Table 4.
Problem | Resolution |
---|---|
Inconsistent policies and communication preferences among health districts | Program coordinator created a spreadsheet of contact information and policies for single point-of-reference for all pharmacies. |
Inconsistent State-level and district-level data needs | Program subcontract to software engineer to create community pharmacy–friendly Web portal for data reporting; portal collected all state- and district-specific data in single place and reported via usual mechanism (used by labs) to streamline with overall reporting workflow used at the state. |
Initially, no mechanism to report COVID-19 POCT results (onboarding delay of months) | While the portal was being created, interim fax reporting was used to ensure that districts had information specific to positive POCT findings. |
Documentation of patient care | e-Care template that covered required elements of CPT code 99201 created for pharmacies to adapt to individual patient needs. |
Variable PPE access among public health districts | District-specific approaches for requesting initial PPE determined and communicated to pharmacies. |
Unmet initial PPE needs | District-specific policies linked in district spreadsheet for single point-of-access for pharmacies. |
Ongoing PPE needs | Pharmacies integrated into usual practice for tracking PPE burn rate. |
Need to offer PCR sample collection for negative or asymptomatic patients | Contracting with PCR laboratories in state to streamline transfer of pharmacy-collected samples to PCR facilities. |
Abbreviations used: PCR, polymerase chain reaction; POCT, point-of-care-testing; PPE, personal protective equipment; COVID-19, coronavirus disease 2019; CPT, Current Procedural Terminology.