Skilled Nursing Facility - Community Care RX

Service Goals
- To improve your resident’s well-being and health outcomes by providing precision medicine, education, and Telehealth services
- To reduce pharmacy-related costs to your facility by reviewing pharmacy bills and medication regimens, recommending cost-effective therapies, and providing third-party payor assistance
- To reduce resident readmission rates to hospitals and penalties to your facility by providing advanced medication reconciliation, resident risk stratification, and consistent follow-ups for your residents
- To ensure compliance with local, state, and federal rules and regulations that govern your facilities
- To improve and streamline medication processes and reduce medication errors, thereby improving your performance measures and ratings

Training and Educational Services
- Periodic training and monitoring of licensed nursing and medical staff performance
- Training related to medication handling, storage, administration, and disposal
- Medication pass observations and training
- Monitoring of medication errors and implementation of risk reduction measures
- Educational presentations and in-services on a wide range of topics

Prescription Coverage Assistance and Medication Adherence Services
- Extensive knowledge on Patient Advocate Foundation, HealthWell Foundation, and Good Days, organizations that offer financial assistance to eligible patients
- Support with applications or enrollments
- Support with obtaining medications that require step therapy or prior authorizations

Cost Analysis and Cost Containment Services
- Review your pharmacy billing, eliminate errors, and put corrective measures in place
- Recommend therapeutic formularies and cost-effective alternatives when available
- Compare manufacturers’ and vendors’ pricing
- Review regimens and pharmacy spending
- Review cost containment plans
- Provide detailed quarterly reporting on formulary savings and insurance drug coverage alerts
- Collaborate with your current pharmacy to create daily reports to your facilities outlining expenditures so that excessive expenses can be caught immediately and not at the end of the month
- Ensure that your current pharmacy is obtaining prior authorizations from third party payers, and not erroneously billing your facilities as “not-covered products”
- Support with Medicare Part D issues
- Pre-admission screening for estimated cost of newly admitted residents

Transitional Care Services
- Decrease resident readmission rates to hospitals
- Reduce medical costs and penalties to your facility
- Pre-admission screening for an estimated cost of newly admitted patients
- Pre-admission screening for identification of high-risk residents who are most likely to be re-admitted to the hospital
- Medication reconciliation to ensure proper post-discharge medication regimen and to smoothly transition residents back to the care of their primary care provider
- Ensure cost-effective treatments upon discharge with third-party payor or prior authorization assistance
- Resident assessments and care plans provided upon the start of service with appropriate and timely follow-up
- Maintain continuity of care and guarantee resident assessments and care plans with consistent follow-ups by personal visits, telephone, or video conferencing with Telepharmacy technology
- Enhance medication adherence and understanding, with recommendation and coordination of adherence packaging and medication utilization review
- Safeguard that patients receive all essential medications within the necessary time frame
- Enhance the reputation and marketing capacity of the SNF with a post-discharge plan for residents
- Innovative solutions to increase medication adherence and simplify medication administration such as alarms, pillboxes, and calendar-style medication packaging

Compliance and Auditing Services
- Inspection of medication storage areas and medication containers
- Observation of medication administration, handling, and monitoring
- Inspection of Medication Administration Records (MARs)/Treatment Administration Records (TARs)
- Mock pre-survey audits of F-tag compliance with regulations, including F-425, F-428, F-431, F-329, and F-332/333
- 24/7 availability during survey window and active survey including telephonic and on-site support if requested
- Annual review of policies and procedures including contracted pharmacy policy and procedure manual
- Drug information and assurance of available and appropriate drug reference sources
- Ensure appropriate ‘designated agent’ documentation in place for transcription of orders from a licensed practitioner and transmission to the pharmacy
- Destruction of controlled substances