QHR Product Ideas

I am not sure what regulations are like in other provinces, but in SK when one writes a prescription it automatically cancels out any previous prescriptions on file at the pharmacy. This seems to not be a pharmacy specific problem, but all pharmacies.

The problem this creates is that this interferes with the Accuro "calculation of left over refills".

Lets say I prescribe 6 months of Atenolol in January. If I were to try prescribing it again in February I get a pop up that says this patient has 153 days of medication left. So I would abort and this would be a good thing right? Sure in a perfect world. Lets say my patient goes to the ER and the ER doctor prescribes Atenolol in February. His prescription negates mine at the community pharmacy, and while I think and the Accuro program thinks he has refills left from my original Rx, the patient comes in and informs me that he has no refills left.

I check with the community pharmacy, who tells me my refills were over-ridden by the ER doctors Rx. So I now go to re-write a 6 month prescription in March, and Accuro tells me that the patient has 93 days left on the original prescription. Do I want my prescription start date to be September? It has calculated my current 6 months and added it to the existing Rx in the EMR. In order for me to correct this, I now have to go back and cancel my original Rx. This now looks like I never prescribed Atenolol at all in January. If I just override the start date, and this happens again say, after a discharge from an in-patient stay, I end up with Accuro thinking I have months and months of refills left each time I add a new Rx.

Have I made sense here? Our problem is the province has started Medical reconciliation as part of LEAN, and so every patient in the ER or in the Ward, has to have a Med Rec completed at discharge. This overrides existing Rxs in Accuro at the community pharmacy level. This is screwing up the auto-calculation program for refills in Accuro. Something outside of Accuro is causing the concern, yet Accuro needs a way to restart a calculation, delete "left overs" or some other means to reset. The other day I had a patient who has enough refills to 2016!!! because of all the "re-prescribing"