Jake Olson, PharmD 9/28/2016. Improving Patient Care Through Improved Pharmacist-Prescriber Relationships. President/CEO, Skywalk Pharmacy
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1 Improving Patient Care Through Improved Pharmacist-Prescriber Relationships Sponsored by Merck Jake Olson, PharmD Hamid Abbaspour, RPh, MBA Amanda Faber, PharmD, MBA Briana P. Murray, PharmD Jake Olson, PharmD President/CEO, Skywalk Pharmacy 1
2 Disclosure Jake Olson, PharmD declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. Learning Objectives Interpret changes in the provider payment structure to opportunities for community pharmacy. Illustrate strategies for educating prescribers of pharmacy programs that can improve patient health. Calculate a value proposition for setting aside staff time to build relationships with prescribers. 2
3 Background Jake Olson, Pharm D. President/CEO Skywalk Pharmacy Outpatient Pharmacy for the Children s Hospital of Wisconsin Primary location in hospital, 4 outlying clinic locations in greater Milwaukee Two Remote Dispensing Sites Services Prescription medications Over the counter medications Vaccinations Compounding (non-sterile) Free Home Delivery Multi-Lingual Capability Free adapter and syringe for liquid medications Color coded syringes for health literacy issues 3
4 Services Medication Synchronization Program Simplify My Meds Medication Therapy Management (MTM) Adherence Counseling 24 hour emergency service/on call (non-dispensing) Specialty Pharmaceuticals Copay assistance programs Transitions of Care 340B Contract Pharmacy for CHW Skywalk Pharmacy Process Medication Optimization Collaboration with Healthcare team Benefits Investigation Prior Authorization Financial Assistance Discharge Bedside Delivery or Pick Up before discharge Limited Distribution Medication access or coordination with outside SP Enrolled in SMM Refill Management Alert Prescribers to noncompliance Prior Authorization Management Medications picked up at follow up apt or delivered to home 4
5 Market Your Services Buy them lunch (not just for drug reps) Find their pain points Relieve their pain points Prior Auths (Cover My Meds) Compounding Benefit Investigations Hospital Readmissions Compliance Packaging Adherence Disease State Management Programs Testimonials Patients Other Prescribers 5
6 Improve Your Communication!! EMR Access Transitions of Care works both ways! Learn the copay card programs, patient assistance programs, etc. Be prepared for the test Understand HUB s and their role 6
7 7
8 NCPA Diversified Revenue Opportunities Webpage Immunizations Travel Health 340B Contract Pharmacy Services Health Screenings Point of Care Testing Lab Testing Administration of Long-Acting Anti-psychotic Injectable Medications Specialty Pharmacy Pharmacogenomics I ran out of room!!! NCPA Marketing Resources Prescriber Detailing Communication Tips Sample Presentation Prescriber Fax Template Prescriber Letter Template 8
9 NCPA TOC Toolkit Hamid Abbaspour, RPh, MBA CEO and Founder, Dr. Aziz Amanda Faber, PharmD, MBA & Briana P. Murray, PharmD PGY1 Community Pharmacy Residents, Dr. Aziz 9
10 Disclosures Hamid Abbaspour, RPh, MBA declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. Amanda Faber, PharmD, MBA declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. Briana P. Murray, PharmD declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. Opportunities and Barriers of Developing an Ambulatory Care Clinic Definition Types Corporate Structure Compliance & Legal Issues SWOT Analysis Incorporating Pharmacy Services into Ambulatory Clinic Capital Expenditure, Projection & ROI 10
11 Definition of an Ambulatory Care Clinic An outpatient clinic that is run & overseen by a provider MD PA NP The type of services provided is based on the community need & patient care services that are not being met Types of Ambulatory Care Clinics Primary Care Walk-In: Acute Care Wellness and Immunizations Functional Medicine Off-site Employers Health What else? 11
12 Organization Overview Compared to Pharmacy: Medical Director NP/PA CMA/LPN/RN Practice Manager/Administrator Billing Compliance and Legal Issues Understand state and federal laws Conflicts of interest Federally-funded plans Liability Take Home Message: Consult an attorney 12
13 SWOT Analysis Strengths Weaknesses Opportunities Threats Incorporating Pharmacy Services into Ambulatory Clinic Education MTM Nutritional Supplementation HRT Pain Management Consultation Vaccinations Specialty Medications Injection service 13
14 Capital Expenditure, Projection & ROI (estimates) EMR: free Medical Director: $12,000/annually NP/PA: $85,000-$110,000/annually Insurance: $5,000/annually Supplies and equipment: $20,000 ROI: 20 visits X 50 X 5 days X 48 weeks = 240,000 Questions Jake Olson, PharmD President/CEO Skywalk Pharmacy Milwaukee, WI jake@skywalkpharmacy.com Hamid Abbaspour, RPh, MBA CEO and Founder Dr. Aziz Pharmacy Indianapolis, IN hamid@drazizrx.com 14
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