e MAS Walkthrough Registration registration updates and consultation

e. MAS Walkthrough Registration, registration updates and consultation

Core Infrastructure Components

Prior to e. Pharmacy the systems and communications infrastructure consisted of the computer system in the pharmacy and the payment processing and associated systems at practitioner services with communication via paper prescription forms and reports. Practitioner Services Pharmacy CHI Payment processing systems

Community pharmacies need to have a connection to the N 3 network. This is achieved as an independent connection or as a ‘corporate’ connection. Practitioner Services Pharmacy CHI N 3 network Payment processing systems

The e. Pharmacy message store provides a secure, resilient, single point of contact for all messaging for MAS and all future e. Pharmacy applications. Practitioner Services Pharmacy N 3 network e. Pharmacy Message Store CHI Payment processing systems

Remunerating pharmacies on a capitation basis requires a central patient registration system (PRS) to support this. The system contains the rules for patient registration and integrates with the payment systems and the CHI system to provide CHI numbers to pharmacies. Practitioner Services Pharmacy N 3 network e. Pharmacy Message Store Patient Registration System CHI Payment processing systems

The Minor Ailment Service requires new ways of working in the pharmacy. Pharmacy systems have developed support for the new service as well as developing the messaging support required to participate in e. Pharmacy. Practitioner Services Pharmacy MAS N 3 network e. Pharmacy Message Store Patient Registration System CHI Payment processing systems

Electronic messages are used in addition to paper CP 2 forms. The messages allow for ‘real time’ responses to registration requests and the delivery of CHI numbers. The electronic data is used in place of the paper forms in payment processing to vastly improve data capture. Practitioner Services Pharmacy MAS N 3 network Electronic messages e. Pharmacy Message Store Patient Registration System CHI Payment processing systems

Registration

Registration Process • Individual’s data – – Name Address Date of birth Exemption status • Enter data on PMR system • Central Patient Registration System (CPRS) via N 3 • Registration confirmed with CHI number

Person presents and wants to register for MAS. Practitioner Services Pharmacy e. Pharmacy Message Store Patient Registration System CHI

Information is captured and added to the pharmacy system (or an existing record is updated). Practitioner Services Pharmacy e. Pharmacy Message Store Patient Registration System CHI

CP 2 form for registration is printed and person signs to confirm their exemption status. The person can leave at this point. Practitioner Services Pharmacy e. Pharmacy Message Store Patient Registration System CHI

Patient details are automatically added. Pharmacy details are automatically added. If the CHI is not known at the time of registration the Do. B is placed in CHI field and 4 digits are added at the end. ·‘ 0008’ shows a patient born in the 19 th Century ·‘ 0009’ shows a patient born in the 20 th Century ·‘ 0000’ shows a patient born in the 21 st Century CP 2 type and sex of patient is automatically printed. A unique barcode is created on the CP 2 registration form. The barcode number is also part of the registration message sent from the pharmacy PMR. A registration barcode number begins with the letters RE. Further automatic additions include: ·Date ·PS Contractor Code ·RPSGB Reg Number

… and an electronic message is sent. Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Patient Registration System CHI

The message is directed via the e. Pharmacy store to the Patient Registration System (PRS). Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message Patient Registration System CHI

The PRS applies the registration rules and locates the person on CHI then records the person as registered at the pharmacy. Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message Patient Registration System CHI

PRS then replies with the registration status and CHI number and the information is automatically updated on the pharmacy system. Registration is complete. Practitioner Services Pharmacy þ Registration details updated Registration request e. Pharmacy Message Store Registration Response (with CHI) Registration message Patient Registration System CHI

Later… CP 2 registration forms are submitted by the normal route to Practitioner Services where they are imaged and stored. (The registration is already complete). Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration Response (with CHI) Registration message Patient Registration System Image Store CHI

‘deferred’ registration

Recap: Patient presents to register. The patient’s details are added or updated on the pharmacy system. A CP 2 for registration is printed and a registration message is sent. The PRS responds confirming registration and returning CHI number. The patient record is automatically updated. Practitioner Services Pharmacy þ Registration details updated Registration request e. Pharmacy Message Store Registration message Patient Registration System CHI

What if a registration response is not received? There a number of reasons why this might happen… Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message Patient Registration System CHI

The patient may not be uniquely identified on CHI. (Perhaps details match a number of entries, e. g. twins or perhaps the patient has only recently moved to Scotland). Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message Patient Registration System ý CHI

The patient registration service may be unavailable or undergoing routine maintenance. Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message ý Patient Registration System CHI

The e. Pharmacy message store may be undergoing routine maintenance or the connectivity from the pharmacy may be temporarily unavailable. Practitioner Services Pharmacy Registration request ý e. Pharmacy Message Store Registration message Patient Registration System CHI

Important. If any of these events occur there is no interruption to MAS provision. The patient is recorded as ‘pending’ registration and a MAS consultation CAN be performed. The registration request will be completed. Practitioner Services Registration request Pharmacy þ ý e. Pharmacy Message Store ‘Pending’ registration – OK to proceed Registration message ý Patient Registration System ý CHI

There is resilience built in at each stage. A process on the pharmacy system will attempt the resend the message taking care of even prolonged communication interruptions. Practitioner Services Pharmacy Registration request Q ý e. Pharmacy Message Store Registration message ý Patient Registration System ý CHI

There is resilience built in at each stage. If PRS cannot be contacted in ‘real time’ then the message will be delivered in ‘batch’ for processing overnight. Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message ý ¾ Patient Registration System ý CHI

There is resilience built in at each stage. If a unique match cannot be found PRS operations team can manually find the correct patient. Practitioner Services Pharmacy Registration request e. Pharmacy Message Store Registration message ý €� Patient Registration System CHI PRS Operations

The registration response is delivered via a registration update once completed. Practitioner Services Pharmacy e. Pharmacy Message Store Patient Registration System CHI

The patient registration delivers registration updates to the e. Pharmacy message store. (These include completed deferred registrations and changes notified from CHI). Practitioner Services Pharmacy e. Pharmacy Message Store Registration updates Patient Registration System CHI

The pharmacy request registration updates (suggest daily) and these are delivered to the pharmacy system where the patient records are updated. Practitioner Services Pharmacy þ Registration details updated Registration update request e. Pharmacy Message Store Registration update response Registration updates Patient Registration System CHI

Registration Updates Practitioner Services Pharmacy Registration update request e. Pharmacy Message Store þ Registration details updated Registration updates • Deferred registration results • Withdrawal • Death • Care home • Registration at another pharmacy • Lapsing pharmacy • Roll-on Patient Registration System ¾ Overnight Process CHI

Consultation

Care Provision • • Person presents at their pharmacy Pharmacist checks their eligibility Pharmacist consults with person Pharmacist offers – Treatment and advice – Advice only – Referral – Associated healthy lifestyle advice

Person presents for a MAS consultation. Practitioner Services Pharmacy e. Pharmacy Message Store Payment Processing Image Store

The person’s registration status is checked on the pharmacy system and eligibility re-confirmed. Practitioner Services Pharmacy þ e. Pharmacy Message Store Payment Processing Image Store

The person and pharmacist consult deciding on an outcome. Practitioner Services Pharmacy e. Pharmacy Message Store þ Payment Processing Image Store • Treatment • Advice • Referral

Information is recorded on the pharmacy system to support the dispensing and labelling process (if treatment is required). Practitioner Services Pharmacy Labels e. Pharmacy Message Store þ Payment Processing Image Store • Treatment • Advice • Referral

A CP 2 form is printed (the information is gathered as a by product of the labelling process). The pharmacist signs the CP 2 form and the person signs to confirm their exemption status. The person can leave. Practitioner Services Pharmacy Labels e. Pharmacy Message Store Payment Processing Image Store

1. 2. A unique bar code is created on the CP 2 consultation form. The barcode number is also part of the consultation message sent from the pharmacy PMR. A consultation barcode number begins with the letters CE. If you have given advice or referred a patient to their GP, this will be indicated on the CP 2 consultation form. 3. If the CHI is not returned following a registration the consultation can still go ahead. The CP 2 consultation form will be printed as normal but the CHI will be missing. The patient signs the CP 2 and can leave the pharmacy. Before you can send the CP 2 consultation form to Practitioner Services, you must wait until you receive the CHI in a message and hand write it onto the form. Endorsing information is added to the CP 2. A maximum of 2 items may be dispensed during 1 e. MAS consultation.

… and an electronic claim message is sent and receipt is confirmed by the e. Pharmacy store. (Note: the claim has not yet been verified and passed for payment). Consultation is complete. Practitioner Services Pharmacy Labels Consultation Claim e. Pharmacy Message Store Claim Acknowledgement Payment Processing Image Store

Later… The CP 2 forms are submitted by the normal route to Practitioner Services Pharmacy Labels Consultation Claim e. Pharmacy Message Store Claim Acknowledgement Payment Processing Image Store

The barcode on the form is read and the electronic message is retrieved. The electronic message information is used in place of the information that would otherwise be scanned from the CP 2 form. Note: handwritten information is not used! Practitioner Services Pharmacy Labels Consultation Claim e. Pharmacy Message Store Claim Acknowledgement Payment Processing Read barcode & get message Image Store

The CP 2 forms are imaged and stored. Practitioner Services Pharmacy Labels Consultation Claim e. Pharmacy Message Store Claim Acknowledgement Payment Processing Read barcode & get message Image Store

Questions?