Willow Ambulatory is Epic’s ambulatory pharmacy system, which uses an integrated approach to receiving, filling, and dispensing prescriptions. Willow Ambulatory can receive electronic prescription medication orders from physicians in any Epic application and can process refill requests from patients using MyChart. Willow Ambulatory can also accept external electronic prescriptions through Surescripts. It is also important to note that medication orders placed for administration in ambulatory clinics will still need to be verified in Willow Inpatient in Hyperspace.

Resources

The following resources provide information on Willow Ambulatory functionality.

Pharmacy Staff

• New Features for Outpatient Pharmacy (POSS122) - (Video: 2 min) Learn some key new features coming with the Willow Ambulatory 2018 upgrade.
• Direct Transfer - (Handout) Use Direct Transfers to quickly and easily move Pharmacy Inventory from one ambulatory pharmacy to another.
• E-Prescribing of Controlled Substances in Willow Ambulatory - (Handout) Accepting Controlled Substances within Willow Ambulatory.
• Willow Ambulatory Quick Start Guide - (Workbook) An overview of the Willow Ambulatory workflows are outlined including patient registration, reviewing information, and processing prescriptions.
• Review New Electronic Prescriptions (RXAMB001) - (eLearning: 5 min) Find and review prescriptions sent from EpicCare.
• Verify Fills (RXAMB002) - (eLearning: 3 min) Review and verify completed fills.
• Enter New Prescriptions (RXAMB003) - (eLearning: 5 min) Register a patient and enter a paper prescription.
• Willow Ambulatory - MyChart Patient Sign up for Ambulatory Pharmacy Staff - (Handout) Help patients sign up for MyChart, right from Willow Ambulatory.

Point of Sale Activity

•  Willow Ambulatory - Complete Sales in the Point of Sale Activity for Pharmacy Staff - (Handout) Pharmacy Staff can sell prescriptions, over-the-counter medications, and merchandise right in Willow Ambulatory using the Point of Sale activity.
• Willow Ambulatory - Querying and Reporting Pseudoephedrine Sales for Pharmacy Staff - Prior to completing a sale of over-the-counter (OTC) pseudoephedrine containing products, we are required to query the NPLEx® compliance system to ensure customers are not exceeding their daily or monthly purchasing limit. 
• Willow Ambulatory - Edit Sales in the Point Of Sale Activity for Pharmacy Staff - (Handout) Make changes and issue refunds after a sale has been completed in Willow Ambulatory using the Point of Sale activity. Refunds and voids can only be done by Senior Techs, Pharmacists and the PBO staff.
• Willow Ambulatory - Creating/Updating Merchandise Records for Pharmacy Staff - (Handout) Create merchandise records to sell Over-The-Counter (OTC) medications using the Point of Sale (POS) activity.
• Willow Ambulatory - Viewing patient balances in Professional Billing for Willow sales - (Handout) View balances for Willow Ambulatory Pharmacy patients in Epic Hyperspace to let patients know their current account status along with debits and credits to their account by looking at their guarantor account.

Clinicians

• Add / Replace Preferred Pharmacy (and Send Orders to Multiple Pharmacies) - (Handout) Update the pharmacy (or pharmacies) that new prescriptions will be sent to both for the current encounter and to save time in future encounters.
• Cancel Rx - (Handout) Cancel Rx will electronically send a cancellation message to pharmacies via SureScripts.
• E-Prescribing of Controlled Substances - (Handout) UIHC uses Bio-Key fingerprint technology to confirm provider authority to prescribe controlled substances. This document shows how to use this function after a provider has been registered in the program.
• Inpatient Discharge Prescription Status - (Handout) Within the Patient List activity, the D/C Rx Status column displays icons for the status of Bedside Delivery and UIHC Discharge Pharmacy Pickup.
• Placing Multiple Prescription Orders for the Same Medication - (Handout) The process for setting up multiple prescriptions orders for the same medication ensures that the medical record accurately reflects what prescriptions the patient has and what they should be taking.
• Viewing Prescription Drug Monitoring Program (PDMP or PMP) - (Handout) Iowa’s Prescription Drug Monitoring Program (PDMP or PMP) can now be viewed by providers from Epic; providers and Pharmacists can access the PDMP from the patient Storyboard.
• Willow Ambulatory Trifold - (Handout) The Willow Ambulatory Implementation provides new information for the clinician in Epic and the patient in MyChart.
• Surescripts - (Website) System Epic interfaces with to securely ePrescribe prescriptions to external pharmacies.

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