWAL
REQUEST
RENEWAL
REQUEST
RENEWAL
REQUEST REQUEST

RENEWAL RENEWAL RENEWAL RENEWAL
REQUEST REQUEST REQUEST REQUEST

45 MINUTES DAILY

Instead, to maintain quality and eﬃciency we
built REFILLWIZARD to automatically process
renewal requests
REFILLWIZARD




so the doctors and staff would not have to.

To safely delegate renewal requests, an organization needs
to use physician approved protocols. REFILLWIZARD provides
a cloud-based system to allow doctors to view, create and
modify their protocols online.
PROTOCOLS TEAMS ANALYTICS SETTINGS SIGN OFF
REFILLWIZARD

PROTOCOLS Add/Remove Protocols

Filter By:

All Protocols Delegated Non-Delegated

Cardiovascular

Endocrinology

PROTOCOLS OFFICE VISIT CHECKS

Every
Diabetes-Related ALT AST Cr HBA1C New Med Check Edit
6 months

Every
Insulins HBA1C New Med Check Edit
6 months

Every
Minerals New Med Check Edit
6 months

Every
Thyroid Agents New Med Check TSH Edit
6 months

Every
Vitamins New Med Check Edit
12 months

Gastroenterology

After deciding on protocols, when a renewal is received in
Allscripts, it is automatically processed by the protocol engine.
Based on the result, it will be sent to the task list of the
appropriate staﬀ member with instructions on how to act.
Nurse Hide VTB Tools Help Lock Logoff
Tasks Task List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks

Sex: M MRN: 084617946018907 H Phone: (555)555-5555 Allergies: Unknown
Clinical Trial
Schedule
Kirk, James Age: 65 Years SSN: 000-00-0000 Directives: FYI: FYI
DOB: 09/27/1946 PCP: Medici,James Security: No Restricted Data Note: Select
Patient Select Patient
Chart
Tasks
Task List Personalize

Patient Lists
Total Active Tasks: 5
Charges View: My Active Tasks View Desc... Show: 25 Last Updated: 01/22/2013 10:41 AM
Order Mgmt
Meds Mgmt P D Patient Assigned To Created By Created On Status ID Due MRN
Site Rx Renew Request Kirk,James Med Renewal Team RefillWizard 01/22/2013 10:41 Active 7213 084617946018907
User Options
Rx Renew Request Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:38 Active 7212 135217300915517
Note Admin
Repots Rx Renew Request Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:32 Active 7212 135217300915517
Report Admin Rx Renew Request Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:29 Active 7210 024613046506207
Rx Renew Request Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:27 Active 7209 024613046506207

Comments: Task About:
Glyburide 5 MG Oral Tablet Glyburide 5 MG Oral Tablet; TAKE ONCE DAILY.; DS: 30 QTY: 30 R:5
- REFILL: 1 month
- SCHEDULE VISIT BY: 02/21/2013
- TEST HBA1C BY: 02/21/2013
--------------
- PROTOCOL: Diabetes-related
- RATIONALE: This refill should last until patient is due for an office visit. This will be the
last refill authorized by the protocol.
- LAST VISIT: 07/06/2012
- HBA1C: 5% on 07/06/2012

Go To... In Progress Done New... Reply... Reassign... Remove... Copy To Note

Make Pt Current Undelegate Details... Original... Print List... Print Task...

RefillWizard even pre-populates the renewal task, so
all the staff member needs to do is sign-off on
the request.
Pharmacy: Community Pharmacy Phone: (555) 555-5555 Details

Patient Info in Request: Patient Info in EHR
Active Medications
Name: Kirk, James Name: Kirk, James Glyburide 5 MG Oral
DOB: 27 Sep 1946 DOB: 27 Sep 1946 Tablet
Address: 15016 Brooks Address: 15016 Brooks
Spring Lake WI 53000 Spring Lake WI 53000
MRN: 084617946018907
Rx Info from Pharmacy: By: Dr. James Medici
Drug: Glyburide 5 MG Oral Tablet Qty: 30 DAW: N
Written: 24 Jul 2012 Days Supply: 30 Refills: 5
RX Id: 00074194912 Last Fill: 12/23/2012
SIG: TAKE ONCE DAILY.

Drug Name in EHR Glyburide 5 MG Oral Tablet

Considerations and No Considerations and Disclosures Full text
Disclosures:
Active Allergies
Rx Info in Response:
Drug: Glyburide 5 MG Oral Tablet
Days Supply: 30 Quantity: 30
Refills: 5 Total Fills: 0 DAW
SIG: TAKE ONCE DAILY.
(102 Chars)

Ordered By: Smith,Susan Managed By: Medici,James

Supervised By: Authorization: Not Required

Message to
Pharmacy:
(70 Chars)
Add/Link Problems None

Grant Refuse Cancel

In the case that the renewal request fails its protocol
review, it will be delivered to the provider with all the
information they need to make a decision.

Provider Hide VTB Tools Help Lock Logoff
Tasks Task List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks

Sex: M MRN: 135217300915517 H Phone: (555)555-5555 Allergies: Unknown
Clinical Trial
Schedule
Sulu, Hikaru Age: 65 Years SSN: 000-00-0000 Directives: FYI: FYI
DOB: 03/18/1946 PCP: Medici,James Security: No Restricted Data Note: Select
Patient Select Patient
Chart
Tasks
Task List Personalize

Patient Lists
Total Active Tasks: 1
Charges View: My Active Tasks View Desc... Show: 25 Last Updated: 01/22/2013 08:22 AM
Order Mgmt
Meds Mgmt P D Patient Assigned To Created By Created On Status ID Due MRN
Site Rx Renew Request Sulu,Hikaru Medici,James RefillWizard 01/22/2013 08:22 Active 7214 135217300915517
User Options
Note Admin
Repots
Report Admin

Comments: Task About:
Morphine Sulfate 15 MG Oral Tablet Morphine Sulfate 15 MG Oral Tablet; TAKE 2 TABLET EVERY 12 HOURS
- REFILL: Provider Review
- REASON: Medication is a controlled substance (Schedule II).
--------------
- PROTOCOL: Opioid agonists
- LAST VISIT: 10/23/2012
- ALT: 45.0 IU/dL on 10/23/2012
- AST: 32.0 IU/dL on 10/23/2012

Go To... In Progress Done New... Reply... Reassign... Remove... Copy To Note

Make Pt Current Undelegate Details... Original... Print List... Print Task...

REFILLWIZARD IS CODE COMPLETE AND IN A TESTED, APPROVED STATE.

RefillWizard incorporates the following integration touch points:
1. Routing of refill request based on protocol

2. Insertion of refill documentation in comment field

3. Pre-population of refill task based on protocol

RefillWizard uses the following Allscripts web service calls:
• GetTaskList • SaveTaskStatus • SaveRx
• GetTask • GetPatientActivity • GetDelegates
• GetProviders • GetChartSections • GetEncounterList
• SaveTask • GetClinicalSummary

RefillWizard addresses the following category:
✓Applications that improve management of high cost chronic diseases.
✓Innovative approaches to addressing value-based care imperatives.
✓Both

We sell to Allscripts Enterprise customers through
the following channels:

Allscripts ACE Allscripts App Store

Allscripts Regional UGMs Allscripts Sales Force

Direct Sales

Our price point of $600/doctor/year ensures a strong
ROI no matter the current workflow.

This solution should be selected because...

• The primary care shortage is • The spreading of "Doctor
continuing to grow and thus Happiness" tools such as
more efficient use of doctor time REFILLWIZARD will help ensure
will continue to be top-of-mind better adoption and use of
for everyone. Allscripts’ electronic health
records.
• Easily automated, routine work,
such as prescription renewals, • healthfinch's underlying concept
are a problem that EVERY of “team-based clinical decision
organization faces. support” will resonate and evolve
further as organizations continue
to address value-based care and
• REFILLWIZARD solves the
chronic disease management.
prescription renewal problem in
a way that fits within the
workflow, and requires minimal
training/implementation.

Allscripts App Challenge Presentation

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Allscripts App Challenge Presentation