‘Token’ model to cause chaos?


Stressed pharmacist in dispensary

The “rushed” introduction of electronic prescriptions is set to cause unnecessary chaos, warns the Pharmacy Guild

The Guild has said in a statement that the planned fast-tracking of electronic prescriptions will cause unnecessary chaos and be a backward step for patient care at exactly the wrong time.

The imminent fast-tracking of the electronic prescriptions (FTEP) is part of the Government’s COVID-19 National Health Plan.

The Guild says that on behalf of the community pharmacists working in thousands of pharmacies across Australia, it cannot support the introduction of a measure which it says will impose further significant disruption at a time when community pharmacies are already under intense pressures to support their patients during COVID-19.

The proposed fast-track introduction of the “token” model for electronic prescriptions is the wrong move at a time when the system and pharmacy network is clearly not ready and experiencing unprecedented challenges, the Guild says.

The “untested” system, under which prescriptions would be conveyed by “tokens” sent to patients by text or email, presents unnecessary risks to patient care, says the organisation.

This system will impose unwarranted disruption to the administrative and clinical workflow of both prescribers and community pharmacies already having to adjust to new arrangements in support of the COVID-19 National Health Plan, it says.

“The COVID –19 emergency has already seen significant rapid changes introduced to address the need for self-isolation and telemedicine, including prescriptions being sent as a photo image by email, facsimile and in some States text message, directly from prescribers to community pharmacies,” it says.

“The high number of prescriptions being dispensed through these telehealth measures demonstrates that patients are continuing to have ready access to their medicines without the need, at this stressful time, for a token-based electronic prescription which would severely test pharmacy systems and cause confusion and potential medication misadventure for many patients, particularly the elderly and chronically ill.

“From the pharmacy patient perspective, the electronic prescription token system is not suited to patients on multiple medications and will cause further disruption and confusion, especially for those patients not familiar with the required technologies to manage their multiple ‘tokens’.

“These patients rely on their community pharmacy to help them manage their complex medication regime, not devices and multiple text messages or emails.

“This is why the Guild has recommended, through the Electronic Prescribing National Change and Adoption Working Group, that the alternative model known as the Active-Script List (ASL) be prioritised as it best supports a patient’s access to their medicines via electronic prescribing and best enables the community pharmacy to support this access.”

The Guild says that under the ASL system, the patient’s “active” prescriptions can be authorised for access by the patient’s chosen community pharmacy without the need for a token or multiple tokens to be self-managed by the patient.

“While the Guild will continue to be a strong supporter and contributor to the national electronic prescriptions project, it recommends the FTEP (Token) be removed from the COVID-19 National Health Plan in favour of the ASL model, and that maintaining patient access to medicines during COVID-19 is achievable by the appropriate resourcing and funding of the current COVID-19 measures,” it says.

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4 Comments

  1. Andrew
    30/04/2020

    One thing I’ve learnt recently is that this pivot to telehealth is causing a huge amount of paperwork and double/triple handling as originals are received and reconciled.

    The way this system is described it would do away with this type of non-productive work.

  2. Anne Todd
    01/05/2020

    Having been involved in the original MediConnect trial before current barcode download process I’d agree with this sentiment. People didn’t want or need tokens/passwords and it would be vastly disruptive to workflow, not to mention social distancing and hygiene barriers/processes at this time.

    eScripts work elsewhere without this step.

  3. Owen Patrick Mellon
    01/05/2020

    This decision should be postponed until post 7CPA and/or telehealth settles from Pharmacists & Doctors

  4. Glenn Angel
    01/05/2020

    Frankly, being a minor software creator in the pharmacy space, there are significant differences between what some software vendors, and also the ‘deciding bodies’ deem to be ‘efficient’ for the industry compared to what ground level pharmacists know will work with the current workflow. I think the Guild has hit the nail on the head with this comment.

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