Due to the escalation of acuity residents being admitted in post-acute care sites, expectations of service from the provider pharmacy have heightened to the point of breaking – logistically and financially. Technology and software tools which were once considered too expensive to implement in this industry, have now become a necessity to ensure a smooth delivery of medicine and services. Increasing service demands, decreasing profit margins, corporate oversight, staffing challenges, and soon the customer has wandered off. Relationship development.