Thursday, March 07, 2013

CVS. Ye Olde Pharmacy That Hearkens Back To A Simpler Time.

In this age of technology, when we start our days checking our iPads for text messages, then catch up on our Facebook friends before breakfast then browse to Google for the latest traffic updates before hitting the road, it's easy to feel a bit...overwhelmed. Like we're all moving a bit too fast. Even the most techo-savvy among us, while consulting with Yelp to find the best place for lunch while Skyping with Aunt Elizabeth during her vacation to Tanzania, can at times can long for the more simple pleasures of life. Taking time out to enjoy a beautiful walk by the lake, an apple pie baked from scratch, or even 30 seconds to have an uninterrupted thought can add so much to the quality of your day. One drugstore understands. When it comes to taking a stand against inappropriate prescription drug use, CVS appreciates the charms of the pre-digital era as well.

In Weymouth, Massachusetts, for example, the nation's second largest drugstore chain has been delightfully stubborn about adapting some fancy new technology:

Walgreens does it. So do Rite Aid, Wal-Mart and small independent pharmacies.
But CVS, one of the largest pharmacy chains in the state, says it’s still unable to have pharmacists connect online to a state database that advocates say is a simple way to help stem the flow of powerful prescription painkillers such as OxyContin onto the street. 
Mike DeAngelis, a spokesman for Rhode Island-based CVS, said the company can’t yet have its pharmacists sign up to use the Prescription Monitoring Program because they do not have Internet access at the company’s 350 Massachusetts locations.

"Inter...what? said DeAngelis. "Is that something like Compuserve? I've been thinking about getting that."

DeAngelis added that when it comes to technology "involving those computation machines" it is important to realize that a company must have priorities that sometimes limit how quickly an organization that recently installed software to automatically calculate when a customer is due for a prescription refill and then fills the prescription can adopt a new technological innovation.

"This internet sounds intriguing" said DeAngelis. "And I'm sure once it's proven its worth as a business tool we'll give it a good hard look. It works with computers, right? And it won't interfere with how we use them to currently measure our pharmacists performance in a dozen different performance categories? And constantly generate reports that allow us to crunch loads of data to maximize our human resource paradigm efficiency algorithm? Quite honestly, from what you've told me I don't understand why we haven't adopted use of this... internet"

"Wait" he then continued after a long pause. "These so called 'problem' prescriptions this fancy internet would flag. It would stop us from filling them?"

"And....we wouldn't get paid...because we wouldn't have filled the prescription. It's not like we'd get some fancy internet money or something would we? Oh.... I totally understand why we haven't done this now"

So while most of the world marches forward into the modern electronic world, CVS is content to keep beat with its own drummer. It knows that for some of the customers it wants to serve, stopping and smelling the roses, and letting others have their gee-whiz techno-toys, can be the pathway to life's real pleasures.

And by roses I mean OxyContin. And by life's real pleasures I mean profits.

12 comments:

tricia said...

I'm in Kansas, where we've had PMP for almost 2 years, and the CVS down the street calls me to run patients sometimes as they can only access the system from home not work... That's just ridiculous.

Unknown said...

Working for CVS was absolute hell. They're the herpiest of the derpiest of corporations. If I had a nickel for every time that I asked if we were getting new computers or, dare I say it, interwebz.

Anonymous said...

This report did elicit a chuckle or two, since the system "tracks" everything the pharmacy staff does and how long it takes them to do it. Perhaps checking the state databases does not fit into the "metrics".

Anonymous said...

CVS doesn't want their employees to have Internet access because they are afraid they will spend all their "free time" surfin' the 'net.
DM is right though. Not filling every RX that comes in the door will hit the company in the pocketbook.
Can't do the right thing and still make money, right CVS?

Anonymous said...

I think of the little girl as management explaining the metrics and the adult as the pharmacy staff....

http://www.ispot.tv/ad/7dUK/at-and-t-faster-or-slower-werewolf-featuring-beck-bennett

Anonymous said...

try this link:

http://youtu.be/l61LjTwME7w

or just go to YouTube and search for AT&T werewolf commercial

Anonymous said...

In Ohio we can access OARRS now but I am sure it only happened because the board made a rule that we have to check OARRS in certain situations. Before that we could access the board website but couldn't pull up the actual reports generated by OARRS. In 2009 I broke down and got a smart phone just so I could check OARRS and look things up on the internet at work. There are some things that google can locate for me faster than anything else (especially obscure OTCs, phone numbers, all kinds of wild stuff patients ask for). I am allegedly a "professional " but I'm not trusted with internet access. It never stops being funny. I can't wait to get my big girl job someday!

Anonymous said...

Former CVS pharmacist from MN here. One of my coworkers got an ipad for the sole purpose of being able to access the site from work. We'd all call him to look people up.
I used to worry about commenting here, but "former CVS pharmacist from MN" has become so common that it hardly identifies me at all!
I'm glad you're back!

Anonymous said...

Maybe this is why there was a fax from our district manager today announcing mandatory OARRS checks on every controlled substance prescription...Cheap, pathetic bastards. They will have their comeuppance...Soon:)

Anonymous said...

They do not care about drug diversion or patient safety one iota. Their concern is the fee and one more Rx to add to the daily total. There is no such thing in retail Rx as a patient, they are targets for their cash and ins payments period.

Joe Zorek said...

This is the CVS way....no narcs between 12:01 and 10:00 AM. Emergency room scripts are OK. The PIC states this is not a corporate policy...presented it to the overnights like this....Do you value your license? Stated they have terminated RPHs in the Baltimore market for filling after midnight. See for yourself just call 717-540-8621.

Anonymous said...

Now they can have another metric to fire RPh's over: how many minutes you spend checking the database. Decreased productivity, possibly turning away some big money Rx's (fentanyl patches, Avinza, Opana, any DAW control), consistent customers (who are our most compliant patients really, 28-30 days like clockwork). Logically with everyone else following the statues CVS becomes the go to place for Controls.

If the mom and pops can do it, CVS with there billions can do it. Or is it just easier to face a fine? Why are they constantly allowed to selectively follow what they like?

What bothers me most is if any small chain or individually owned store had exhibited the behavior of big stupid, big evil and the other one these past few years they would have had the stores license revoked and probably in certain cases not be able to participate in any Medicare/Medicaid reimbursement. Why are the chains protected?