Update Renewals on VA.gov.md

products/health-care/digital-health-modernization/mhv-to-va.gov/medications/product/Renewals on VA.gov.md

@@ -45,6 +45,7 @@ Allow users to request a renewal of a prescription directly from within the Medi
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 ## Discovery
+
 ### Assumptions/Risks
 > *Identify risks related to usability, value to users, feasibility/implementation, and viability given organizational constraints<sup>2</sup>. 
 > Indicate how you'll validate/test against these risks. Inspired by [SVPG's Four Big Risks](https://www.svpg.com/four-big-risks/).*
@@ -93,13 +94,13 @@ Allow users to request a renewal of a prescription directly from within the Medi
 
 ## Screenshots
 
-### Before
-MHV on VA.gov today
+### Before- MHV on VA.gov
 ![image](https://github.com/user-attachments/assets/ad701bf9-860c-4530-80a7-c898710c4516)
 ![image](https://github.com/user-attachments/assets/96073339-7262-4b40-81f0-0792a6566048)
 ![image](https://github.com/user-attachments/assets/d002b348-77ce-49a7-b694-7d91dc64a93d)
 
-MyVA Health today 
+
+### Before- MYVA Health
 ![image](https://github.com/user-attachments/assets/81759577-522e-4715-9e8a-7f2e2d122df1)
 ![image](https://github.com/user-attachments/assets/dd18f890-2ec8-4663-8809-7301eb21e494)
 ![image](https://github.com/user-attachments/assets/dd819889-a295-49b6-8d7f-530e6bd705bd)
@@ -119,3 +120,71 @@ MyVA Health today
 - PCP SME Work group: Lead by Meredith Joesphs, Organized by Bresha Lipscomb
 
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+
+
+<details>
+<summary>Notes from PCP Meeting 8/28</summary>
+  Questions: 
+- How are you getting renewal requests today?
+- What are your frustrations/concerns with how that works today?
+- What would you want to make sure is included in a renewal request that is sent to you?
+- Are any of you working at OH facilities today?
+- Any issues for those renewals you’re getting today?
+- What concerns do you have?
+
+  Here are rough notes from that discussion: 
+
+Dr. Scott Pawlikowski at Haines Medical Center- 
+Notified of med refill in a variety of ways
+Audiocare at Haines- automated view alert for proposed orders “right click renew”
+some things not available for right click renew, like high risk meds
+this is the most preferred by providers, quick, easy no additional steps by the provider
+can include a note from pharmacy to request renewal
+Secure message
+Electronic messaging system- Message manager - only for VISN 12
+Would be nice if the system automated the request and sends it to the right provider
+If receive as a “view alert” can forward to the prescriber, can forward as a message manager can forward, if in MHV I respond back to the patient, “I’ll communicate this request on your behalf to your provider” then find that message in chart and put an addendum to it and put to the prescriber
+Sometimes that prescriber doesn’t reply right away and then it’s hard to remove yourself from future refill requests
+When renew a med in MHV there is a lag because the pharmacist needs to approve/recieve (1-2 business days) “pending”
+Patient doesn’t see it in the system and then reach out again
+Created guidance
+PADR requests (PRN medicines)prior authorization drug request
+May be years before the tube empties, will take a long time to finish, very very expired
+So cumbersome to do that
+Very consuming to find old orders
+For expired, non forumlary it’s going to take a long time
+
+Dr. Scott Hagan in San Diego-
+1/3 of incoming messages to PCP triage groups are med renewal request, if could eliminate that that'd be great
+His VISN has a separate triage group called “Where’s my med” they go into the chart and flag the provider if it needs a renewal
+And tell veterans the recommended ways to renew
+3/4 of the time uncomplicated and don’t need to go back and forth with the veteran
+Better system to sign off in the chart
+Sometimes flagged on a med renewal request from call center staff, hard to remove the action out of our inbox
+B/c MHV isn’t part of the CPRS chart there is some concern in manually typing into CPRS and finding their chart
+Dr. Christine Erickson -
+MHV - not everything is sent to PCP
+Audiocare sends message to the previous prescriber/ordering provider
+Ask for everything at the same time in one message to one person
+Sending to ordering provider would be the best way but there are sometimes where that doesn’t make sense
+In MHV I often assign to another team, MHV doesn’t auto assign to anyone, lots of time not attached in secure messaging (some of those triage groups aren’t available)
+Dr. Nilesh Shaw-
+Request to send messages to the same message center pool that audio care does
+What type of meds should have automated renew ie. Only those expired in last 120 days?
+Proposed orders
+Right click renew is the best for providers (CPRS)
+In OH today (MyVA Health/Millennium) -
+No easy way for a provider to renew
+Provider needs to re-write the order, or go from the patients med list
+OH loves to have multiple ways to do the same thing
+If it needs renewal it would be in active and available to renew
+Older meds must change a filter to find an older one
+No in-active Rx are allowed to be renew
+What is the criteria for renewal request-
+Include last fill date
+Only meds that have expired in the last 120 days
+PRN
+Summary: 
+Renewal should come in in something easily signed, structured format for providers, SM is not the best way to do that today.
+
+---