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How Clinical+ Helps Pharmacies Improve Outcomes Without Adding Extra Work

Pharmacists' to-do lists aren’t getting shorter. Especially in community pharmacies where pharmacists are often the most accessible healthcare professional—providing patient care and education every day requires time, energy, and resources, often with minimal to no reimbursement.

As a pharmacy technology provider, RedSail recently launched a free tool for our retail pharmacy management system (PMS) users—PioneerRx, BestRx, and QS/1—to support pharmacists in identifying potential gaps in patient education, adherence, and affordability.

Enter Clinical+.

This isn’t a new feature, but an upgraded version of Care Goals previously found exclusively in PioneerRx. But through combining customer feedback and development resources, we created Clinical+, with a full back-end control panel for our PMS users.

As Nicole Pezzino, PharmD, Director of Clinical and Technical Services, describes it, “Clinical+ is designed to support the work pharmacists are already doing, by identifying the right patients at the right time, sharing resources that complement existing care, and creating opportunities for revenue.”

What is Clinical+?

Think of Clinical+ as a pharmacist’s automated assistant. As a pharmacy staff member moves through their PMS workflow, Clinical+ reviews data and flags potential untapped patient engagement opportunities and when appropriate, triggers prompts or delivers relevant resources to patients at the right time.

How It Works

Pharmacies can access Clinical+ settings through its portal, where all programs and their specific triggers are stored. Each program has a specific, targeted goal relevant to patient education, adherence, or affordability. Utilizing the patient data stored within the PMS, Clinical+ launches campaigns based on the campaign’s relevant data. And yes, this is all optional—each pharmacy can turn triggers on or off at any time.

When to Use Clinical+

Use Case #1

A pharmacist is at their check station, verifying prescriptions. While verifying for medication A, the pharmacist gets prompted that the patient has lapsed on medication B. The pharmacist decides to have an in-person conversation—and sends the alert to the point-of-sale station.

That same patient enters the pharmacy to pick up medication A. The patient heads to the counter, and the pharmacy staff pulls up the patient in their PMS to complete the check-out process. At this point, an in-workflow alert pops up in the PMS, courtesy of Clinical+. The pop up indicates a potential adherence gap for the patient for the different medication recorded in their file.

The staff member can review the prompt, which explains why the patient was flagged, what they were flagged for, and the suggestions for how to engage. In addition, there are often patient education revenue credits available to the pharmacy for completing the prompt.

The staff member can either select “Review” and engage the patient, or determine the prompt is not appropriate and select “Skip for Patient.” The regular point-of-sale process continues as usual.

Use Case #2

A pharmacy staff member is processing an Rx for a brand name medication. The medication requires a prior authorization and the pharmacy staff member places the Rx on hold. Clinical+ identifies a partner that offers support resources for this therapy, such as prior authorization tracking and potential financial or copay assistance.

The staff member can review the alert to see details about the available support. If it’s relevant, they can select “Notify Patient Now (F12),” which sends a message to the patient via text or email. The communication lets the patient know their pharmacy is supporting them during the prior authorization process—by connecting them to tools that help them to stay informed about what a prior authorization is and the status, to access potential savings, and to learn more about their medication. All of this happens in the background, allowing the pharmacist or technician to continue their workflow. Plus, the pharmacy is eligible for renumeration for sharing the resources.

Use Case #3

A patient is at the counter picking up their medications. As the staff member checks out the patient, an alert appears indicating the patient may be eligible for a shingles vaccine based on age and available vaccination history.

The prompt will suggest offering a vaccine while in-store or referring them to the pharmacy’s scheduling process. In addition, the prompt will offer digital or printed materials to combat any vaccine hesitancy.

Again, the pharmacist can either choose to complete the prompt or ignore and continue with the check-out process.

How to Create Your Clinical+ Workflow

Clinical+ puts pharmacies in the driver's seat. It serves as an additional resource that helps surface relevant opportunities while respecting the patient care and education already happening in pharmacy. The utilization of each program is at the discretion of the pharmacy and their pharmacist-in-charge. Through the Clinical+ portal, each pharmacy can review all available alerts and turn them on and off as needed.

Simply login to the portal to view available campaigns, their details, and the on/off switch. The portal also allows the pharmacy to opt-out patients for any messaging per their request and easily manage multi-location pharmacy preferences. In addition, high-level dashboards for program results within your pharmacy will soon be available at a campaign level.

These results will highlight details like:

  • Number of times the prompts have appeared
  • Number of patients engaged
  • Channel breakdown of patient messaging
  • Invoice credits accrued (or opportunities missed)

Conclusion

The goal of Clinical+ is to help patients start, stay, and succeed on their therapies—while helping pharmacies drive better business outcomes. It does this by connecting patients with timely support and relevant resources, while reinforcing the pharmacist’s role in meaningful patient engagement.

Questions? Check out the Clinical+ FAQs or reach out to ClinicalPlus@redsailtechnologies.com for additional details.

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