ASAP's mission is to foster understanding of the role that technology plays in assisting pharmacists to promote patient safety and the proper use of medications, comply with laws and regulations, and operate their practices more efficiently by providing a forum for sharing diverse knowledge and perspectives on the modern practice of pharmacy.
The American Society for Automation in Pharmacy (ASAP) first undertook a cost-benefit analysis in 2009 to show the cost that pharmacies incur in the use of technology and how it serves to improve patient safety, patient adherence, and serves to reduce fraud and abuse. We believe that the investment in technology used to deliver needed medications to millions of Americans each and every day is simply overlooked or taken for granted by state and federal governments, third-party payers, and others. This document is an update of the analysis published in 2009. As part of the update we decided to also include an analysis of the technology used in closed-door pharmacies servicing long-term care facilities.
The new Implementation Guide for the ASAP Prescription Monitoring Program Web Service Standard from the American Society for Automation in Pharmacy (ASAP) is designed to facilitate bidirectional connections between pharmacies, prescribers, and prescription monitoring programs (PMPs). The standard uses a Web service to activate queries directly from a pharmacy management or EHR system. This avoids having to step out of the workflow to check on a person of interest. The standard also eliminates the need for a prescription monitoring program to send out alerts via email, fax, or regular mail. This is accomplished through an automated poll of the PMP on a daily basis directly from the pharmacy management or EHR system to see if there is anyone who has reached the state’s threshold for an alert. Purchase the Standard
A revised version of the ASAP PSE-Tracking IG is now available and includes several refinements and updates to the the last version. Purchase the Standard
The Standard for Real-Time Safety Adjudication for REMS Elements to Assure Safe Use (ETASU) Programs was developed based on the current ASAP Prescription Monitoring Program (PMP) standard that is widely used today.
Using the ASAP PMP standard as the basis for the REMS application minimizes programming changes needed in pharmacy management systems in order to handle the safety adjudication requirements and should expedite implementation.
In addition to Transmission Control Protocol (TCP) transmissions using segments and data elements, the ASAP standard supports the exchange of XML for real-time safety adjudication enabled by a highly structured, sequential schema. This schema is implemented using the XML Schema Definition Language (XSD) defined by the World Wide Web Consortium. Purchase the Standard
The ASAP Zero Reports standard requires only three fields to be populated to tell a prescription-monitoring program that no controlled substances were dispensed. The standard was also designed to address those states that use a two-pass editing process when files are received. In such a case the first pass determines if all required information has been transmitted. The second pass would see that it is a Zero Report, since only the first name field, last name field, and date filled field would be populated with the information defined in the standard.
Having a standard way of reporting that no controlled substances were dispensed simplifies the process for system vendors and chains that mustaddress the reporting requirements of multiple states. ASAP encourages all state PMPs to adopt the Zero Report standard for this reason.
The ASAP Error Reports standard is designed to eliminate the need for retail chains and pharmacy system vendors to support different formats and content of error reports received from prescription monitoring programs. The standard includes a minimum data set to identify the records that have errors or missing information in the batch files submitted. The standard should improve compliance in correcting and resending the records in question. Also included is a standard format for the summary reports pharmacies receive. Purchase the Standard
This latest version of the ASAP PMP IG is now available. 4.2 includes several refinements to 4.1 to improve the data collected by prescription-monitoring programs. Stakeholders taking part in the updating process included a number of states with operational prescription-monitoring programs, national drug chains and independents, and pharmacy system vendors. ASAP standards are used by every state with a prescription-monitoring program, and states ready to implement a PMP will be using the ASAP standard. Purchase the Standard
Following a four-month review of the 2007 version 4.0 standard, the American Society for Automation in Pharmacy has announced the release of version 4.1 of its prescription-monitoring standard. Stakeholders taking part in the updating process included a number of states with operational prescription-monitoring programs, national drug chains and independents, and pharmacy system vendors. The goal was to improve the quality of information reported to the states, while at the same time not increasing the complexity to report controlled substances dispensed. Also, preserving backward compatibility with version 4.0 that was published in 2007 was an overriding priority of the workgroup. Currently 33 states have prescription-monitoring programs, where the ASAP standard is used, with several more scheduled to implement such a program using the ASAP standard.
Prescription-monitoring programs are implemented to detect fraud, diversion of controlled substances, and potential abuse of these drugs. The latest release includes provision for capturing information from electronic prescriptions for tracking purposes, once e-prescribing is allowed for controlled substances. Purchase the Standard