REFILLWIZARD

Jonathan Baran, Chief Executive Officer

Dr. Lyle Berkowitz, Chief Medical Officer

Ash Gupta, Chief Technology Officer

presents

½of 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 REQUEST

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

Each request takes about 2 minutes of doctor time.

30 MINUTES DAILY

DOCTOR

RENEWAL REQUEST

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However, this does not mean that quality is maintained.

~ 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.

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Some organizations use protocols to take the

majority of the 15 refill requests off the

doctor’s plate.

But then the work falls on the staff.

STAFF

45 MINUTES DAILY

RENEWAL REQUEST

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DOCTOR

8 MINUTES DAILY

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Each request takes about 4 minutes of staff time.

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

renewal requests

so the doctors and staff would not have to.

REFILLWIZARD

RENEWAL REQUEST

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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.TEAMS ANALYTICS SETTINGS SIGN OFFPROTOCOLS

REFILLWIZARD

PROTOCOLS Add/Remove ProtocolsAdd/Remove Protocols

Filter By:

All ProtocolsAll Protocols DelegatedDelegated Non-DelegatedNon-Delegated

Endocrinology

Cardiovascular

PROTOCOLS OFFICE VISIT CHECKS

Vitamins 12 monthsEvery

New Med Check Edit

Thyroid Agents 6 monthsEvery

TSHNew Med Check Edit

Minerals 6 monthsEvery

New Med Check Edit

Insulins 6 monthsEvery

New Med CheckHBA1C Edit

Diabetes-Related 6 monthsEvery

New Med CheckHBA1CCrALT AST Edit

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 LogoffTask List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks

Kirk, JamesSelect Patient

FYI

Select

Sex: MAge: 65 YearsDOB: 09/27/1946

MRN: 084617946018907SSN: 000-00-0000PCP: Medici,James

H Phone: (555)555-5555Directives:Security: No Restricted Data

Allergies: UnknownFYI:Note:

Go To... In Progress Done

Make Pt Current Undelegate

New... Reply... Reassign... Remove... Copy To Note

Details... Original... Print List... Print Task...

Glyburide 5 MG Oral Tablet - 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 thelast refill authorized by the protocol.- LAST VISIT: 07/06/2012- HBA1C: 5% on 07/06/2012

Comments:

Glyburide 5 MG Oral Tablet; TAKE ONCE DAILY.; DS: 30 QTY: 30 R:5

Task About:

View: My Active Tasks View Desc... Show: 25 Last Updated:

Total Active Tasks: 5

01/22/2013 10:41 AM

Personalize

P D Patient Assigned To Created By Created On Status ID Due MRN

Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:27 Active 7209 024613046506207Rx Renew Request

Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:29 Active 7210 024613046506207Rx Renew Request

Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:32 Active 7212 135217300915517Rx Renew Request

Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:38 Active 7212 135217300915517Rx Renew Request

Rx Renew Request Kirk,James Med Renewal Team RefillWizard 01/22/2013 10:41 Active 7213 084617946018907

Task List

Clinical TrialSchedulePatientChartTasksPatient ListsChargesOrder MgmtMeds MgmtSiteUser OptionsNote AdminRepotsReport Admin

Tasks

RefillWizard even pre-populates the renewal task, so all the staff member needs to do is sign-off on

the request.Phone: (555) 555-5555Pharmacy: Community Pharmacy Details

Patient Info in Request:

Name: Kirk, JamesDOB: 27 Sep 1946Address: 15016 Brooks Spring Lake WI 53000

Name: Kirk, JamesDOB: 27 Sep 1946Address: 15016 Brooks Spring Lake WI 53000MRN: 084617946018907

Patient Info in EHR

Rx Info from Pharmacy:

Drug: Glyburide 5 MG Oral TabletWritten: 24 Jul 2012RX Id: 00074194912

SIG: TAKE ONCE DAILY.

By: Dr. James MediciQty: 30 DAW: NDays Supply: 30 Refills: 5Last Fill: 12/23/2012

Drug Name in EHR Glyburide 5 MG Oral Tablet

Full textNo Considerations and DisclosuresConsiderations and

Disclosures:

Add/Link Problems

Rx Info in Response:

Drug: Glyburide 5 MG Oral Tablet

Days Supply:

Refills:

SIG:

(102 Chars)

Ordered By:

Supervised By:

Message to

Pharmacy:

(70 Chars)

Quantity:

Total Fills: DAW

Managed By:

Authorization: Not Required

None

TAKE ONCE DAILY.

30

5 0

30

Medici,JamesSmith,Susan

Active Medications

Glyburide 5 MG OralTablet

Active Allergies

GrantGrant Refuse Cancel

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

Sulu, HikaruSelect Patient

FYI

Select

Sex: MAge: 65 YearsDOB: 03/18/1946

MRN: 135217300915517SSN: 000-00-0000PCP: Medici,James

H Phone: (555)555-5555Directives:Security: No Restricted Data

Allergies: UnknownFYI:Note:

Go To... In Progress Done

Make Pt Current Undelegate

New... Reply... Reassign... Remove... Copy To Note

Details... Original... Print List... Print Task...

Morphine Sulfate 15 MG Oral Tablet - 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

Comments:

Morphine Sulfate 15 MG Oral Tablet; TAKE 2 TABLET EVERY 12 HOURS

Task About:

View: My Active Tasks View Desc... Show: 25 Last Updated:

Total Active Tasks: 1

01/22/2013 08:22 AM

Personalize

P D Patient Assigned To Created By Created On Status ID Due MRNRx Renew Request Sulu,Hikaru Medici,James RefillWizard 01/22/2013 08:22 Active 7214 135217300915517

Task List

Clinical TrialSchedulePatientChartTasksPatient ListsChargesOrder MgmtMeds MgmtSiteUser OptionsNote AdminRepotsReport Admin

Tasks

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.

• GetTaskList• GetTask• GetProviders• SaveTask

• SaveTaskStatus• GetPatientActivity• GetChartSections• GetClinicalSummary

• SaveRx• GetDelegates• GetEncounterList

RefillWizard uses the following Allscripts web service calls:

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 IS CODE COMPLETE AND IN A TESTED, APPROVED STATE.

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:

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

Allscripts App Store

Allscripts Sales Force

Allscripts ACE

Direct Sales

Allscripts Regional UGMs

This solution should be selected because...

• The primary care shortage is continuing to grow and thus more efficient use of doctor time will continue to be top-of-mind for everyone.

• Easily automated, routine work, such as prescription renewals, are a problem that EVERY organization faces.

• REFILLWIZARD solves the prescription renewal problem in a way that fits within the workflow, and requires minimal training/implementation.

• The spreading of "Doctor Happiness" tools such as REFILLWIZARD will help ensure better adoption and use of Allscripts’ electronic health records.

• healthfinch's underlying concept of “team-based clinical decision support” will resonate and evolve further as organizations continue to address value-based care and chronic disease management.