Kroger Pharmacy Technician Level 3 – Flashcards
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What is Medication Therapy Management (MTM)?
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Patient safety, changes in business, changes in the healthcare system,
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Why is MTM important?
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It's value-driven to help the patients. It'll increase star ratings and quality measures.
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What's the difference between a Comprehensive Medication Review (CMR) and a Targeted Medication Review (TMR or TIP)?
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A CMR gives a complete overview of the patient's medical history, while the TMR goes over one particular medication.
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How do technicians play a role in MTM?
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-incorporate MTM into the pharmacy by managing/completing tasks -promote MTM services to patients -identify patients with the MTM symbol -identify workflow claims -work through clinical queues -alert pharmacist of claims needing attention (via clinical queue or review/resubmit) -assist with documentation, follow up notes, and billing -schedule CMR meetings -print and mail CMR packets -document vaccines -create follow ups using the clinical queue
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How do you access Outcomes MTM?
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There's a site on EPRN and you register with your Kroger email. The username will be your EUID
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What should you do when you see the red MTM symbol in EPRN during workflow?
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Access outcomes to see if anything can be done for them in MTM
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Comprehensive Medical Review (CMR)
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A sit-down review between the pharmacist and patient going over their complete medical history. They'll update medical list and medical conditions
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Targeted Medical Review (TMR)
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A review pertaining to one particular medication. It could have to do with cost savings or new/changed info on the medication or why they're taking it. Could also include a check-up to see if they're going to check-ups for diabetes
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What do you print in outcomes for CMR and TMR?
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CMR- print to-do list and complete medication list TMR- print just the to-do list
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Types of clinical encounters
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-Outcomes (CMR and TMR) -30 to 90 Day conversions -Med Sync -Star adherence outliers -pnemonia vaccination -star rating used in diabetes outliers -star rating in high risk medications outliers
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Documentation for MTM
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-claims are documented as they are in progress -follow-up/completion date -select a date to follow-up -enter final completion date when claim is finished -encounter notes -use to document all contact attempts, conversions, recommendations, etc -start in note with date and materials
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Cardinal return of fridge items
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-orange panels must be in the fridge for 24 hours prior to use -green panels must be in a freezer until frozen solid (approx. 24 hours) -small tote packaging from bottom- product, orange, green, dunnage -large tote packaging from bottom- green, orange, product, orange, green, dunnage
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Contact Manager claims
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-shouldn't be in there for more than 7 days
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Refill Request
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automatically generated when you try to fill a prescription with no refills remaining or an expired prescription
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Rx Claification
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manually generated when information on a prescription is missing or illegible (strength, sig, etc) Never cancel. Just notify patient of no response from the doctor
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Adjudication exception
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manually generated when an insurance issue requires contacting the doctor (prior authorization, ndc not covered)
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Catalog 37
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pharmacy supplies (vials, lids, labels, etc)
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Catalog 31
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-PSE items -alcohol swabs -kroger blood pressure monitors -kroger glucose tablets
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catalog 27
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-folding walker with wheels -transport chairs -nova journey rolling walker
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corporate express
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-new patient info pads -PSE registry sig log -rx blanks -rx transfer pads -rx manila file folders -yellow counsel stickers -office supplies (pens, scissors, stapels. staplers)
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cardinal only
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-all refridgerated items -ferrous sulfate -aspirin 81 -all schedule II drugs -make sure to always order Kroger contracted manufacturer
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Medturn Overstock
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-only peyton items can be returned to medturn -non-controlled items -expiration date(must be greater than 10 months) -un-opened -un-damaged -package insert included
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Outdated items
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-all are returned to medturn (no matter the schedule or distributor)
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Form 40 for store to store transfers
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-store selling the product fills the form 40
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Class 1 Recall
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-means that there is a reasonable chance the recalled product will cause serious adverse health consequences or death -6 months to 1 year (detailed on recall notice) -make an attempt to contact all patients with 24 hours -recall sign off sheet with 10 days -24 hrs to respond to recall
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Class II Recall
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-means that the recalled product could cause temporary or medically adverse consequences or that the probability of serious health consequence sis remote -respond to recall with 5 business days
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Information needed for workers comp
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-social security # -date of injury -employer name -employer address -employer phone # -claim # (only if traditional BWC)
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Standard BWC
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patient will typically have a BWC claim card with the DOI and claim #
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self-insured worker's comp
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patient's worker comp is not through the state
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Kroger BWC
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patient is an employee of the Kroger Co
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Stone River worker's comp
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patient was recently injured and does not have a claim card yet
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Who can we immunize?
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-patients age 7-13: age-appropriate vaccines with a prescription -patients age 13-17: no prescription required -patients age 7-17: flu vaccine no prescription required -patients 7+: rabies vaccine prescription may or may not be required -patients 18+: no prescription required
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immunization we offer
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-influenza -hepatitis A and B -pneumonia -shingles -meningitis -Tdap -Td -hpv -mmr -chicken pox -polio -typhoid -japanese encephalitis -yellow fever -rabies
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influenze
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fluzone, fluvirin, afluria
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hepatitis A
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havrix
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hepatits B
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engerix
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pneumonia
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pneumovax, prevnar
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shingles
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zostavax
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menigitis
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menactra, menomune, menveo
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TDAP
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adacel, boostrix
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TD
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tenivac
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HPV
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gardasil
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MMR
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MMR II
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chicken pox
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varivax
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polio
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Ipol
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typhoid
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typhim VI
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Japanese Encephalitis
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Ixiaro
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yellow fever
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yf-vax
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rabies
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imovax, rabavert
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required documentation for vaccines
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-consent form -vaccine information statement (VIS) -must fax the patient's primary doctor documentation of non-flu vaccines
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Contact Manager Report
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this report identifies items that may have already been filled and therefore need to be removed from contact manager queues
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Customer Statement
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a report that shows all prescriptions filled for a specific patient
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Daily Prescription fill log
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this report is a part of the end of the day batch and shows prescriptions that were verified for a specific data range. this will show the total number of prescriptions filled that day, not the number of prescriptions released
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Manifest Report by Date
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this report shows each prescription filled by Central Fill for the specific date
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Overstock Report
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this report identifies inventory items that should be considered for return. all medications that have not been released within the last 110 days
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Waiting in Bin Report
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lists prescriptions that were processed through verification but have not been picked up and shows how long they've been in the will-call area
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Ipledge program
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-doctor and pharmacist must fill out a list of questions -type in patient id and date of birth -if authorized, you;ll be given a RMA # and a dispense by this date (record both on the prescription and re-scan)
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How to reverse an ipledge claim?
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-login -select reverse prescription -type in the RMA # and click continue -ipledge will reverse the claim -profile/cancel prescription
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What company holds all our records?
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Iron Mountain
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Kroger Statement Billing
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-keep the paper voucher stapled to prescription -COB when needed with the voucher being secondary -deactivate the plan after it's intended use
