Empowering Community Pharmacies to Improve Care Coordination and Health Outcomes with Use of Electronic Care Plans


Community Care of North Carolina (CCNC) partners with pharmacy technology companies to link community pharmacies with Medical Homes to test Pharmacist eCare Plan

Community pharmacists participating in the North Carolina Community Pharmacy Enhanced Services Network (CPESN) will soon develop electronic care plans for high risk patients that are designed to improve outcomes related to medication use and are coordinated with other care team members. This effort uses existing standards adopted by medical providers in electronic medical records to develop an electronic pharmacy care plan (or Pharmacist eCare Plan) – a shared document detailing a patient’s current medication regimen and health concerns, including drug therapy problems and medication support needs, in addition to the pharmacy's interventions and the patient's health outcomes over time.

Being able to efficiently and effectively create and share care plans is crucial to both integration with the larger care team and into community pharmacy workflow. The Pharmacist eCare Plan standard allows pharmacists to create care plans within the technology already in use in the pharmacy and utilizes existing standards for data exchange.



22 technology vendors are participating in the Pharmacist eCare Plan initiative across 3 training phases. Phase I technology partners include Computer-Rx, Creative Pharmacist, PioneerRx, QS/1, Rx30, and VIP Pharmacy Systems. Phase II partners include AssureCare, Best Rx, McKesson, PDX, Pharmetika, and PrescribeWellness. Phase III partners include AZOVA, DocStation, DocsInk, FDS, Fuse, Innovative Pharmacy Solutions, MicroMerchant Systems, Omnicell, Smartlink Health Solutions, and Speed Script.


Phase I Technology Partners:


Computer-Rx provides proven Pharmacy Management Software and Services that promote growth and efficiency in community pharmacy. We combine intuitive software features and the latest technology with a company culture that emphasizes customer service to partner with community pharmacies all over the U.S. to improve patient health.



Creative Pharmacist

Co-founded by a community pharmacist and a technology expert in 2008, Creative Pharmacist is the developer of the STRAND® clinical platform and the U.S. market leader in helping pharmacists launch clinical services within their community. Creative Pharmacist empowers community pharmacists across America to engage patients with chronic disease, such as diabetes, using STRAND, a wide-reaching intervention, documentation, and education platform. Their mission is to transform the community pharmacy marketplace by inspiring pharmacists to utilize clinical pharmacy practice to improve both the health of their patients, and the health of their business. For more information, please visit creativepharmacist.com.


STRAND Platform Achieves Pharmacist eCare Plan Level 2 Capability

STRAND® Platform Achieves Pharmacist eCare Plan Level 3 Active Medications Capability



Developed with the experience of over 35 years of pharmacy software development and support, PioneerRx was built from scratch to provide the pharmacy community with a solution that can grow as the industry changes for the next 35 years. PioneerRx delivers weekly improvements and cutting edge features that are designed to provide speed, simplicity, consistency, and flexibility; however, their goal of development is to help pharmacies make more money. PioneerRx leads the industry in first-to-market functionality in one seamlessly integrated package; they have become one of the most successful and frequently talked about pharmacy systems in the United States.




QS/1 offers industry-leading healthcare software solutions to effectively manage independent, chain, hospital outpatient and long-term care pharmacies and HME businesses. QS/1’s complete software solutions are flexible and scalable, making them a valuable and affordable productivity tool for pharmacies – large or small. QS/1 is a division of the J M Smith Corporation, one of the largest privately-held companies in South Carolina. For additional information about QS/1 and the products and services it provides, visit www.qs1.com or call 800.231.7776.




Rx30 is a total Pharmacy Management Software application that truly acts as the hub for all pharmacy management activities, including prescription dispensing, fully automated refills and reminders, workflow management, medication therapy management and STAR ratings management. The Rx30 platform also excels at adherence management, medication synchronization, document management, smart phone/web refills, e-prescribing, POS, outbound customer communication, IVR integration, business reporting, label printing and a myriad of value added processes and interfaces that assist in streamlining pharmacy management activities and driving profit. For more information, please visit www.rx30.com.



VIP Pharmacy Systems

With over 30 years of serving independent pharmacies, VIP Pharmacy Systems is a leader in pharmacy management software, with a focus on speed, reliability, and quality customer care. The result of these efforts is that VIP provides one of the most comprehensive yet easy-to-use pharmacy management systems available. Email sales@vip-pharmacy.com to learn how VIP can help you build a better pharmacy.



Phase II technology partners include: AssureCare, BestRx, McKesson, PDX, Pharmetika, and PrescribeWellness.


AssureCare transforms Health Care Delivery through world-class technology by enabling healthcare providers and payers to deliver higher quality, cost effective, collaborative care across the complete continuum of care.




BestRx is relentlessly committed to the success of independent community pharmacies. For two generations, BestRx has studied and come to understand the unique needs of independent pharmacy owners, staff, and patients, allowing us to deliver superior tailored, easy-to-use software solutions for the best value in the industry. BestRx software solutions respond to the unique challenges of managing and growing pharmacies by offering innovative tools that support billing, automation and compliance—saving time and money and empowering pharmacists to build and maintain relationships with patients and their communities. We are not just a business software solution; we are a community partner committed to the success of pharmacy owners, the health of patients, and the economic development of the community.


BestRx First Pharmacy Dispensing Software Company to Achieve Level 2 – Pharmacist eCare Plan Capability




McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Pharmacy Systems (MPS) is part of McKesson Pharmacy Technology & Services (MPTS), a portfolio of four businesses that provides technology and services to retail, mail order, PBMs, hospital and health systems pharmacies. MPTS offers a wide array of solutions, including pharmacy workflow software, clinical programs, inventory optimization, government program optimization including 340B compliance, data analytics and services, and automation. MPTS is part of McKesson Corporation, recently ranked 5th on the FORTUNE 500, which touches over 65,000 pharmacies every day.




With 30-plus years of experience and with nearly 10,000 pharmacies across the U.S. using their technologies and services, PDX and its affiliates provide the pharmacy and healthcare business with proven solutions, which include: a flexible clinical services application, Care Rx®; a revenue cycle management solution, AbsoluteAR; the fast, intuitive, and advanced Enterprise Pharmacy System—already the choice of over 40 chains and one major managed-care plan; the portable, interoperable Electronic Pharmacy Record; a business intelligence solution in Explore Rx™; an independent-focused Community Pharmacy Division; the robust and efficient point-of-sale systems; the pharmaceutical manufacturer performance programs; and more. Under the parent company of National Health Coalition™, subsidiaries PDX, Inc.; National Health Information Network, Inc.; Rx.com Prescription Drug Network, Inc.; and Freedom Data Systems, Inc., continue to build on their commitment to excellence in retail pharmacy and patient care.




Pharmetika's integrated workflow solution enables pharmacies to streamline daily operations and enhance the patient experience. Information is integrated into one easily accessible location. Our management dashboard enables pharmacies to maximize revenue and save valuable time that can be redirected toward patient care.




PrescribeWellness inspires collaboration for better health across America by connecting patients to locally owned community pharmacies. Its proprietary cloud-based platform empowers pharmacists to provide more effective preventive healthcare services, which improve medication adherence, chronic disease management, transitions in care, and population health. With data integration and behavioral science at the foundation, PrescribeWellness software solutions position the pharmacist at the center of community healthcare prevention.


PrescribeWellness Achieves Level II Capability for the Pharmacist Electronic Care Plan (eCare Plan)

PrescribeWellness Achieves ‘Level 3 - Active Medications’ Capability for the Pharmacist Electronic Care Plan



Phase III Technology Partners:


AZOVA’s Pharmacist Collaborative Clinical Care Platform™enables you to generate new revenues through clinical care services. Our patent-pending digital clinical protocols include transition of care, digital medication therapy management, chronic disease management, chronic care management, medication adherence programs, vaccination management, on site employer clinics, point of care testing, telepharmacy, collaborative telemedicine networks and more. Create customized consumer-centric payer or employer programs and securely collaborate with any medical professional in the world with our seamlessly integrated appointment or walk-in patient registration and secure record sharing, secure messaging and video calling tools. AZOVA is the middleware platform between your pharmacy management system, the electronic health record and the consumer. With intuitive workflow automation and unparalleled patient-engagement tools, AZOVA is your clinical care technology partner helping you and your organization to launch a successful collaborative clinical care business.




DocsInk is a collaborative communication and chronic care management platform used by thousands of healthcare stakeholders nationwide. Our real-time HIPAA compliant messaging, CCDA management, patient profile administration and intuitive charge capture features allow providers to maximize reimbursement for services performed, while improving the quality of care and health outcomes for the most critically-ill patient population.



DocStation is a technology company that enables pharmacists to provide value-based patient care. We’re passionate about creating tools to improve overall health, delivering a delightfully unexpected experience for patients and providers in a world where their experience is usually an afterthought.




FDS is a pharmacy-centric healthcare technology company dedicated to helping our customers succeed. We leverage the power of data to develop solutions that change the way healthcare is delivered. Our solutions include medication synchronization services; business intelligence analytics and reporting; Star Ratings and Population Health Management; DME claim billing; and third party reconciliation services to name a few.



FDS Achieves Pharmacist eCare Plan Level 1 Capability








Cardinal Health saw the need for ongoing innovation to address challenges, anticipate trends and maintain relevancy in healthcare. Fuse opened its doors in 2014 and is the innovation center of Cardinal Health. Made up of a nimble, diverse team which merges technology and science with human-centered design, they bring deep expertise and industry foresight to solve complex healthcare challenges while leveraging the reach and resources of a large, global corporation. As ambassadors of change, they work alongside customers to illuminate opportunities and create solutions that transform the future of health and wellness. Fuse has hundreds of visitors and customers come through their doors each year to learn about innovation and to collaborate on solutions.


Link: http://www.cardinalhealth.com/fuse

MicroMerchant Systems

PrimeRx™ Pharmacy Management System is rich in countless tools designed to prevent dispensing errors thereby guaranteeing profitability and stability for the business. This gives you the added peace of mind and provides you ample time to do what you love doing best, giving one to one care to all your patients. Enhance Patient Experience, Facilitate Adherence, Implement Compliance/Security, Monitor and Measure Outcomes – A true one stop shop for all your Pharmacy Software needs.





As the industry's leading provider of Pharmacy-Based Patient Care Solutions, Omnicell offers our pharmacy partners an innovative suite of solutions to improve patient engagement and medication adherence, enabling differentiation in the value-based outcomes healthcare continuum. By combining Time My Meds® medication synchronization solution and SureMed® by Omnicell multimed adherence cards, our pharmacy partners will witness significant, measurable impact on improving adherence, driving script growth, and increasing quality measures.  Omnicell enables it partners to adopt new methods of delivering coordinated patient care while offering a suite of solutions combined with predictive analytics to position our partners for long term growth and sustainability.


Innovative Pharmacy Solutions

In healthcare, if it has not been documented, it isn't done. Pharmacists today spend a great deal of time performing care but regularly fail to document this care. They need a tool to help them document their interventions and their outcomes. PharmClin was developed by practicing pharmacists in a clinical based retail pharmacy to quickly document a variety of pharmacist interventions, create properly formatted notes to send to other practitioners and to schedule and perform follow-up with patients.



Smartlink Health Solutions

Smartlink Health Solutions is an innovator in value-based healthcare solutions aimed at wellness and chronic disease management. Smartlink’s MACRA Solution Suite includes end to end solutions for Annual Wellness Visits, Value-Based Chronic Care Management (VBCCM), and Referral Management. Healthcare providers on disparate EMRs are also able to seamlessly share clinical information and collaborate on care via the Smartlink platform, ensuring the level of coordination necessary for commercial contracting. Smartlink’s unique approach to patient enrollment, operational efficiency, electronic collaboration, and guided care management enables clinical services outsourcing organizations and providers to efficiently coordinate care with their client clinics and provide the highest quality of care to the patients they serve.



Speed Script

Speed Script provides a flexible, Windows based pharmacy management system and adaptable technology services that enable pharmacies to effectively achieve their business goals. Featured products include Speed Script, an all-inclusive pharmacy management system and Speed Script LTC, an electronic facility to pharmacy communication application - fully equipped with drug pass and eMAR technology for long-term care providers. For more than 35 years, the defining attribute of Speed Script has been its dedication to sensational customer service.






In 2014, CCNC received an award from the Centers for Medicare and Medicaid Innovation (CMMI) to test a value-based payment structure for a Community Pharmacy Enhanced Services Network or CPESNSM integrated with medical home care team. Along with payment model development, a key aim of the project was to understand what Health Information Technology (HIT) capabilities best enable CPESN communications and workflows and contribute to higher quality, lower cost care delivery. The Pharmacist eCare Plan will be tested within CPESN North Carolina pharmacies that are participating with CCNC in the value-based payment model that is part of the CMMI award. For more information on the initiative, click here.

The U.S. Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) awarded Lantana Consulting Group a high impact pilot cooperative agreement to test and refine a standard for pharmacist care plans and to deploy the standard across the CPESN. For more information on the pilot, click here.




Pharmacy HIT

The Pharmacy HIT Collaborative’s vision and mission are to assure the nation’s health care system is supported by meaningful use of HIT, the integration of pharmacists for the provision of quality patient care, and to advocate and educate key stakeholders regarding the meaningful use of HIT and the inclusion of pharmacists within a technology-enabled integrated health care system. The Collaborative was formed in the fall of 2010 by nine pharmacy professional associations, representing 250,000 members, and also includes associate members from other pharmacy-related organizations. The Pharmacy HIT Collaborative’s founding organizations represent pharmacists in all patient care settings and other facets of pharmacy, including pharmacy education and pharmacy education accreditation. The Collaborative’s Associate Members represent e-prescribing and health information networks, a standards development organization, transaction processing networks, pharmacy companies, system vendors and other organizations that support pharmacists’ services. For additional information, visit www.pharmacyhit.org



© 2017 CPESNSM USA. All rights reserved. Re-use or reproduction without the express written consent of CPESN is strictly prohibited.

The project described was supported by Grant Number 1C1CMS331338 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.