IMPACT (Improving Medicare Post-Acute Care Transformation) Act Requirement Available in FrameworkLTC

by Heather Butler

At SoftWriters, we are focused on keeping our software products and LTC pharmacies compliant with federal and state regulations. This article details the regulatory enhancements made to the FrameworkLTC suite of products in 2018 related to the IMPACT (Improving Medicare Post-Acute Care Transformation) Act and CMS Final Rule on Requirements for Long-Term Care Facilities.


Each type of Long-Term Post-Acute Care (LTPAC) facility uses a unique tool to report quality measures to the Centers for Medicare and Medicaid Services (CMS). While most of the reporting measures pertain to the care delivered by the facility, the Drug Regimen Review (DRR) section directly affects LTC pharmacy. 

The IMPACT Act requires the standardization of these quality reporting forms, ensuring that all LTPAC facilities are reporting the same data in the same manner. 

CMS Final Rule on Requirements for Long-Term Care Facilities

Another significant regulation impacting LTC pharmacy is the CMS Final Rule on Requirements for Long-Term Care Facilities. This rule requires that all psychotropic medications prescribed to residents of an LTPAC have an associated and appropriate diagnosis, to ensure that psychotropic medications are prescribed and administered appropriately.

Diagnosis Information within FrameworkLTC

In this context, FrameworkLTC now has a facility-specific option to associate a diagnosis code to the patient profile when processing NEWRX messages.

This option, when set to “Yes”, prompts users to add a diagnosis code from new electronic prescriptions to the patient’s profile in FrameworkLTC. This ensures that pharmacies can associate a patient’s medication with a corresponding diagnosis with minimal effort.

FrameworkLTC also allows the details of E-Rx messages to be printed or exported in a PDF or spreadsheet format.  These reports can be generated by selecting Message Type, Interface Type, and appropriate time interval for which the information is needed.

Pharmacies using FrameworkECM can create a system workflow to send the E-Rx report details automatically to facilities by using FAX services.

These recent improvements in FrameworkLTC suite of products make it easy to communicate essential diagnosis information to the facilities. Through these enhanced methods for documenting and communicating diagnosis information, the FrameworkLTC product suite helps LTC pharmacies improve patient safety and removes the added workload of tracking down diagnosis information through traditional methods. 


Heather Butler is a Clinical Quality Assurance Analyst at SoftWriters, a Pittsburgh-based company that offers pharmacy management software solutions to pharmacies serving the long-term care community. Heather has over 16 years of experience as a pharmacist and applies her knowledge in pharmacy workflows and quality measures to building pharmacy software products that facilitate excellence in patient care and user experience.