Clinical Opportunity Management System for Pharmacy Workflow Integration

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Solution Overview

Problem

Pharmacists and pharmacy technicians face burnout due to increased demand for vaccination services and clinical tasks, with existing solutions often requiring them to navigate multiple separate systems and interfaces, reducing efficiency and increasing stress. Additionally, pharmacies face erosion of profit margins and reimbursement due to financial models shifting from volume to quality outcomes, highlighting the need for improved workflow management.

Innovation Solution

A patient opportunities management system that aggregates, ranks, and integrates clinical opportunities into existing pharmacy workflows, allowing seamless management and real-time status tracking, reducing the need for multiple interfaces and improving clinical workflow efficiency and revenue opportunities.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If pharmacists and technicians provide increased vaccination services and clinical tasks, then patient care quality and accessibility improve, but staff burnout and stress levels increase

Engineering Contradiction:
Improveclinical service capacityVSAvoidstaff burnout
Core Design Contradiction:
Adaptability or versatilityVSObject-affected harmful factors

Solution Approach 1:

The system segments clinical opportunities from multiple sources into discrete, manageable tasks that can be individually assigned and tracked. By dividing the workload into specific patient opportunities with defined actions, the system prevents overwhelming staff with undifferentiated task volumes, thereby maintaining service capacity while reducing burnout risk

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system implements real-time feedback mechanisms through status tracking and workflow monitoring. Clinical opportunities are tracked through various stages (pending, in-progress, completed), providing continuous feedback to staff about their workload and progress. This enables dynamic workload adjustment and prevents accumulation of unmanaged tasks that contribute to burnout

Inventive Principle:
Principle #23Feedback

2Adaptability or versatility

If pharmacists navigate multiple separate systems and interfaces to manage clinical tasks, then comprehensive patient care can be provided, but workflow efficiency decreases and stress increases

Engineering Contradiction:
Improveclinical task coverageVSAvoidworkflow efficiency
Core Design Contradiction:
Adaptability or versatilityVSProductivity

Solution Approach 1:

The system merges multiple clinical opportunity sources and pharmacy management functions into a single integrated platform. By consolidating task management, patient information, and clinical workflows into one unified interface, the system eliminates the need for staff to navigate multiple separate systems while maintaining comprehensive patient care capabilities

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The system implements a universal platform that handles multiple functions including clinical opportunity aggregation, task assignment, status tracking, and integration with various pharmacy management systems. This multi-functional approach allows a single system to replace multiple specialized tools, improving efficiency without sacrificing task coverage

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Productivity

If pharmacies operate under financial models based on volume, then revenue generation is maximized, but quality outcomes and patient health improvement are compromised

Engineering Contradiction:
Improverevenue volumeVSAvoidquality outcomes
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The system enables dynamic prioritization of clinical opportunities based on multiple criteria including quality metrics, patient need, and reimbursement value. Rather than treating all tasks equally to maximize volume, the system dynamically adjusts priority levels to ensure high-quality outcomes are achieved first, allowing pharmacies to maintain revenue while improving care quality

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The system changes the parameters used to evaluate and select clinical tasks from volume-only metrics to multi-dimensional parameters including quality outcomes, patient acuity, and reimbursement rates. This parameter transformation allows pharmacies to optimize for both quality and revenue simultaneously by identifying and prioritizing high-value clinical opportunities

Inventive Principle:
Principle #35Parameter changes

4Adaptability or versatility

If pharmacies lack integrated workflow management for clinical opportunities, then operational flexibility is maintained, but task allocation accuracy and tracking reliability deteriorate

Engineering Contradiction:
Improveoperational flexibilityVSAvoidtask status tracking
Core Design Contradiction:
Adaptability or versatilityVSMeasurement precision

Solution Approach 1:

The system acts as an intermediary layer between multiple pharmacy management systems and clinical opportunity sources, providing standardized tracking and status management. This intermediary function enables accurate task allocation and status monitoring without requiring changes to existing systems, maintaining operational flexibility while improving measurement precision

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS20240203570A1Systems and methods for prioritizing clinical opportunities
Publication Date: 2024.06.20 CHANGE HEALTHCARE HOLDINGS LLC
  • US20240203570A1 patent drawing
  • US20240203570A1 patent drawing
  • US20240203570A1 patent drawing

AI summary

A method for managing clinical opportunities in a pharmacy setting includes aggregating clinical opportunities, which are patient care tasks to be performed by a pharmacy user, from a plurality of sources, ranking the clinical opportunities using one or more ranking parameters, integrating the ranked clinical opportunities into a workflow of one or more pharmacy management systems, determining that a first clinical opportunity from the ranked clinical opportunities has been initiated by a first pharmacy management system of the one or more pharmacy management systems, and updating a current status of the first clinical opportunity within the clinical opportunities repository once the first clinical opportunity is initiated.