Here are some innovative offerings that are available to help specialty retailers:
The Compliance Team
“The Compliance Team has championed a simplified operations-based accreditation process as a common-sense solution to defining and validating patient care quality for specialty drug and infusion services since 1994,” said founder Sandra Canally. “That’s when we introduced our first measured continuous quality improvement program for infectious disease physician practices.”
In 2021, medication therapy management and enhanced care planning have now become of paramount importance to the successful treatment of chronically ill patients, Canally noted.
“Better communications at all patient contact levels and improved coordination between pharmacists and prescribing professionals have become imperatives for specialty drug and infusion practices to run smoothly on a daily basis,” she said.
The Compliance Team’s sub-specialty accreditation programs for Patient-Centered Medical Home and Home Infusion Therapy were designed to show that practices who achieve accreditation and display the organization’s Exemplary Provider Accreditation Seal of Asclepius have met demanding quality measures.
“Our industry-leading Safety-Honesty-Caring quality standards and evidence of compliance incorporate all relevant United States Pharmacopeia best practice recommendations,” Canally said. “In addition, each program includes expert-led implementation webinars and ongoing access to document templates and reporting portals that help streamline core business practices while addressing MTM issues so that program participants can advance their Medicare Star Ratings, as well as comply with all state licensure and managed care requirements.”
Surescripts is streamlining the specialty medication prescribing and fulfillment process with services that reduce administrative burdens and help to initiate a patient’s pharmacotherapy faster.
“Prescribing requirements for specialty medications are complex and involve inputs from health plans, benefit administrators, specialty pharmacies, prescribers and patients,” said Ken Whittemore Jr., Surescripts vice president of professional and regulatory affairs.
“Specialty pharmacies are often on the receiving end of incomplete and paper-based forms that require lab and other data specific to the disease state,” he said. “Specialty pharmacists use these forms while reviewing a medication order to evaluate its appropriateness for the patient and to ensure the medication will be covered by the payer.”
Whittemore cited a 2020 Surescripts survey in which 69% of specialty pharmacists said administrative tasks interfere with providing patient care, and 39% reported needing to reach out to clinicians at least five times a day for more information.
If Surescripts Specialty Patient Enrollment isn’t available to prescribers, then pharmacists can use Surescripts Specialty Medications Gateway to gather necessary patient information and fill in the gaps. “It does so by enabling specialty pharmacies to initiate a patient search and gather clinical information required to fulfill a specialty medication directly from the patient’s electronic health record, so they can get patients started on therapy faster,” Whittemore said.
He noted that a large specialty pharmacy reduced the overall turnaround time to initiate prescription therapy by nearly two days, realized a 44% decrease in calls to prescriber offices related to missing clinical data and improved its successful dispensing rate by 14%.