Remote Order Entry And Prescription Verification

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Welcome To e-PharmPro
Remote Order Entry And Prescription Verification
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e-PharmPro History

• Concept developed in 1999 for Retail Pharmacy.
• Live beta testing in 2003 developed initial
  secure web-based document management system.
• Fully operational in 2004 used information from
  beta test to develop the prototype of current IT
  platform including Order Queuing System, VPN,
  Work Flow Management System.
• 2005 Added Video Verification and Harrisburg
  Central Office.
• First Contract Signed in Late 2005.
• Largest privately held provider of remote
  verification.

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Your Remote Pharmacy Solution e-PharmPro Inc.

• Pharmacy order entry
• Prescription verification
• Video verification as required
• Pharmacy call center
• Remote pharmacy staffing

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Our System Is An Extension Of Your System
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Communication Is A Priority

• System designed to maximize communication.
• Calls from your nurses go directly to your
  dedicated e-PharmPro pharmacists.

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A Seamless Process

• We operate under your policies and procedures.
• Nursing staff can use your same internal numbers
  for pharmacy calls and faxing.
• Nurses are able to contact their dedicated
  pharmacist with no additional effort.
• No busy signals, no voicemails, and no automated
  attendant.
• You get a live pharmacist that knows your system.
• e-PharmPro pharmacists are able to view
  prescriptions, verify and enter orders, and
  oversee the dispensing of medication(s).

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Cycle of Safety
Prescription Verification Dispensing Process
With Automation Patient Profile and Cabinets
Using Pharmacys Order Management System
Rx is Written
Rx Scanned into Order Management System
Prescription is Verified and Processed
by e-PharmPro
Prescription Info becomes Part of Patient Profile
Rx Info Available on Screen of Automated
Dispensing Cabinet
RN is able to Select Medication from Patients
Updated Profile
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Prescription Verification Dispensing Process
Cycle of Safety
e-PharmPros Order Queuing System
Without Automation With e-Pharm Web Cams
Rx is Written
Rx Scanned into Order Management System
Prescription is Verified and Processed
by e-PharmPro
Nurse Takes Medication from Night Stock or
Pharmacy (as per applicable state regulations)
Nurse Takes Picture of Drug Talks with RPh
Dose and Product are Verified
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Document Management

• Your system or ours? Customized to meet your
  needs.
• We can work on any pharmacy document management
  system (Pyxis Connects, Omnilink, POMS etc.).

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e-PharmPro Queuing System

• e-PharmPro queuing system assures the tracking of
  all orders for patient safety and order
  processing efficiency.
• Meets all HIPAA requirements.
• Scalable to over 100,000 users (no busy signals).
• Redundant systems to prevent down time.

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e-PharmPro Queuing System

• Time stamps all orders.
• Links each order with client hospital.
• Links each order from client to their own
  pharmacy system.
• Tracks orders filled.
• Sends orders back to hospital system when
  completed.

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Orders Are Linked To Your System
Queuing System
Linking Form
Order
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e-PharmPro Uses Citrix or Your VPN

• Citrix is a fast and secure remote access to your
  pharmacy system.
• HIPAA compliant.
• Easily linkable to e-PharmPros queuing system.
• Runs well on backup internet access.

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Pharmacy Systems

• Sunrise Clinical
• Meditech (all versions)
• HMS
• Medics
• Siemens (all versions)
• Cerner (classic and millennium)
• CPSI

• Dairyland
• SMS
• Baxter
• Quadramed
• Eclipsys
• McKesson HBOC
• Others

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Our Facilities

• Total redundancy.
• Multiple T3 lines from multiple sources.
• Back-up generators.
• Unique integrated communications system.
• Flexible and expandable.

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Our Team Model

• Dedicated pharmacists servicing your hospital.
• Credentialed on your Policies and Procedures.
• Building relationships with your nursing and
  pharmacy staff.
• An extension of your pharmacy department, not
  just another vendor.
• Providing customized clinical expertise and
  service for your hospital.

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Sample Team Structure
Maine Team
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Continuous Process Improvement

• Communication System links Hospital Staff to
  e-PharmPro Staff.
• Constant communication used to clarify and update
  all processes.
• Shift reports at beginning and end of shifts.

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Variance Reporting

• Linked directly into hospitals reporting system.
• Information tracked by our Safety Officer.
• We follow hospitals PPs
• Our pharmacists are treated as the hospitals
  employees when addressing errors.
• Used to create internal educational initiatives.

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Our People

• Work from home model provides you the best
  clinical pharmacists with 5 years of hospital
  experience.
• Allows us to be selective during recruitment.
• We hire pharmacists that fit our service culture.
• 100 pharmacist processing licensed in your state.

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All Pharmacists

• Work Paperless-ly.
• Work on Our Secure VPN.
• Are on Our Virtual Pharmacy Community.
• Are Supervised by Pharmacists.
• Have Support of Other Pharmacists.
• Have all Needed Resources at Their Fingertips.
• Are on the phone providing support.
• Work in a credentialed environment.
• Patient data is not saved on systems.

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Virtual Pharmacist CommunityResources
VPN
Hospital Support Information PPs, Ed. Info,
Hospital Forms, Clinical Programs
Interactive Pharmacist Peer Support
Team RPh Leader
Clinical Tools References
Work Flow Management Tools
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e-PharmPro VPN
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Pharmacist Credentialing

• General Hospital Pharmacy Competence.
• On Policies and Procedures.
• On Pharmacy System.
• On e-PharmPro Focus Areas.
• Performed Annually

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e-PharmPro Reports

• Monthly order reports sent via email.
• Web-based reporting available 2008.
• Report content
• volume of orders processed
• clinical interventions
• Order turn around time
• current average 14 minutes

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Our Growth Model

• Current states ME, VT, NH, MA, CT, PA, NJ, MD,
  DE, FL, TN, NC, IN, OK, TX, WI, CO, NV, VA, GA,
  MO.
• Planned states SC, IL, KS, NE, CA, AZ.
• Can start a new state within 90-120 days of three
  signed contracts in the state.
• Flexible and expandable technology and clinical
  systems.

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Remote Order Entry
WA
ND
MT
MN
ME
SD
WI
VT
OR
ID
MI
NH
WY
NY
MA
IA
NE
CT
PA
IL
OH
IN
NJ
NV
UT
RI
CO
MO
WV
KS
DE
KY
VA
CA
MD
TN
OK
NC
DC
AR
NM
AZ
SC
GA
MS
AL
LA
TX
FL
Current Coverage Areas
Planned Coverage Areas
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Benefits Realized

• Pharmacist review of medication orders.
• Pharmacist clinical interventions.
• Pharmacist as a clinical resource.
• Enhanced medication safety.
• JCAHO and HIPAA compliance.

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Benefits Realized

• Nursing supervisors have more time to focus on
  patient care.
• Nursing staff has a clinical resource available
  24 hours a day.
• Enables optimization and future application of
  technology to enhance patient care and minimize
  medication errors.

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Implementation Guidelines

• Establish time table to implement e-PharmPro
  service.
• On-site training.
• Gather clinical and operational information.
• Create joint policy and procedure manual.
• Establish communication plan for document
  management and order processing.
• Coordinate with IT to establish connectivity to
  your pharmacy computer system.
• Phone and fax set up to reach after hours
  pharmacists.

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Pricing Information

• Your cost is based upon your monthly order
  volume.
• Your monthly service fee is based on your
  estimated monthly volume and is adjusted as
  necessary to allow for changes in patient census
  at your facility.

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References
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Thank You For The Opportunity To Present Our
Services

• Mark G. Steltz, RPh, MBA
• President, Pharmacy Services
• 866-507-4115 ext. 310
• mark.steltz_at_epharmprollc.com
• Kevin P. Mullarkey
• VP Sales and Marketing
• kevin.mullarkey_at_epharmprollc.com

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Testimonials

• Maine Coast Memorial Hospital, Ellsworth, Maine
• Karen Hawes RN, C, Administrative Manager of
  Pharmacy
• We have been connected with ePHARMPRO for 8
  months. During that time they have provided night
  pharmacist services to our small community
  hospital. To say that all has been rosy would be
  a lie. We expected issues. Much like we would if
  we had new Pharmacists on site. What has been
  very important is their willingness to listen and
  to resolve issues. They are open to suggestion,
  want to know what the problems are AND they
  address them. Over the last 8 months the
  improvements have been steady.
• They truly know the meaning of good customer
  service. Never once have I been chastised in any
  way for bringing up an issue. In fact, they have
  been grateful for the feedbackgood and bad. Its
  the If I dont know its broken, I cant fix it
  approach all the way.
• We plan on a long relationship with ePHARMPRO and
  our pharmacists. 

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Testimonials

• Doylestown Hospital
• Chantel Farrello, RPh Pharmacy Operations Manager
• ePharmPro has been a worthwhile addition to our
  pharmacy staff.  They cover our orders from
  midnight to 630AM seven days a week for the past
  7 months.  They have offered continuity of care
  for our patients and our department.  We worked
  with Marc DiGregorio, our team leader, on almost
  a daily basis to "work out the kinks."  They
  strive to operate and be a part of our hospital
  and our pharmacy team.  
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• We changed our morning workflow to pick up the
  loose ends of the pharmacist not being on
  site.  Our staff now directly e-mails the
  ePharmPro pharmacist morning report to give
  them feedback regarding order entry. Our night
  shift nurses are impressed with the response they
  have received from ePharmPro.  It has been a
  win-win situation now that all parties involved
  are accustomed to the service.

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Testimonials
Phone numbers can be provided for verbal
references available.