Pharmacy Orders Workflow

(Bold words located in yellow boxes are Meaningful Use Requirements)

On the Medications Tab Order New Medications (CPOE) as

need using established Medication Quick Orders. If Medication
Review Problem List and
Complete Medication Reconciliation is already listed do one of the following:
Allergies (Document No
(to include Outside and Over the Use Process Button to:
Known Allergies or No
Provider Order Entry

Counter Medications, Herbals, and Renew (creates new order same as original order)
Problems (if applicable)) Sign Orders Internal Pharmacy
Cleaning up Medication List) and Discontinue and/or
Review Recent Labs
Document Education Code of M-MR Copy to New Order (creates new order and allows
Review Medications on
under Patient Education modifications) and/or
Medications Tab
Change Medications (discontinues old order and
creates new order allowing modifications)
e-Prescribed
Orders Verify Confirmation
Transmitted to from Outside Pharmacy
Outside Pharmacy
In House Pharmacy & Office Visit

EHR Complete Medication Reconciliation (to

Queue Review Patient Medication
include Outside and Over the Counter Document Patient
List, Allergies, Problems,
Medications, Herbals) and Document Education and
Orders Received and Recent Labs Patient Presents Dispense
Education Code of M-MR under Patient Literature,
Review, Process and to Pharmacy Medications
Education Distribute Patient
Routing Complete Pending Orders,
Allergy Review (Document No Known Wellness Handout
Slip Process Refills
Allergies (if applicable))

Patient Calls Refill Line and If Patient Waiting: Patient Summoned

Leaves Message Medications to Pharmacy and Receives Medication
Medication sent
YES Refilled using
to Will-Call Area
and Pharmacist document Education
Paperless Refill (Verbal or Education Literature using M-L
Pharmacist or
(No Automated Voice Response)

Review Patient Education Code)

Technician takes
Walk-Up or Phone in Refill

Information in EHR.
Message and
Can Prescription be
Delivers to
Refilled?
Pharmacist
Prescription
Pharmacist
NO Renewed by
Consults Provider
Provider
Patient Presents to Pharmacy
and Requests Refill

Provider Pharmacist Notifies Patient, Advises of Reason

Declines Refill for Decline, and Documents in EHR
Pharmacy Orders Workflow (cont.)
(Bold words located in yellow boxes are Meaningful Use Requirements)

Patient Calls Refill Line and

Inputs Requested Information to
Pharmacist Releases Medications Refilled
include Prescription Numbers Prescription Queued Medication sent to
AVR Queue and using Paperless
Automated Voice Response (AVR)

for Paperless Refill Will-Call Area

Medications Refill
Phone in refill using

AVR System Checks

Prescription Status

AVR Informs Patient Prescription

cannot be Refilled. Pharmacist Notifies
Patient, Advises of Reason for Decline,
and Documents in EHR

Refill
YES
Pharmacy or Technician: Dispense Medications at Window
Patient or Proxy Presents to
Use Pharm Ed Button to
Pharmacy.
Medication Pickup Only

Document Encounter
Is Prescription Ready?
New Prescription
Patient Summoned, Counseled, Medication List Reviewed
YES (updated and reprinted as needed), and Medication is
NO Dispensed. Document Patient Education using M-L
Education Code

Refer to Walk-
Up Pharmacy
Workflow
Pharmacy Orders Workflow (cont.)
(Bold words outlined yellow boxes are Meaningful Use Requirements)

Review Patient Generate Updated

Medications List,
Information in EHR and Select Pharmacy Medications List and
Outside Prescription Received in Pharmacist fills Patient Literature,
Determine if Prescription YES Visit in EHR and Patient Literature
Pharmacy. Prescriptions and Medication sent
can be filled according to Document Visit for Patient
to Will-Call Area
Outside Prescription

facility policy Education

NO

Patient Summoned, Counseled, Medication List

Reviewed (updated and reprinted as needed), and
Refer Patient to Clinic Medication is Dispensed. Document Patient Education
using M-L Education Code

Arrives & Checks in for Pharmacy

Only Visit
Medication Therapy Management
(Pharmacist-Managed Clinics)

(i.e. Hypertension Clinic, Asthma

Clinic, Anticoagulation Clinic, etc.)

Document Visit and

Complete Information on:
Select Patient and Visit
in EHR and Assign Self
as Primary Provider
Complete Medication Reconciliation and
Services Tab Dispense Medications
Order and Dispense Allergy Review. Document Education
POV Tab and Distribute Patient Wellness
Medication Code of M-MR under Patient Education,
Wellness Tab Handout
Generate Patient Wellness Handout
Vitals Tab (as needed)
POC Lab (as needed)