Med refills
What is the refill limit if the last visit was more than 6 months ago?
Refill up to 6 months (90-day supply + 1 refill)
Name one common reason a patient may request medication cancellation.
Wrong pharmacy, side effects, patient preference, transcription error
Send medication to pharmacy if eligible for refills.
RN
Name 3 tasks that are handled by Summit Clinical Team
The clinic team will manage items that are asked to work because they require in-person support. Such as
1.mailing letters
2. getting providers signature
3. patient to pick up in clinic.
Who can notify patients of normal test results?
MA and RN
What types of medications refills should MA route directly to provider
Controlled substances because RN cannot send controlled meds to pharmacy.
If a medication is sent to the wrong pharmacy what are two next step options the MA/RN should take?
1. Cancel prescription in Epic
or
2. call the incorrect pharmacy to request they cancel the medication.
Pend medications for refills
MA 1st, RN can also handle if they have downtime and can help MA. RN will pend controlled meds if MA fails to send directly to provider.
Name three message categories routed to Guideway.
RX request, MyChart notifications, IP notifications
When do you route a result to the provider?
When it hasn’t been addressed
What is the refill limit if the last visit was more than 6 months ago?
Refill up to 6 months (90-day supply + 1 refill)
If a patient is requesting an alternative medication what information should the MA/RN gather
Reason for cancellation-
Allergies, Cost, preference
Upper respiratory Protocol
RN
What SmartPhrase is used for documenting result notification?
.WSTRESULTREQ
If a refill request appears with a red X in Epic, what should you check first?
Whether the patient meets protocol—labs and annual visit status.
If the MA is handling a cancellation request, and the patient states they just no longer want to take the medication, what is the MAs next step.
Dysuria protocol
MA can gather further information to send to RN. RN will triage patient per protocol
If Guideway Care RN or MA needs Summit clinical team, what should the msg note be titled
MA/LPN SP
How much Albuterol use per month requires routing to PCP?
>90ml/month or >1 inhaler/month.
What happens if a patient refuses a medication even after RN education?
RN routes message to provider or scheduling if not seen in past 3 months.
If patient has complex questions regarding their lab results, who should the encounter be routed to .
RNs
If Summit is needing RN for an inbasket, Summit team will label the msg/note as
GW