9/20/16. MTM Roundtable: Pharmacist Workload Metric. Objectives. Pretest Question #1

Transcription

1 MTM Roundtable: Pharmacist Workload Metric Audrey Umbreit, PharmD, BCACP Senior Manager Clinical Pharmacy, Primary Care Mayo Clinic Health System MPhA Annual Learning Networking Event Friday, September 9, 2016 St. Paul River Center 2011 MFMER slide-1 Objectives Discuss the benefits and limitations of productivity measurement in ambulatory care practice Compare and contrast different productivity measurement tools Evaluate a MTM practice using productivity measurements 2011 MFMER slide-2 Pretest Question #1 What is at least one benefit to measuring ambulatory care pharmacist activities? 2011 MFMER slide-3 1

2 Pretest Question #2 What is one advantage and one disadvantage to ASHP s PACT tool? 2011 MFMER slide-4 Why use workload metrics? Benefits Determine value and effectiveness of pharmacy services Quantify how much time is spent on various types of cognitive work Compare similar practices Establish attainable goals Limitations Little data to validate pharmacist workload measures Difficult to relate workload measures to patient outcomes Potential for extra documentation burden Potential for biases if pharmacists selfenter data Identify opportunities for improvement Inform strategic plans for expanding a practice 2011 MFMER slide-5 Additional things to consider What are you measuring? How will you get the data? What are your goals? How will you use the data? 2011 MFMER slide-6 2

3 Other questions to consider What do you want to measure? How will you gather the data? What are your goals? 2011 MFMER slide-7 SWMN Region Mayo Clinic Health System: Measurement Domains Direct patient care encounters Non-visit patient care Professional activities (non-patient care) 2011 MFMER slide-8 SWMN Region Mayo Clinic Health System: Goals determined by panel size Clinic Critical Access Clinic A Critical Access Clinic B Critical Access Clinic C Primary Care Patient Panel Size Scheduled Clinic Days per Month Hub Clinic A 15, Hub Clinic B 10, Hub Clinic C* Direct Patient Care Goal per Month Outreach Clinic A 13, Outreach Clinic B 10, Outreach Clinic C Regional Total 83, MFMER slide-9 3

4 What tool to choose? Excel Spreadsheet Pharmacist Ambulatory Resource Management System (PhARMS) Pharmacist Ambulatory Care Tracker (PACT) Electronic medical record reporting 2011 MFMER slide-10 Excel Spreadsheet Pharmacist Ambulatory Resource Management Pharmacist Ambulatory Care EMR Documentation systems (various) System (PhARMS) Tracker (PACT) Description Microsoft office program Windows application App for ios and Android Electronic medical record system Measurement domains Unlimited / customizable Customizable but limited Not customizable Patient-care oriented Customizable but limited How data gathered Advantages Pharmacist entry Pharmacist entry Pharmacist entry EMR reports Ideal for short pilot Low documentation burden Easy to download Less potential for extra projects Can track non-patient care Ideal for small documentation burden activities practices Limited self-reporting bias Can track patient Can also track patient outcomes data outcomes Limitations High documentation burden Difficult to track patient outcomes data May miss non-patient care activities May miss non-patient care activities Risk for self-reporting bias Risk for self-reporting bias Risk for self-reporting bias Access may be issue in community pharmacy setting Great variability between EMR systems Availability / cost Inexpensive, readily available Mayo Clinic not available for commercial sale ASHP - $149 for single user Expensive Varies depending on EMR provider 2011 MFMER slide MFMER slide-12 4

5 Results 2011 MFMER slide-13 Results: Outreach Clinics 2011 MFMER slide-14 Results: Hub Clinic Sites 2011 MFMER slide-15 5

6 Results: Critical Access Hospital Clinics 2011 MFMER slide-16 Post-test Question #1 What is at least one benefit to measuring ambulatory care pharmacist activities? A: Internal benchmarking, track success, identify trends, justify additional resources 2011 MFMER slide-17 Post-test Question #2 What is one advantage and one disadvantage to ASHP s PACT tool? A: Advantages = track patient outcomes, easy reporting, available on smartphone, tablets or desktop, allows for some documentation as well Disadvantages = may require doubledocumenting, costs money to implement, does not track non-patient care activities 2011 MFMER slide-18 6