Bert,
Thanks for your ideas.
I do all my own refills, 99% face to face during appointment quantity sufficient to last to next appt. 1% between appts, generally only to correct my errors, occasionally for the patient who cancelled their refill appt and in that case only after they have rescheduled within 4 wks and only enough to get to that appt. I try to never create a situation where I have issued a rx w/o sufficient quantities until next seen, as I find refill requests distracting from my attention to other tasks. The only time I tried to delegate refills to my MA was to have her deny all electronic refill requests with reason - have patient call (which is what I waste my time doing) - but I could never get Amazing Charts to allow her to do so. I have several MAs, and I would not feel comfortable delegating authority to actually grant a refill as I have many seniors in and out of the hospital and would not feel comfortable trusting them to read interval hospital notes to verify medications discontinued since last seen by other providers, although I try to keep this up to date reconciling med lists as I receive these reports.
We have made dozens of phone calls to many pharmacies requesting all refill requests be redirected back to the patient to call our office ("redirected" is an error, 99% robo generated by pharmacy, I agree with Sunil above) and stopped long ago because they were uniformly ignored by the pharmacists / pharmacies.
