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We have partnered with Vigilance Santé to integrate their RxConsultAction tool within MedMe's end-to-end platform for Minor Ailments Prescribing. This tool offers step-by-step assistance to pharmacists, within their pharmacy software, in the provision and documentation of clinical services. Read on to learn more about how to use the RxConsultAction tool in your MedMe platform!

TABLE OF CONTENTS


1. Accessing RxConsultAction

Once any one of the Minor Ailments appointment types have been booked, the RxConsultAction tool can be accessed by clicking into the consultation on the patient's profile.

When you're ready to start, click on the blue "Start" button! A pop-up will appear, in which you must click "Continue to RxConsultAction" in order to access the tool.

Before starting the consultation, there are a few pieces that should be checked to ensure that you are able to connect to the RxConsult Action tool smoothly. Take a look through the patient profile details and ensure that the fields for Sex Assigned at Birth, and Address are all complete. If you need to make changes or add information, you can use our Edit functionality to make your changes and hit save. (How do I edit patient information?)

Important Note: A new tab will open up in your browser to access the tool. All documentation MUST be saved in the RxConsultAction tab in order for it to appear on MedMe.


2. Completing the Assessment with RxConsultAction

A new RxConsultAction tab will open in your browser to allow you to access the tool. No sign-in is required for access, as this is already included in your MedMe subscription!

To start, click on the "Minor Ailments" Tab. The option available will be the ailment that had been booked in your MedMe platform.

Can't see this page and receiving an error? See our troubleshooting tips here.

You might also notice a Medications section in the right column of the page - please ignore this section for now, as there is no integration for this feature at this time.

For each ailment, you will notice approximately 6 sections available:

Links to Additional Resources (for select services)

For select services, additional resources such as clinical algorithms and references and legal obligations/regulatory requirements are linked within the service itself. The following icons can be found beside the service name:

Legal obligations/regulatory requirements

External links for clinical information

Capturing Patient Consent

Patient consent for the assessment is captured directly within the RxCA tool. These fields are required and must be filled out before you can proceed with the service. The consent will be documented on the Service Summary document that is generated through the RxCA tool.

Assessment Guidance

This section will help guide the prescriber through condition identification, red flags and exclusion criteria. All inputs and notes made in this section will be saved in a PDF document that is stored back in the patient's MedMe profile under "Service summary".

Example below:

Prescribe

If you decide that the patient will receive a prescription, you may use the prescribe section to generate a prescription. This prescription will be saved in a PDF document that is stored back in the patient's MedMe profile under "Prescription".

In order to add a medication, click the "Add" button to open up the list of medications for prescribing.

Upon clicking "Add", a list of medications will appear as a pop-up. This medication list has been narrowed down to only include the medications that are a part of the scope for the the province you are practicing in. The medications shown are those that have been indicated as first-line prescription choices, and do not cover all medications in the corresponding AFHS classes.

If you would like to prescribe a medication that is not recommended as a first-line medication for the condition but falls under the AFHS classification scope, click on the blue "Choose another medication" button to search for the desired medication.

A green checkmark beside each medication name indicates that the medication is typically covered by provincial insurance (refer to your province's insurance for details). A red "no" symbol indicates that the medication is not typically covered by provincial insurance.

Note: These indications are not dynamic based on the patient's age or demographic, they are only meant to show possible options that are more likely to be covered. Individual coverage eligibility should be verified by the prescriber to the best of their ability.

After a medication is chosen, the details of the prescription will be auto-filled in the tool.

If you have used the "Choose another medication function", a blank Authorized Medication page will appear. You can then search for your desired medication by:

  • Medication name OR

  • DIN

Note: Prescribers should always review the prescription details before concluding the intervention. All of the details that have been auto-filled can be changed, and should be changed as per the prescriber's clinical judgement and discretion.

Additional medications may be added by using the "Add" button.

Follow-Up (integration coming soon)

Your follow-up plan can be documented using the Follow-up section. Any information documented in this section will appear in the service summary document that is generated at the end of the consultation.

Note: You will notice a yellow banner when the follow-up section is opened - this banner notes that while the details of this section will be saved and populated in the Service Summary document generated, follow-up appointments are not automatically added to your MedMe calendar, and should be scheduled directly on your MedMe platform.

This integration will be coming soon!

Refer

To generate a referral note or a prescriber notification document, you may use the Refer section to do so. A healthcare professional can be selected from the dropdown list, and additional notes can be written under the "Precision" section. If you would like to add the service summary and prescription information, please click the checkbox to include this information in the generated document. All inputs and notes made in this section will be saved in a PDF document that is stored back in the patient's MedMe profile under "Referral form".

CRITICAL STEP: Saving Your Assessment

This step is important in order to ensure that the documentation you've done is saved back onto the patient's MedMe profile. In order to ensure all pieces of documentation are saved, you must see the following message on the RxConsultAction tool:

Please follow the steps below to ensure you get to this message:

After finishing the assessment, click the green "Conclude Intervention" button. This will generate the last section named "Documentation Management". The purpose of this section is to manage which files you'd like to print directly from the browser.

NOTE: Files will still get saved to the patient's MedMe profile even if the boxes are unchecked. The checked boxes only indicate the files that you'd like to print directly from the browser.

Files can be printed directly from the browser, however, there is an option back on the MedMe platform to download and print individual files. NOTE: Currently, the only files that will be saved on the MedMe platform are the Service Summary, Prescription, and Referral form. Any patient education that you would like to share with the patient should be printed through the "Document Management" Section.

Recipient - Please ignore this section for now, as there is no integration for this feature at this time.

Once everything has been completed, please click the green "Finish and save" button. There will be a loading screen that will indicate the documents are being created and saved, and the assessment will conclude with the last verification message.

You are now safe to close the RxConsultAction tab, and return to the patient's MedMe profile.

Final Step: Back to MedMe

On return to the MedMe platform, you will now see the following message:

In order to see the saved files on the MedMe platform, click the blue "Refresh files" button. You will then see all the files saved separately on the patient profile, and from this point onward, you can do additional actions for each file through our Multi-File Management feature.


3. Troubleshooting

I'm receiving an error when I try to open the Vigilance Santé module?

There may be times when you open the module and come across an "error in the input". This occurs when there is patient information that is missing on the MedMe patient profile. Here is a list of the most common errors, and the information that must be saved back on the patient's MedMe profile. (How do I edit patient information?)

  • Attribute gender is missing Source: profile.patient = Ensure "male" or "female" has been selected under the "Sex Assigned at Birth" field on the MedMe patient profile and save the information.

  • Source: profile.patient.city = Ensure the patient's address is complete and saved on the MedMe patient profile.

  • Source: profile.mailingCode = Ensure the patient's address is complete and saved on the MedMe patient profile.

  • Source: profile.patient.patient.zone = Ensure the patient's address is complete and saved on the MedMe patient profile.


About Vigilance Santé inc.

Established in 1991, Vigilance Santé combines knowledge, intelligence, and technology to empower frontline health care professionals. The company develops IT solutions and databases with the aim of ensuring the safe and optimal use of medications. RxVigilance, its flagship product, already has more than 50,000 users. With monthly updates, the software can be used to look up drug information, perform comprehensive pharmacological profile analyses, access a broad range of patient handouts, and much more. Vigilance Santé's other products include RxPhotos, which hosts a database of over 50,000 photos of pills and their packaging across three services. The company's latest product, RxConsultAction, offers step-by-step assistance to pharmacists, within their pharmacy software, in the provision and documentation of clinical services.

For more information: vigilance.ca, 1 844 582-3917 or info@vigilance.ca
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