Skilled Nursing Facility

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