5/16/23 - A Day in the Life of Staff Assisting a Prescriber, NP, PA, or Doctor 

Q: Will that [the pharmacies] be specific to certain meds? Is the pharmacy validated against [the] patient's insurance? 

A: Pharmacies are specific to the client, not the client's medication. Each time you prescribe a medication, you will select the pharmacy to send it to. The Real Time Benefits function provides coverage information and alternative drug options to the prescriber before a prescription is transmitted to the pharmacy. This information is based on the patient’s health plan, pharmacy, and selected drug. 

See Real Time Benefits for more information. 

Q: Does New Crop show medicine history from other/previous prescriptions and prescribers? 

A: You can access a patient's drug history and active medications from other providers using the Surescripts Drug History function in NewCrop. 

See Surescripts Drug History for more information. 

Q: Will each patient need to be reconciled [for medications prescribed by other entities]? 

A: Yes, you will access Surescripts Drug History on a per patient basis. Performing a history match is not required, but pulling in these outside medications allows drug and drug interaction checking on medications you are prescribing for your patients. Keep in mind that medications being prescribed are only checked for interactions against the medications that are listed in the patient's active med list in NewCrop. 

See Surescripts Drug History for more information. 

Q: Does this interface with Specialty Pharmacies, with eMARs and with medication distribution products (such as omnicell, this is a medication distribution cabinet like pyxis.) 

A: NewCrop does have specialty pharmacies in our database. For things like Omnicell, NewCrop does not have an integration with that type of product. 

Q: Can I add an over-the-counter medication? 

A: Yes, you can add OTC medications provided they are in the med list. Most of them are! Search for them like you do for other meds to add them to the patient's active med list or prescribe them if needed. 

Q: Will the allergies entered in Echo populate in NewCrop, or would they need to be entered in both locations? 

A: Allergies are only managed within Echo and then pushed to NewCrop, making EchoVantage the source of truth for all allergies. The allergy form was greatly improved to streamline this process. Now classes of drugs (like sulfonamides) can be recorded, and adding severity information is much easier as well. 

Q: I'm a little confused...Echo transmits to NewCrop? [Need distinction for different things, allergies, diagnoses, meds, and pharmacies] 

A: This is a lot of information to take in at once. Let's break each of these down. 

• EchoVantage is the source of truth for Diagnoses and Allergies. 

• These are managed within Echo. 

• Each time a user logs into or out of NewCrop, the diagnosis and allergy information for that client syncs up to NewCrop.   

• Diagnoses and Allergies cannot be edited in NewCrop. 

• NewCrop is the source of truth for Medications. 

• Medications are managed within NewCrop. 

• Each time a user logs into or out of NewCrop, the medications information for that client syncs down to EchoVantage.   

• Medications cannot be edited in EchoVantage. 

• Pharmacy information is only stored in NewCrop. This information will be pulled from DrFirst, stored temporarily during the migration process, and then uploaded to NewCrop. This sync process only happens one time as it is part of the go-live migration. 

Q: Is there an option to set separate sections for facilities? For example, if there is an outpatient unit and an inpatient unit. The Outpatient unit sends scripts in to be filled, and inpatient unit creates the prescription to be filled from stock medications. Is there something in this system that clearly identifies for the provider the meds they need to Send to the pharmacy to be filled, vs the ones that need signed only? 

A: Multiple locations can be assigned to a facility which can stand-in for a section. For example, if a nurse puts a Rx in pending for a facility's outpatient location, the provider can filter the tasks page by that location and see which Rxs are queued up specific to that outpatient location. The applied filter lets the prescriber know that those Rxs need to be transmitted to the pharmacy. In addition, the location names appear on the tasks page next to the pending Rx. If the internal or in house pharmacy is in NewCrop's database, the Rx can be transmitted to that pharmacy. If it is not in NewCrop's database, then the Rx can be printed out using security paper per applicable state law, and the provider can add their signature to the printed Rx.