Pharmacy Home

Medication reconciliation improves safety, quality

Pharmacy Home

The Pharmacy Home Web Application was created to support CCNC pharmacy management initiatives and address the need for aggregating information on medication use to the primary care provider, network pharmacist, and care manager in a manner best suiting their care delivery needs.  To accomplish this charge, extracts of pharmacy claims history and real time connections to Pharmacy Benefit Managers and Retail Pharmacies are loaded into the application database. Prepared data are available to view patient prescription history or user-generated population-level reporting, such as adherence calculations, gaps in therapy (days elapsed since the most recently dispensed pill supply would have expired), and other clinical care alerts (e.g., indicator of beta agonist overuse, which may indicate poor asthma control).  From the application database, the system was set up to provide a patient level profile and medication history for point-of-care activities, as well as a population-based reports system to identify patients that may benefit from pharmaceutical care delivery via pharmacists, case managers and PCPs in the medical home.

ONC Challenge Grant

CCNC will benefit from a Challenge Grant from the Office of the National Coordinator for Information Technology to build on CCNC’s existing “Pharmacy Home” application, a model web-based medication management application currently in use with 1.2 million CCNC Medical Home Medicaid enrollees. Under this grant, the North Carolina Health Information Exchange (NCHIE) will charge CCNC with enhancing the existing “Pharmacy Home” application to connect it to the NCHIE as a value added service to encompass all payers and providers. By project completion, the NCHIE will be the primary inbound source of the disparate medication lists from multiple settings and systems to the application, as well as the conduit for outbound communication with NCHIE participants, including a provider’s own electronic record system. The Pharmacy Home will then act as a node on the NCHIE to provide a “common view” of all available medication lists.  This enhanced set of aggregated information will promote medication reconciliation efforts and also enable more valid decision support.

Pharmacy Home in Action

Screen shot of the actual Pharmacy Home tool