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What is the Pharmacist

electronic Care Plan?

Arguably the most valuable payload of healthcare information in a single transaction.
  • Problem Observation & Encounter Diagnosis
  • Assessments
  • Self Care Activities
  • Mental Status Observation
  • Smoking Status
  • Functional Status Observation
  • Lab Results
  • Social History
  • Vital Signs
  • Caregiver Characteristics
  • Immunizations
  • Patient Demographics
  • Encounter Reasons & Type
  • Payer Information
  • Allergies
  • Active Medications
  • Prescription Fill History
  • Medication Therapy Education
  • Interventions & Education
  • Referrals
  • Care Coordination
  • Patient Goals
  • Outcomes

What is the value of the Pharmacist electronic Care Plan?

Multiple Data Types, Consistent Data
Whether claims, clinical, laboratory, provider reported data, or patient reported data, the Pharmacist eCare Plan can be used to collect, share, and analyze the most important pieces of information in our healthcare system. An HL7 transaction that was created to transcend our siloed care team members and settings of care with a special emphasis on optimizing medication use.  
 

Why Care Planning?

Care planning has become an essential process within the US healthcare system since the majority of morbidity, mortality and health care expenditures are related to chronic disease.  Most heatlh care interventions are ongoing, lasting many years or for the remainder of life.  With health and payment reform focused on population health management and accountability for patient outcomes, increasing emphasis and resources are being devoted to follow up and monitoring of patient behavior and response to treatment, with frequent assessments and adjustments.  Outside of the pharmacy sector, this is commonly called "care planning".    
The Pharmacist eCarePlan (PeCP) was modeled after the HL7 care planning standard, but with modifications to better apply to a pharmacist's emphasis on medication-use optimization, planning and follow up such as including drug therapy problems in the specifications. 

Consider these statistics...

  • Nearly half (45 percent) of all Americans suffer from at least one chronic disease. More than two-thirds of all deaths are caused by one or more of five chronic diseases: heart disease, cancer, stroke, chronic obstructive pulmonary disease, and diabetes." 

  • Chronic disease accounts for approximately 75 percent of the nation's aggregate health care spending - or an estimated $5,300 per person in the U.S. each year. 

  • Chronic disease is responsible for 96% of Medicare spending and 86% of Medicaid spending

The predominant intervention for chronic disease is medication use and
effective medication use requires care planning and follow-up!

Image from JCCP https://www.jccp.org

Traditional Care Plan

Pharmacist Care Plan

  • Health Concerns
    • Identified health or risk concerns such as problems, allergies, or social issue, etc.
  • Interventions
    • Includes active medication list, medication administered, and planner medications
  • Goals
    • Includes patient goals
  • Health Status Evaluation & Outcomes
    • Includes disposition and outcomes
  • Laboratory Results and Vitals
  • Health Concerns
    • Add documentation of medication therapy problems
  • Interventions
    • Add more medication history
    • Prescription fill history may be added
  • Goals
    • Emphasis on goals of therapy
  • Health Status Evaluation & Outcomes
    • Emphasis on sections related to medications
  • Laboratory Results and Vitals
  • Payer Section
 
Multiple Data Uses, Liquid Data
The Pharmacist electronic Care Plan is the Swiss Army Knife of healthcare informatics. It maintains nearly all of the salient information needed to coordinate care, but also a payer section. It can be used as a means of claims submission that includes clinical information necessary for payers and purchasers struggling to administer value-based reimbursement programs.  As a result, the transaction is a convenient and rich source of information for quality assurance and quality improvement.
Questions or Feedback?
Shelly Spiro - shelly@pharmacyhit.org