End of Chapter Review Questions (Willow Fundamentals) Questions & Answers

(CH1) 1. If a fill has a status of Pending Fill, what needs to happen next? - ANSWERSAll "blocking" flags need to be resolved for all fills in the work request. This includes First Fill Review, Needs Clinical Review, Charging Rejected, and others 2. For your pharmacy, you can have pharmacists review the clinical details of a script before filling or during fill verification. What are the advantages and disadvantages of each choice? - ANSWERSIf pharmacist review is done before filling, there are fewer returns and wasted products. If pharmacist review happens after the fill, a pharmacist only interacts with the script once, increasing pharmacist efficiency. 3. A script has been reviewed by a pharmacist. All "blocking" flags are resolved yet status is still Pending Fill. Why? - ANSWERSThe script could be in a work request with other scripts that aren't ready to be filled yet. If one script still has a First Fill Review, Needs Clinical Review, Charging Rejected, or other "blocking" flag, all of the scripts have to wait to be filled. 4. Where can you put a comment so that it appears in work queues for other staff members to see? - ANSWERSEnter a work request comment. It appears in work queues. 5. What always happens after first fill review for a patient with insurance coverage? - ANSWERSA claim is sent for adjudication. 6. A fill's status is "Filled." What is the next workflow step that needs to happen to advance this fill? - ANSWERSA. Mark the fill as complete B. Mark the other fills in the work request as complete C. Verify the fill D. Verify the other fills in the work request B. Mark the other fills in the work request as complete. A "filled" status means the fill has already been marked as complete but other scripts in the work request have not yet been completed. After all fills are filled, then their status changes to "ready to verify." (CH2) 1. Why do we get almost all simple ERX records come from third party data vendors? - ANSWERSThe third party data vendors provide a lot of data that would be difficult, if not impossible, to collect and enter yourself, including classifications, controlled status, relationships between medications, and medication warnings. 2. When users enter mixtures on the fly, what can go wrong? - ANSWERSThe system allows a user to enter any ingredients in any quantities. The Type of each ingredient and whether it is the Dosed Ingredient affects the name and calculated concentration. The system does not stop a user from entering any of this information incorrectly. 3. When you don't have enough of a medication in stock you might do a partial fill, followed by a completion fill a few days later. When does the system send claims for the fills? - ANSWERSIn the training system you've seen the system send just one claim, for the entire filled quantity, at the point of the partial fill. You can change the system to send the claim at the point of the completion fill. 4. True or False: If Epic can't find an exact match for a sig in the translation table, the Translated sig will be blank. - ANSWERSTrue. Only sigs for which an exact match is found in the translation table will be translated. 5. A script is entered with a dose of 0.5 mg/kg. The English sig is "Take 1.3 mL ﴾13 mg﴿ by mouth in the morning." This sig does not automatically translate into the patient's preferred language. This is because Epic does not have a translation for _____________. - ANSWERSA. Take 1.3mL﴾13mg﴿ B. by mouth C. in the morning. D. Take 1.3mL﴾13mg﴿ by mouth in the morning. Answer: D. Sig translation in Epic requires the entire entered sig to match on a string in the sig translation table. It does not translate the sig piece‐by‐piece. (CH 3) 1. Name 2 things that are required when transferring a prescription into your pharmacy. - ANSWERSThe prescription's clinical information, pharmacy name, pharmacist, prescription number, written date, and fills remaining. 2. What is the difference between transferring in a prescription from a pharmacy and filling a script on their behalf? - ANSWERSIf you transfer the script in, you take ownership of it and it will get a new Rx #. If you fill it on behalf of the pharmacy, it will remain "owned" by that pharmacy and will keep the original Rx #. 3. What are the advantages of filling on behalf of another pharmacy rather than transferring? - ANSWERSWhen you fill on behalf of another pharmacy, the patient won't be confused by a prescription number change. The phone call between pharmacies is eliminated. It takes fewer clicks to fill on behalf of a pharmacy. 4. In what situation can't you fill on behalf of another pharmacy? - ANSWERSYou cannot fill on behalf of pharmacies outside of your system or pharmacies that don't use Willow Ambulatory. Some states or organizations do not allow this. 5. You have been asked to transfer a zolpidem ﴾C‐IV﴿ script to another pharmacy. Which of the following are reasons you cannot transfer it? - ANSWERSA. It was last filled as a partial fill B. It was received as a hard copy C. It was transferred in from another pharmacy D. No refills remain Answers: C and D. A) The quantity of the last fill is irrelevant; a partial fill becomes just a small fill if the completion fill never happens. B) The origin of the script is irrelevant. C) Because the medication is controlled, after it is transferred once it cannot be transferred again. C) You cannot transfer a script with no remaining refills. (CH 4) 1. How do you process a verbal refill request? - ANSWERSAccess the patient from the Front Counter, add refills to work request, and fill the prescription. 2. What happens if a pharmacist attempts to refill a medication that doesn't have any remaining fills? - ANSWERSThe pharmacist is prompted to send an In Basket message to the provider or to print a form for calling or faxing to the provider. 3. Why would the system force you to print a refill authorization request? - ANSWERSIf the provider who authorized the prescription is a non‐EpicCare provider, then the refill authorization request must be printed. The system doesn't have any way to send electronically to a non‐EpicCare provider, so the RAR has to print. 4. True/False: A refill authorization request can be sent electronically for a controlled medication. - ANSWERSTrue. As long as the provider who authorized the prescription is an EpicCare provider or a Surescripts provider, then the RAR can be sent electronically. The ability to send a RAR electronically has nothing to do with the controlled status of the medication, unlike e‐prescribing which has special rules for controlled medications. (CH 6) 1. You create a new patient record and enter her coverage. Later, a technician opens her patient record and doesn't see the coverage you entered. Why might this be? - ANSWERSIt could be because you created a duplicate patient record. The coverage is entered on one record, but the technician is looking at the other record. Ug! 2. What three pieces of information on the front counter tab of a patient chart are seen only in Willow Ambulatory? - ANSWERSThe default address, the prescription address, and pharmacy notes. 3. What are the two process for dealing with plans that don't exist in Epic? - ANSWERSPharmacy staff can enter a help desk ticket and wait for someone to create the plan, or they can use the Rx Help plan to record the coverage, if the Rx Help plan has been made available to them.