“Because lab values, vitals, medications, therapy problems, and interventions can all be embedded in each eCare Plan, that solves a growing need for quality reporting,” said Sam Anderegg, PharmD, MS. Anderegg is CEO of clinical management system DocStation, another early PeCP supporter. “Information about what’s going on with the patient and my role in achieving those outcomes is a huge value for me or any provider,” he said.
Anderegg sees a long-term benefit in clinical documentation and quality reporting via PeCP. He’s less confident about PeCP as a billing vehicle.
“We are...in a situation where pharmacies bring their own way of doing things that deviate from the industry standard,” Anderegg cautioned.“That might create problems in the long term.”
DocStation and CPESN see the PeCP as a temporary solution until system vendors roll out modules to give pharmacies direct access to medical billing resources. The ideal is a pharmacy system that documents both dispensing and clinical workflows, automatically generates the appropriate Universal Claim Form for pharmacy benefits or X12 for medical benefits, updates other providers on patient status, and accepts updates from other providers.
That system doesn’t exist—yet—but it’s coming. Spiro reported that the latest version of PeCP based on Fast Healthcare Interoperability Resources standard successfully transmitted clin- ical information to an Epic electronic medical record.
“We have dispensing systems [and] and medical systems that are evolving their technologies,” said Hannah Fish, PharmD, director of strategic initiatives for the National Community Pharmacists Association.“It’s all about how they work together. We have to collectively ask vendors for those services and systems and insist that they be interoperable.”