10/2/20 CCM CCMDD/ DD/ Da Dablamed meds Tr Training Septem Sep ember er 2020 Jhb Health District 1 1. Enrolment criteria for CCMDD during COVID-19 pandemic Identify stable patients eligible for registration onto the CCMDD programme during the COVID-19 pandemic using the following criteria: Children and adolescents: Adults: All chronic diseases for which medication • Authorised prescriber/clinician • is available on the provincial CCMDD confirms eligibility formularies All chronic diseases for which • • No current condition requiring regular medication is available on the clinical consultation. provincial CCMDD formularies Patients dosage is not dependent on • Examples of some of the conditions: • weight changes HIV: On ART, stable o CCMDD • ART: Hypertension: stable o Enrolment On ART for at least 6 months with no o Diabetes: stable o criteria during regimen or dosage changes in last 3 COVID-19 months Most recent VL <50 c/ml o Other examples: Asthma, Chronic o Pruritus, Oral contraception 2 1
10/2/20 2. REGULATION 43260 a. Extension of existing prescription at SP -1 The following patients will be eligible for a prescription extension from 6 months to 12 months from the SP: Prescriptions that • Prescriptions dated from 30 October 2019 will not be to 30 April 2020 and extended • Prescriptions with a remaining repeat to be Eligible dispensed from the SP, and prescriptions for • Patients with a valid cell phone number and × Any prescription containing a extension one of the following: schedule 5 item × Patients receiving TEE prescriptions ü Prescriptions containing medication for that are not WOCP NCD conditions and are schedule 2, 3 and × Patients that do not have a valid 4 items or, cell phone number ü Prescriptions containing 2 nd line ART or, ü Prescriptions containing TLD or, ü Prescriptions for WOCP on TEE (<40 years) 3 2. REGULATION 43260 a. Extension of existing prescription at SP -2 4 2
10/2/20 2. REGULATION 43260 a. Extension of existing prescription at SP -4 External Pick-up Points will be responsible for the following: Identify PMPs with extension alert sticker • Notify and inform all patients collecting PMPs with an extension alert sticker about the automatic • extension Continue to remind patients with a last supply and no extension alert sticker to return to facility • Inform all patients to return to facility if they feel unwell • Internal Pick-up Points will be responsible for the following: Identify PMPs with extension alert sticker • Notify and inform all patients collecting PMPs with an extension alert sticker about the automatic • extension Continue to remind patients with a last supply and no extension alert sticker to return to facility for • prescription renewal Promote external PuPs to all patients collecting from facility PuPs and complete mid-cycle • switching form (refer to CCMDD SOP-24 & Mid-cycle switching slide) 5 2. REGULATION 43260 a. Extension of existing prescription at SP -4 Stationary examples Informing the patient on where to find the collection How to identify patients that have received dates for the extended deliveries: extensions on their prescriptions: Gauteng Gauteng • The PMP patient label will have the words • The collection dates can be found inside the PMP on a *Script Extended* on as shown below as well new printed patient card as illustrated below. The as the updated repeat count. patient can place this in the CCMDD collection card. CCMDD Patient Card Next scheduled Name: John Smith dates: 2020/06/01 ID/Passport: 6010025110080 2020/07/27 Patient Code: 123234 2020/09/21 Facility: Germiston Clinic PUP: Clicks Eastgate 6 3
10/2/20 2. REGULATION 43260 b. Renewal of prescription under the new guidelines Synch: Manual: Extend Extend on synch on Excel 7 2. REGULATION 43260 b. Important things to remember 1. The patient is required to present at the public health facility for their annual blood on the original anniversary date. Do not change blood due date! A 12-month prescription can be given to a patient with a VL test done >6 and < 11 months ago. Only call the patient back and deactivate the 12-month prescription if blood results are abnormal. 2. The following should be done by the facility: 12 Month Tier.Net should be updated according to 12-month collection dates by • Rx selecting the 12-month option instead of the 6-month option. All 12 collection dates must be given to the patient in the collection card. • • Patients should be provided with a minimum of 2 months of treatment 8 4
10/2/20 3. PATIENT DECANTING a. Mid-cycle switching If districts have identified facilities with a high number of patients collecting from an internal facility PuP and rapid decanting is needed, patients can be offered to switch to an alternative PuP at collection of PMP in the middle of their collection cycle. The following should be done: Patients should be provided with the list of external PuPs for them to choose a convenient PuP SOP 24 - Annexure B should be completed for each patient that would like to switch to an alternative external PuP The patient collection card must be reviewed, and the new PuP must be indicated The correct cell phone number of the patient must be recorded to ensure successful communication to the patient SOP 24 - Annexure B should be submitted to the SP helpdesk daily A patient can also change his/her PuP by: Contacting the SP call centre, inform the helpdesk agent of the change of PuP • The patient should indicate till when the change is needed, • The helpdesk agent will indicate whether the change is possible and when the first parcel can • be expected at the changed PuP. 9 4. UPLIFTMENT OF UNCOLLECTED PMPs n t e Upliftment period changed from 7 to 14 days m • f t p l i U Upliftment will take place after 14 days if PMP is not collected • n - o N o f Phone SP to make arrangement for upliftment and follow SOP as normal • d t e e c l l o • Allows patients more time to collect c • SyNCH – updated to allow for a 14-day collection period s M P P 10 5
10/2/20 DSV Process of Upliftment Log Upliftment via Helpdesk • Upliftments are logged via the Helpdesk contact number or the Helpdesk e-mail address • The Helpdesk agent would log all the details pertaining to the Upliftment on the system, raise the claim and generate a Reference number that will be given to the caller. • This information will be forwarded via e-mail to the various Hubs by the end of each day. Log Upliftment via SyNCH • SyNCH upliftments work in a similar way; • Uncollected PMP’s will move to an UPLIFMENT status if not collected in 7days • This Upliftment would have to be actioned by the prescriber • Once the UPLIFTMENT is actioned, it pulls through to the DSV system in the form of a weekly report • This report is distributed to Helpdesk agents on a daily basis and the Upliftment will be raised before the end of the day 11 Rejections The main reasons for rejections are: • Prescriber details • Patient details • Item not on formulary • Prescriber Level • ARV related errors • Dosage/ Directions/ Strength 12 12 6
10/2/20 Rejections – Prescriber Details To avoid these rejections, please Rejections due to prescriber details: ensure: • Details is blank, incomplete or All fields are completed • unclear Always sign prescription • • No prescriber signature Update authorised prescriber • • Prescriber not on authorised list monthly and submit to SP prescriber list that was submitted You must be registered with • • Prescriber not registered with your professional body and professional body remember to pay your fees Prescriber Information: ( Use St amp if available) Name & Surname: Designation: HPCSA/ SANC: Persal nr: Date Prescribed: Signature: 13 13 Rejections – Prescriber Level To avoid these rejections, please Rejections due to prescriber level: ensure: • Dr initiated item prescribed Ensure you are authorised to • without co-signature prescribe the medicine • S5 medicine prescribed by nurse Get permit from district • without permit Ensure there is indication that • • Psych medication prescribed by item was initiated by a Dr nurse without needed qualification • Clinical Associates • Enrolled Nurses prescribing 14 14 7
10/2/20 Rejections – Patient Details To avoid these rejections, please Rejections due to patient details: ensure: • ID number is invalid ID has 13 digits • • No DOB Transcribe from ID book where • • Name & Surname is not written in possible full Complete name and surname • as per ID book 15 15 Rejections – ARV relates Rejections due to patient details: To avoid these rejections, please ensure: • Incomplete ARV regimen Ensure the correct and • Incorrect ARV regimen • complete regimen is Pt was on 2 nd line and now 1 st line • prescribed • 2 prescriptions – different Ensure correct prescribing of • regimens for the same patient on ARV’s on SyNCH the same day 16 16 8
Recommend
More recommend
