Prescription Handling BCP During CCMS-PhIS Downtime
CCMS-PHIS Downtime Protocol
Summary & Critical Rules
1. Decision Logic — 3 Factors
The SOP branches based on these three factors:
| Factor | Possible States |
|---|---|
| CCMS / TPC-OCHIS | Up / Down |
| PhIS | Up / Down |
| Prescription Type | New (first-time) / Repeat |
These produce five distinct operational scenarios covered below.
2. Scenario-Based Workflow
PhIS Down, CCMS Up
- Doctor prescribes in CCMS as normal
- Pharmacy retrieves prescription from CCMS
- Dispense manually — PhIS label generation unavailable
- Once PhIS recovers, transition dispensing back into PhIS
CCMS Down — Repeat Patient
- Pharmacy can issue a partial supply directly in PhIS
- Patient has existing records — no manual prescription needed
CCMS Down — New / First-Time Patient
- Doctor writes a manual prescription on the prescribed slip
- Pharmacy dispenses manually and keeps physical record only
- ⚠️ Do NOT key the new prescription into PhIS
Both Systems Down
- Doctor writes manual prescription
- Pharmacy dispenses manually with manual labeling
- Patient signature obtained on manual slip for accountability
- Physical record kept — no system entry until recovery
Both Systems Up
- Normal workflow resumes
- Standard e-prescribing in CCMS + PhIS dispensing
In situations where CCMS/TPC-OCHIS is INACCESSIBLE but PhIS is ACCESSIBLE:
Pharmacy SHOULD NOT key in the new manual prescription (new visit) into PhIS. Once CCMS/TPC-OCHIS is restored, the prescriber must prescribe in CCMS/TPC-OCHIS first so that the prescription details flow into PhIS through the normal pipeline. This prevents orphaned records in PhIS and ensures the data pipeline integrity.
Repeat patients are the exception — partial supply can be issued in PhIS since existing records already exist.
3. Recovery Protocol
When both systems are restored, follow this sequence:
- Doctor must first key the medication details back into CCMS / TPC-OCHIS
- Only then does the pharmacist process the prescription in PhIS
- If the doctor does not backfill CCMS, the process ends without PhIS entry