Care requests

A care request carries the requested units, patient reference, assigned owner and provider party through authorization. The coordinator prepares a request under the right pharmacy organization and checks that the provider party is active. The reviewer works from the request revision and the attached evidence. A later edit must be considered against the revision already decided. The authorization desk gives the team a daily queue ordered around requests needing attention, including returned work and blocking reasons.

The request number, owner and requested date give the coordinator a clear starting point. The provider party and patient reference make the request traceable to the case under review. Read the decision reason alongside the request status; a revision made after review calls for another look at the changed record.

• Assign the request. Choose the pharmacy organization, provider party and responsible team member.
• Collect the evidence. Link clinical evidence and attachments to the request before review.
• Read the decision. Compare the reviewer reason and source revision with the current request.

Open the Care Request Authorization Desk to see requests awaiting action and the reasons they are held. Its rows open the native care request. For returned work, inspect the reviewer decision, correct the linked evidence and preserve the earlier decision when the case goes back for review.

Agree who owns a request when it enters the queue, which provider party should be selected, and how the patient reference from the source system is handled. Decide which evidence must accompany each kind of request before the reviewer acts. Keep an assigned coordinator distinct from the reviewer who records the decision.

Rehearse a request under one pharmacy organization with a named coordinator and reviewer. Check the patient reference, clinic and requested units before review. Agree how the coordinator will respond when the reviewer returns the case or when its revision changes.

Take a request for a verified prescription and a specific patient reference. The coordinator enters the requested units and links the clinic. The reviewer checks the clinical evidence and records an approval, rejection or return with a reason. The coordinator then records the corresponding request status and checks that the decision still points to the reviewed revision.

Before the next handoff, the Care Coordinator checks the request owner, provider party and requested units. The Authorized Clinical Reviewer reads the current revision with its evidence and leaves a reason on the decision. If the request is returned, the coordinator can find the specific issue to correct.

• Care request queue — The starting screen for the module’s current work and linked records.
• Care request board — A related screen for checking the neighboring handoff or exception.

Follow prescription to dispensing and care authorization. Review the data model when mapping source identifiers.