Specialty Pharmacy -- Still An Issue. Presenters: Jerry Buller, DPh. MMHC Vanderbilt University Medical Center
|
|
- Emory Hart
- 5 years ago
- Views:
Transcription
1 Specialty Pharmacy -- Still An Issue Presenters: Jerry Buller, DPh. MMHC Vanderbilt University Medical Center
2 FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CE activity: - Jerry Buller - None
3 LEARNING OBJECTIVES: 1. Analyze how the decision to build or partner plays out in inpatient care vs. outpatient/ambulatory. 2. Outline the financial impact these strategies have. 3. Specify what influence major payers have on the decisions health systems make?
4 Institutional Profile
5 Institutional Profile VUMC Pharmacy Enterprise
6 Institutional Profile Key Pharmacy Financials
7 Institutional Profile Retail Pharmacy TVC Pharmacy 100 Oaks Pharmacy 5 Pharmacies Patients and Employees Located in MOBs MCE Pharmacy MSS* Facility - Mail-Order - Home Delivery - Central-Fill Children s Pharmacy *Melrose Support Services
8 Beginning the Journey Phase I o Began evaluating the possibility of establishing a Specialty Pharmacy program in the timeframe. o More payers were shifting infused drugs to pharmacy benefit o Needed to be in position to accommodate changing landscape
9 Beginning the Journey Phase I o Proforma/Break-Even Analysis o Margin supported additional staff o Require members of VU Health plan use in house specialty Pharmacy
10 Beginning the Journey Phase II o Formal proposal was submitted to Senior Leadership and approved in o Establish a service to address the Specialty drug needs of Vanderbilt patients (not just employees). o Proforma developed for ALL specialty disease categories o E-Prescribing Data o Assumed 50% Capture Rate o VUMC Specialty incidence > national average o Regional referral center o
11 Beginning the Journey Advantages In-House Vanderbilt Employee/Heath Plan Reduced Specialty Drug Spend Better employee experience VUMC Enterprise Provides significant revenue and margin for the clinical enterprise. Better al Care that pays for itself
12 Beginning the Journey Advantages In-House Vanderbilt Patients Enhanced patient service and continuity of care. Patients would no longer have to go to outside pharmacies to acquire their specialty medications. Patients medication therapy would become part of the VUMC medical record. Positions VUMC to deliver / manage future medication therapies. Patient care, outcomes and costs are under VUMC control.
13 Modest Beginnings First three years of operations took place in existing space in one of our retail pharmacies. The Good Minimal Capital Expense Start Quickly Leverage Existing Payer Contracts Close Proximity to Referral Base
14 Modest Beginnings Growth and uptake of the business quickly exerted pressure on existing infrastructure. The Bad Minimal Room for Growth Operations Suffered Bottlenecks Dispensing Errors Cold Chain Lapses
15 Initial Service Model If you want buyin, this is a patient care issue. You need to put a pharmacist in every clinic al Pharmacist -Titus Daniels, MD Vice Chair for al Affairs, Department of Medicine HUB Call Center Payer Specialty Pharmacy Payer Payer VUMC Specialty Pharmacy provides medication if contracted.
16 Getting Started - Summary What is the Opportunity? What is the best model? High Touch Traditional SP C-Suite Buy In? Buy or Build? What is my Current Infrastructure? Consultant?
17 The Next Level
18 Governance and Oversight VUMC C-Suite created a Steering Committee in an effort to overcome challenges and roadblocks with implementation. Executive Steering Committee Meetings with Leadership C-Suite Eliminate Roadblocks Provide Resources Dashboards Administrators/Managers Medical Directors Partnership & Aligned Goals Dashboards
19 Revenue in Millions Governance and Oversight Although we experienced growth, the flattening of that curve revealed that clinic buy-in is a MUST to achieve budgeted targets. Revenue & Key Milestones $10 $9 $8 $7 $6 $5 $4 $3 Steering Committee Initial Pilots Initial Staff Expansion Budget Pharmacists in VUMC Engaged consultants to help with throughput $2 $1 -$1 URAC Accreditation FY 14
20 Revised Service Model al Pharmacist Pharmacy Technician Moved Techs into the clinic to create pharmacy team Specialty Pharmacy Payer Payer Payer VUMC Specialty Pharmacy provides medication if contracted.
21 Getting to the Next Level Continued growth of the business demanded more infrastructure. Chief Pharmacy Officer Ambulatory Pharmacy Director Program Director Specialty Pharmacy You don t have enough people here to run a gas station -Fletcher Lance Principal, North Highland Consulting
22 Getting to the Next Level Continued growth of the business demanded more infrastructure. Chief Pharmacy Officer Chief Pharmacy Officer Ambulatory Pharmacy Director Director Specialty Pharmacy Admin Assistant Program Director Specialty Pharmacy Program Director Manager Customer Svc Program Director al Manager URAC SOP/P&P Quality Compliance Education Market Access Manufacturers Payers Other Stakeholders al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist al Pharmacist
23 Capable Infrastructure In an effort to support the growth of the Specialty Pharmacy and the unique clinic/patient centered model, investments in facilities and technology were made. Vanderbilt Integrated Pharmacy Mail Order and Central Fill 3,000 Rx/Shift Scalable to 10,000 Rx/Day Melrose Support Services
24 Capable Infrastructure In an effort to support the growth of the Specialty Pharmacy and the unique clinic/patient centered model, investments in facilities and technology were made. HUB/Call Center Staffed by Pharmacists & Technicians 24 Full-Time Employees Melrose Support Services Financial Counselors
25 Capable Infrastructure In an effort to support the growth of the Specialty Pharmacy and the unique clinic/patient centered model, investments in facilities and technology were made. VSP Embedded Team VSP al Pharmacist Specialist VSP Pharmacy Technician Part of al Team al Assessment Face to Face Patient Engagement Vanderbilt s
26 Interoperability and al Outcomes VSP Received approval in 2015 to develop an all in one specialty pharmacy solution. Positioning VSP for outcomesbased future. Atlas Rx Identifies Opportunity Referral Management Captures Time to Fill etc. MPR and PDC al Management Real-Time Data from EMR Labs, Appointments PharmD. encounter/visit sent to EMR
27 Diverse Portfolio VSP has clinical pharmacists supporting 20 specialty clinics. Oncology & Hematology Pulmonary IPF Cystic Fibrosis PAH Inflammatory Disease Rheumatoid Arthritis IBD Dermatology Cardiology Lipid Disorders Orthostatic Hypotension Hemophilia Hypercholesterolemia Infectious Disease Hepatitis-C HIV Endocrinology Multiple Sclerosis Movement Disorders Huntingtons Parkinsons Orthostatic
28 Realizing Success After implementing changes and hiring staff to support a $ multi-million business, VSP and the clinical care of our patients has reached new heights
29 Today Specialty Pharmacy Service Model Opportunity Management Opportunity Management Patient Identification Benefits HEART Investigation of The Success Business Tracking Proactive! Opportunity Management Opportunity Management al Pharmacist nician Opportunity Management Patient Education Prior Value Authorization Proposition Appeals Copay Assistance Melrose Support Services HUB VIP HUB & Call Center Opportunity Management Medication Delivery Assistance (MAP) Opportunity Scheduling Patient & Foundation Management Coordination Assistance Experience Opportunity Management Opportunity Management Opportunity Management Opportunity Management
30 Today Specialty Pharmacy Service Model Opportunity Management Opportunity Management Opportunity Management Vanderbilt Integrated Pharmacy VIP Dispensing Automated Melrose Support Services Packing (HVS) Cold High Chain Capacity Shipment State of Art HUB VIP Opportunity Management Opportunity Management Opportunity Management Opportunity Management Opportunity Management Opportunity Management Opportunity Management
31 Optimization- Summary Governance? C-Suite Open to Outside Help. Consultants Investment in Infrastructure? People Capital Space and Equipment Different Mind-Set Inpatient vs. Ambulatory
32 The Future
33 For Illustrative Purposes Outcomes VSP is positioning itself to participate in the valuebased market that will exist in the coming years. It is doing this through investment in outcomes projects and technology (Atlas Rx). Margin $ Opportunity Y1 Y2 Y3 Y4 Y5 Y6 Y7 Y8 Y9 Y10 Payers Higher Reimbursement Rates Access to SP Contracts Data/Outcomes Agreements Population Health Manufacturers Access to LDD Drugs Data/Outcomes Agreements Population Health Other Ventures PharmCo. Industry Partners (Acentrus) GPO
34 HCV- Intensive Management 2% PAP vs 30% Natl. Avg. Key Points 717 Patients Referred 717 (100%) Patients Started Therapy Response Rates Comparable to al Trials VSP Completion Rates Statistically Better PAP Required 2% vs National Average of 30%
35 Cascades of Care Recent real world reports of over 15,000 patients with HCV found that 37% of patients prescribed HCV treatment in 2016 did not actually initiate treatment 2. Conversely, within the ID clinic, 97% of patients prescribed treatment were initiated on treatment
36 More than one way to skin a cat.
37 Structure Comparison Buy or Build Patient Intake Key Element Who performs the service? Pro Con Medication Dispensing and Shipping Patient Management Payer Contracting Dedicated al Pharmacist and Technician Specialists ( and HUB) Accountability. Seamless process from start to finish Dedicated SP team in mail order facility. Focus on specialty prevents errors Have two types of staff, specialty and non al Pharmacist and Technician Specialists ( and HUB) Dedicated pharmacist manager focused on payer, manufacturer relations and data. Our own staff could document and communicate in EMR. Keeps constant pressure on these stakeholders Squeaky Wheel Costs Costs Costs of having high level person. Manufacturer Product Access (same person as above) Same as above. Same as above. Data Collection and Reporting (same person as above with assistance from data analyst) Same person keeps consistent understanding of contracts, requirements and capabilities Costs of having high level person. Accreditation Dedicated pharmacist manager who oversees QI, Compliance, SOP, P&P and accreditation Hosp. compliance infrastructure focused on Inpatient. Had to build from ground up for specialty. Costs of having high level person.
38 Summary The Vanderbilt Specialty Pharmacy has been a win-winwin for patients, Pharmacy and the clinical enterprise by enhancing patient care in a financially viable model. Transformed Pharmacy ops. & provided opportunity to establish a new practice model. Help clinic nurses to be able to serve at the top of their license. Financially successful allowing VUMC to continue to provide and serve its patients. Metric FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 Prescriptions 3,820 13,919 26,152 36,000 46,000 Revenue $18 million $68 million $161 million $200 million $260 million
39 Final Thought Example of what can be accomplished when a variety of stakeholders collaborate and work toward a common goal in a supportive and entrepreneurial environment.
40
Leveraging Health System Status in the Specialty Pharmacy Market. Chris Lowe, PharmD, BCPS Director of Pharmacy
Leveraging Health System Status in the Specialty Pharmacy Market Chris Lowe, PharmD, BCPS Director of Pharmacy Objectives Briefly describe specialty pharmacy and current trends within the market Discuss
More informationPenn Specialty Pharmacy Program mypennpharmacy bringing the Pharmacy to Patients
Penn Specialty Pharmacy Program mypennpharmacy bringing the Pharmacy to Patients Richard F Demers, MS, RPh, FASHP Chief Administrative Officer Ambulatory Pharmacy Services University of Pennsylvania Health
More informationRevenue Optimization In Hospital Pharmacy Services. Presenters: Kyle Skiermont, PharmD, COO, Fairview Pharmacy Services
Revenue Optimization In Hospital Pharmacy Services Presenters: Kyle Skiermont, PharmD, COO, Fairview Pharmacy Services FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships
More informationSpecialty Pharmacy How is Traditional Pharmacy Practice Positioned
Specialty Pharmacy How is Traditional Pharmacy Practice Positioned Nick Calla Vice President, Industry Relations Cardinal Health Specialty Solutions August 19, 2016 Today s Learning Objectives Understand
More informationSpecialty Pharmacy: What You Need To Know. William Pong, Pharm.D., MBA
Specialty Pharmacy: What You Need To Know William Pong, Pharm.D., MBA DISCLOSURE I have no actual or potential conflict of interest in relation to this program/ presentation OBJECTIVEs Navigating the landscape
More information3/16/2017. A Tale of Two Specialty Pharmacies: Novel Models for Technician Incorporation. Objectives. What is Specialty Pharmacy?
A Tale of Two Specialty Pharmacies: Novel Models for Technician Incorporation Disclosures The speakers have no actual or potential conflict of interest to the content of this presentation. Renee Advincula,
More informationOverall Learning Objectives How large is the specialty pharmaceutical market? Drug Trends Source: CVS Caremark 2013 Drug Trend Focus Report
What s So Special About Specialty Pharmacies? Overview and Role of Pharmacists and Pharmacy Technicians Implementation of a Specialty Pharmacy Program Overall Learning Objectives For Pharmacists and Pharmacy
More informationExpansion Opportunities for Health Systems Where Does Specialty Pharmacy Fit?
Expansion Opportunities for Health Systems Where Does Specialty Pharmacy Fit? Kevin Colgan, MA, FASHP Corporate Director of Pharmacy Rush University Medical Center Disclosure Kevin Colgan reports no relevant
More informationFairview Pharmacy Services, LLC. Beyond Central Fill: How Central Services Improves Efficiencies and Expands Offerings
Fairview Pharmacy Services, LLC Beyond Central Fill: How Central Services Improves Efficiencies and Expands Offerings Disclosures Kathy Paulsen is an employee of Fairview Pharmacy Services. The conflict
More informationFrom 2009 to 2012, the total change in net operating revenue among all hospitals was 3.3%, with an average annual change of 1.1%.
Market Insights For the Health of Your Health System January 2014 Issue 6 Inside This Issue Healthcare Snapshot Public Policy Perspectives Financial Focus Supply Chain Strategies A Closer Look Specialty
More informationCEOCFO Magazine. Andy Reeves, RPh Chief Executive Officer OptiMed Specialty Pharmacy
CEOCFO Magazine ceocfointerviews.com All rights reserved! Issue: October 30, 2017 Q&A with Andy Reeves, RPh, CEO of OptiMed Specialty Pharmacy, a National Specialty and Infusion Pharmacy dedicated to Managing
More informationLeveraging your own health plan to build a Specialty Pharmacy
Leveraging your own health plan to build a Specialty Pharmacy Brad Trom, RPH, MBA, CEO Lovelace Pharmacy, Lovelace Health System, Albuquerque, New Mexico Disclosure Brad Trom reports no relevant financial
More informationCoastal Medical, Inc.
A Culture of Collaboration The Organization Physician-owned group Currently 19 offices across the state of Rhode Island and growing 85 physicians, 101 care providers The Challenge Implement a single, unified
More informationFAQ: Preferred pharmacy supplier changes for Specialty and Mail order medications
FAQ: Preferred pharmacy supplier changes for Specialty and Mail order medications Table of Contents BACKGROUND... 2 OVERALL TALKING POINTS... 2 GENERAL FAQ... 3 SPECIALTY MEDICATIONS... 5 MAIL ORDER...
More informationThe Vision for the Future
Project Destiny Executive Summary The American Pharmacists Association (APhA), the National Association of Chain Drug Stores (NACDS), and the National Community Pharmacists Association (NCPA) have joined
More informationEXTERNAL COURSE CATALOG
EXTERNAL COURSE CATALOG 1 2 At Diplomat, our No. 1 priority is always the patients even if they re not ours. That s why we re offering our health care partners the opportunity to take classes through our
More information38 May June 2014 OI
38 www.accc-cancer.org May June 2014 OI BY MICHAEL J. REFF, RPH, MBA Physician Dispensing Adding value to patients and the practice While oral oncolytics are serious medications prescribed to help patients
More informationYour Prescription Drug Benefit Guide
Your Prescription Drug Benefit Guide Welcome to Medco, the world s most advanced pharmacy As a member, you ll benefit from a higher level of care. You ll find the services that you re used to with a traditional
More informationImproving Access in Infusion Therapy
Improving Access in Infusion Therapy Timmi Anne Boesken, MHA, CPhT Medication Access Services Coordinator Kathryn Clark McKinney, PharmD, MS, BCPS, FACHE Director of Pharmacy Services Michelle Dusing Wiest,
More informationUnitedHealth Pharmaceutical Solutions Specialty Pharmacy Program for your Oxford Plan
UnitedHealth Pharmaceutical Solutions Specialty Pharmacy Program for your Oxford Plan Specialty medications require an approach that looks beyond the drug to the whole disease a comprehensive and integrated
More informationDimmy Sokhal, PharmD 9/28/2016. Clinical Pharmacist, Hayat Pharmacy. Building Enhanced Services into Your Existing Medication Synchronization Program
Building Enhanced Services into Your Existing Medication Synchronization Program Sponsored by Merck Dimmy Sokhal, PharmD Laura Patterson, PharmD Amina Abubakar, PharmD Dimmy Sokhal, PharmD Clinical Pharmacist,
More informationOverview of the Federal 340B Drug Pricing Program
Overview of the Federal 340B Drug Pricing Program Presented by: James A. Raley, CPA Senior Manager Health Care Services Arnett Carbis Toothman LLP 345 340B Program: Overview Provides discounts on outpatient
More informationProvider Status: Just Where Are We?
CPE Information and Disclosures Provider Status: Just Where Are We? Cdr Sylvain Grenier, Canada Forces Dr. George Jones, Defense Health Agency RADM Pam Schweitzer USPHS Cdr Sylvain Grenier, Dr. George
More informationPractice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey
Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey Jodie Elder, PharmD, BCPS September 14, 2017 Objectives List the key components of the Practice Advancement
More informationPharmacy Management. 450 Pharmacy Management Positions
450 Pharmacy Management Positions Pharmacy Management Disposition of Illicit Substances (1522) To advocate that healthcare organizations be required to develop procedures for the disposition of illicit
More informationCorporate Profile. December 2017
Corporate Profile December 2017 Our corporate overview Pharmaceutical Distribution Largest pharmaceutical distributor in Canada, handling ~40% of all retail & hospital volume Ensuring patients have nextday
More informationConflict of Interest. Objectives. The Solution. The Need. Reaching for the Stars Advanced Roles for Pharmacy Technicians.
8/14/2014 Reaching for the Stars Advanced Roles for Pharmacy Conflict of Interest No conflicts of interest to disclose Informatics Bryan Shaw, Pharm.D. PGY-1 Non-Traditional Resident Northwestern Memorial
More informationAccountable Care Atlas
Accountable Care Atlas MEDICAL PRODUCT MANUFACTURERS SERVICE CONTRACRS Accountable Care Atlas Overview Map Competency List by Phase Detailed Map Example Checklist What is the Accountable Care Atlas? The
More informationLeading By Example. Begin with a vision. Disclosures. Learning Objectives 3/25/2017. Tripp Logan, PharmD
Leading By Example Melissa Somma McGivney, PharmD, FAPhA, FCCP Associate Dean for Community Partnerships; Associate Professor University of Pittsburgh Tripp Logan, PharmD Senior Quality Consultant - MedHere
More informationIMPROVING TRANSITIONS OF CARE IN POPULATION HEALTH
IMPROVING TRANSITIONS OF CARE IN POPULATION HEALTH TABLE OF CONTENTS 1. The Transitions Challenge 2. Impact of Care Transitions 3. Patient Insights from Project Boost 4. Identifying Patients 5. Improving
More informationSpecialty Pharmacy Boot Camp 101
Specialty Pharmacy Boot Camp 101 Melissa Skelton Duke, PharmD, MS, BCPS Senior Director, Ambulatory Pharmacy Services Banner Health John Musil, PharmD Founder and Chairman Avella Specialty Pharmacy Target
More informationHow Data-Driven Safety Culture Changes Can Lower HAC Rates
How Data-Driven Safety Culture Changes Can Lower HAC Rates Session #226, February 23, 2017 Holly O Brien & Abby Dexter Children s Hospital of Wisconsin 1 Speaker Introduction Holly O Brien, MSN RN Safety
More informationASHP Accredited PGY1 & PGY2 Residency with Master s Degree in Health-System Pharmacy Administration
ASHP Accredited PGY1 & PGY2 Residency with Master s Degree in Health-System Pharmacy Administration Summary Number of Positions: 4 Application Deadline: January 2, 2018 Starting Date: June, 11, 2018 Stipend/Benefits:
More informationOncology Pharmacy Services
Oncology Pharmacy Services Your partner in patient-centered care Supporting you and your patients You want to focus on patient care, not paperwork. So you need an oncology pharmacy that does more than
More informationPBM SOLUTIONS FOR PATIENTS AND PAYERS
PBM SOLUTIONS FOR PATIENTS AND PAYERS Reducing Prescription Drug Costs Designing Solutions for Employers, Unions, and Government Programs Delivering High Patient Satisfaction and Improved Outcomes Improving
More informationFueling Pharmacy Change: From Community Pharmacy Foundation (CPF) Grants to Action
Fueling Pharmacy Change: From Community Pharmacy Foundation (CPF) Grants to Action Community Pharmacy Foundation Anne Marie Kondic, PharmD Executive Director Disclosures Anne Marie Kondic, PharmD, is the
More informationELECTIVE COMPETENCY AREAS, GOALS, AND OBJECTIVES FOR POSTGRADUATE YEAR ONE (PGY1) PHARMACY RESIDENCIES
ELECTIVE COMPETENCY AREAS, GOALS, AND OBJECTIVES FOR POSTGRADUATE YEAR ONE (PGY1) PHARMACY RESIDENCIES Introduction The competency areas, goals, and objectives are for use with the ASHP Accreditation Standard
More informationCOMMUNITY PHARMACY PRACTICE ACCREDITATION CARMEN CATIZONE LOWELL ANDERSON MEMBERS OF CPPA BOARD OF DIRECTORS
COMMUNITY PHARMACY PRACTICE ACCREDITATION CARMEN CATIZONE LOWELL ANDERSON MEMBERS OF CPPA BOARD OF DIRECTORS Accreditation of Pharmacy Practices Specialty (TJC, URAC, others) Long-term Care (TJC, others)
More informationFrom Free Drug to Paid Prescriptions: PATIENT ASSISTANCE STRATEGIES TO ENSURE ROI. by Jan Nielsen, Division President, SonexusHealth
From Free Drug to Paid Prescriptions: PATIENT ASSISTANCE STRATEGIES TO ENSURE ROI by Jan Nielsen, Division President, SonexusHealth The Role of Patient Assistance Programs Healthcare affordability is reaching
More informationENHANCING PRESCRIBER RELATIONSHIPS: MAKING IT A WIN-WIN JULY 12, :00 5:00 PM
ENHANCING PRESCRIBER RELATIONSHIPS: MAKING IT A WIN-WIN JULY 12, 2017 3:00 5:00 PM ACPE UAN: 0107-9999-17-105-L04-P 0.2 CEU/2.0 hr Activity Type: Knowledge-Based Learning Objectives for Pharmacists: Upon
More informationDisclosures. Objectives. Leveraging and Developing Your Team for Optimal Outcomes. None
Leveraging and Developing Your Team for Optimal Outcomes Michelle W. McCarthy, PharmD, FASHP Coordinator, Pharmacy Education and Graduate Programs Charlottesville, VA November 6, 2017 Disclosures None
More informationCOOK COUNTY AND HOSPITALS SYSTEM Quarterly Report
1600107 RESIGNATION 3/1/2018 AMBULATORY CLINIC MANAGER NEAR SOUTH NO NO 9519299 DISCHARGED 3/1/2018 AP CREDENTIAL SPECIALIST MEDICAL STAFF SERVICES NO NO 9524837 RESIGNATION 3/1/2018 CLINICAL NURSE I GEN
More informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationPharmacy Cost Reduction Strategies. Presenters: James Jorgenson, RPH, MS, FASHP CEO, Visante Inc. & Visante Ltd.
Pharmacy Cost Reduction Strategies Presenters: James Jorgenson, RPH, MS, FASHP CEO, Visante Inc. & Visante Ltd. FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships
More informationPatient-Centered Medical Home (PCMH) & Patient-Centered Specialty Practice (PCSP)
Patient-Centered Medical Home (PCMH) & Patient-Centered Specialty Practice (PCSP) Foundation for a Better Health Care System Presenter Jeanette Ikan, M.D., MHAI Objectives: Definition and benefits of PCMH,
More informationEstablishing an HIV/AIDS Pharmacy Practice in an Underserved Inner City Environment Facilitators and Barriers
Establishing an HIV/AIDS Pharmacy Practice in an Underserved Inner City Environment Facilitators and Barriers Madeline Feinberg, Pharm.D Chase Brexton Health Services Baltimore Inner Harbor Overview of
More informationNATIONAL ASSOCIATION OF SPECIALTY PHARMACY PATIENT SURVEY PROGRAM
ACTIONABLE INSIGHTS FROM THE 2016/2017 NATIONAL ASSOCIATION OF SPECIALTY PHARMACY PATIENT SURVEY PROGRAM A data analysis validates the industry's success in improving patient satisfaction and reveals new
More information8/31/2015. Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success. Vanderbilt University Medical Center
Session C719 Outcomes of a Study Addressing Challenges in APRN Practice and Strategies for Success Marilyn A. Dubree, MSN, RN, NE-BC Executive Chief Nursing Officer Vanderbilt University Medical Center
More informationConsultant ID: Team Lead Pharmacy/Meds Process Health System April October 2016
Consultant ID:31585 Sr. Cerner PharmNet Consultant PROFESSIONAL PROFILE Insightful, results-driven IT professional with notable success leading Healthcare IT initiatives while participating in workflow
More information7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
More informationJake Olson, PharmD 9/28/2016. Improving Patient Care Through Improved Pharmacist-Prescriber Relationships. President/CEO, Skywalk Pharmacy
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,
More informationAdministrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
More informationspecialty pharmacy: reining in costs and improving health outcomes
specialty pharmacy: reining in costs and improving health outcomes Overview Specialty drugs are bringing great advances in health care and dramatically improving the medical outlook for employees and covered
More informationTricks of the Trade: Formulary Management in a Health System
Tricks of the Trade: Formulary Management in a Health System Mandy C. Leonard, Pharm.D., BCPS System Director, Drug Use Policy and Formulary Management Department of Pharmacy Cleveland Clinic April 11,
More informationIntroduction to Pharmacy Practice
Introduction to Pharmacy Practice Learning Outcomes Compare & contrast technician & pharmacist roles Understand licensing, certification, registration terms Describe advantages of formal training for technicians
More informationStatement of Ronna B. Hauser, Pharm.D. Vice President, Policy and Regulatory Affairs National Community Pharmacists Association
Statement of Ronna B. Hauser, Pharm.D. Vice President, Policy and Regulatory Affairs National Community Pharmacists Association Food and Drug Administration [Docket Nos. FDA 2010 N 0284 and FDA 2009 D
More informationThe value-based pharmacy
Cardinal Health Specialty Solutions The value-based pharmacy Combining physician dispensing and drug consignment to improve patient and practice health at The Urology Group Meeting new cost and quality
More informationFederal Pharmacy 2016: Senior Leaders Perspective
Federal Pharmacy 2016: Senior Leaders Perspective CPE Information and Disclosures Mr. Ron Nosek, Dr. George Jones, COL John Spain and RADM Pamela Schweitzer declare no conflicts of interest, real or apparent,
More informationSpecialty Pharmacy: The Evolution of the Comprehensive Pharmaceutical Care Model. Arash Dabestani, PharmD, MHA, FASHP, FABC
Specialty Pharmacy: The Evolution of the Comprehensive Pharmaceutical Care Model Arash Dabestani, PharmD, MHA, FASHP, FABC OBJECTIVES Discuss the history of clinical pharmacy relative to specialty pharmacy
More informationTRENDS IN CANCER PROGRAMS
A by the Association of Community Cancer Centers 2014 TRENDS IN CANCER PROGRAMS A joint project between ACCC and Lilly Oncology, this report highlights YEAR 5 SURVEY RESULTS. WHO Took ACCC s? One hundred
More informationAll ACO materials are available at What are my network and plan design options?
ACO Toolkit: A Roadmap for Employers What is an ACO? Is an ACO strategy right for my company? Which ACOs are ready? All ACO materials are available at www.businessgrouphealth.org What are my network and
More informationExpansion of Pharmacy Services within Patient Centered Medical Homes. Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice
Expansion of Pharmacy Services within Patient Centered Medical Homes Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice What is a Patient Centered Medical Home (PCMH)? "an approach
More informationEnd-to-end infusion safety. Safely manage infusions from order to administration
End-to-end infusion safety Safely manage infusions from order to administration New demands and concerns 56% 7% of medication errors are IV-related. 1 of high-risk IVs are compounded in error. 2 $3.5B
More informationImplementation of Remote Management of Compounded Sterile Products through the use of a Telepharmacy System
Implementation of Remote Management of Compounded Sterile Products through the use of a Telepharmacy System Jerry Siegel Pharm.D., FASHP Howard Cohen M.S.,RPh FASHP Marianne Ivey Pharm.D., FASHP Safe Medication
More informationNew Alignments in Data-Driven Care Coordination & Access for Specialty Products: Insights from the DIMENSIONS Report
New Alignments in Data-Driven Care Coordination & Access for Specialty Products: Insights from the DIMENSIONS Report Our Objectives By the end of the session, participants will understand: Evolving demands
More informationMAKING PROGRESS, SEEING RESULTS
MAKING PROGRESS, SEEING RESULTS VALUE-BASED CARE REPORT HUMANA.COM/VALUEBASEDCARE Y0040_GCHK4DYEN 1117 Accepted 2 Americans are sick and getting sicker, with millions of us living with chronic conditions
More informationTransition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI Objectives Pharmacist 1. Describe transition of care opportunities 2. Explain ways to use pharmacist extenders
More informationInteroperability is Happening Now
Interoperability is Happening Now Nick Knowlton and Tammy Ordoyne-Vial Brightree and Ochsner HME Interoperability - Better Business, Better Outcomes Shifts in the Healthcare Ecosystem impact our HME Space
More informationAbout Baptist Medical Center
About Baptist Medical Center Locally owned and operated in Jacksonville, Florida BMC includes 2 Adult and 1 Children s Hospital 960 licensed beds Disproportionate Share Hospital Recently opened Baptist
More informationSPECIALTY PHARMACY TAMING SPECIALTY DRUG COSTS FOR SELF- INSURED HEALTH PLANS
SPECIALTY PHARMACY TAMING SPECIALTY DRUG COSTS FOR SELF- INSURED HEALTH PLANS Presented by Jody L. Miller 4Front Consulting Group, Inc. March 5, 2015 Presentation Outline Specialty Definition Spend Trends
More informationSpecialty Services in Community Pharmacies What to Consider
CONTINUING EDUCATION Specialty Services in Community Pharmacies What to Consider by Kevin Day, PharmD, RPh March 1, 2016 (expires March 1, 2019) Activity Type: Application-based To earn continuing education
More informationVanita K. Pindolia, PharmD Vice President, Ambulatory Clinical Pharmacy Program. Detroit, Michigan
PCMH Best Practices Vanita K. Pindolia, PharmD Vice President, Ambulatory Clinical Pharmacy Program Henry Ford dhealth lthsystem Detroit, Michigan Faculty Disclosure The faculty reported the following
More informationMinnesota Perspective: Fairview Health Services. National Accountable Care Organization Congress October 25, 2010
Minnesota Perspective: Fairview Health Services National Accountable Care Organization Congress October 25, 2010 Fairview Overview Not-for-profit organization established in 1906 Partner with the University
More informationEHR Enablement for Data Capture
EHR Enablement for Data Capture Baylor Scott & White (15 min) Bonnie Hodges, RN University of Chicago Medicine(15 min) Susan M. Sullivan, RHIA, CPHQ Kaiser Permanente (15 min) Molly P. Clopp, RN Tammy
More informationMarket With Innovation
Leading The Specialty Market With Innovation Alan Lotvin, M.D. Executive Vice President, CVS/specialty Agenda Specialty Market Overview Performance Highlights Reinventing Specialty Pharmacy Well Positioned
More informationACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S
ACADEMIC GROUP PRACTICE AND THE LEADERSHIP OF APRN S Margaret Head, Chief Operating Officer/Chief Nursing Officer Susan Moseley Gent, Administrative Director Vanderbilt Medical Group March 10, 2012 With
More informationSaint Francis Care and Cigna CAC Meeting the Triple Aim Together
Saint Francis Care and Cigna CAC Meeting the Triple Aim Together Christopher M. Dadlez, President and CEO Saint Francis Care Jess Kupec, President and CEO Saint Francis HealthCare Partners 22 nd Annual
More informationLEMTRADA Services Form
For Patients to Complete LEMTRADA Services Form Instructions for healthcare providers enrolling patients in One to One To enroll in One to One Support Services for LEMTRADA (alemtuzumab), you and your
More informationBENEFITS OF CORRECTIONS PARTNERING WITH STATE S HEALTH SCIENCES UNIVERSITY
BENEFITS OF CORRECTIONS PARTNERING WITH STATE S HEALTH SCIENCES UNIVERSITY By Louis Colella NJ Department of Corrections & Arthur Brewer, Christopher Kosseff & Jeff Dickert UMDNJ Objectives Summarize and
More informationelearning 5.6 Curriculum Guide >> Knowledge Base Module (KBM) Workflows - 7.9
elearning 5.6 Curriculum Guide >> Knowledge Base Module (KBM) Workflows - 7.9 Table of Contents This document is for informational purposes only. You cannot launch elearning courses from this page. v5.6
More informationSpecialty Pharmacy and the Vulnerable Patient from the Health-System Perspective
Specialty Pharmacy and the Vulnerable Patient from the Health-System Perspective JoAnn Stubbings, BSPharm, MHCA jstubbin@uic.edu; 312.996.3098 Assistant Director, Specialty Pharmacy Services September
More informationKeenan Pharmacy Care Management (KPCM)
Keenan Pharmacy Care Management (KPCM) This program is an exclusive to KPS clients as an additional layer of pharmacy benefit management by engaging physicians and members directly to ensure that the best
More informationDisclosures. Exploration of Telepharmacy: History of Telepharmacy 8/14/2014. Pharmacist and Technician Objectives
Disclosures Exploration of Telepharmacy: Bridging the Gap Melissa Badowski, PharmD, BCPS, AAHIVP Clinical Assistant Professor Illinois Department of Corrections HIV Telemedicine University of Illinois
More informationPhysician Alignment Strategies and Options. June 1, 2011
Physician Alignment Strategies and Options June 1, 2011 1 Today s Discussion Review physician-hospital alignment objectives Understand the changing paradigm Evaluate alignment strategies for a new delivery
More informationPrescription for Healthy Communities: CARRYING OUT SUCCESSFUL MEDICATION MANAGEMENT SERVICES IN COMMUNITY PHARMACIES
Prescription for Healthy Communities: CARRYING OUT SUCCESSFUL MEDICATION MANAGEMENT SERVICES IN COMMUNITY PHARMACIES Deborah Pestka, PharmD Caitlin Frail, PharmD, MS, BCACP Laura Palombi, PharmD, MPH,
More informationDriving Business Value for Healthcare Through Unified Communications
Driving Business Value for Healthcare Through Unified Communications Even the healthcare sector is turning to technology to take a 'connected' approach, as organizations align technology and operational
More informationLeveraging the EHR to Connect Physicians and Consumers
Leveraging the EHR to Connect Physicians and Consumers DRG Digital DRGDigital.com Contact 2017 Digital@TeamDRG.com DR/Decision Resources, LLC. or All rights visit reserved. DRGDigital.com for more physician
More informationLeverage Actionable and Raw Data to Improve Program Design and Market Access
Leverage Actionable and Raw Data to Improve Program Design and Market Access Brian Burke Vice President, Trade Relations Armada Healthcare WWW.Armadahealthcare.com brian.burke@armadahealthcare.com SPP
More informationCBI 14 th Annual Specialty Therapies: Site of Care Optimization and Data Driven Specialty
CBI 14 th Annual Specialty Therapies: Site of Care Optimization and Data Driven Specialty Avalere Health An Inovalon Company January, 2017 High Specialty Drug Spend Fuels Interest in Management Strategies
More informationSUMMARY OF IDS WORKGROUP PROPOSED RECOMMENDATIONS
The following document provides a high-level summary of the proposed recommendations from the following IDS groups: Case Management Clinical Leadership Disease Prevention and Health Promotion Innovations
More informationA New Clinical Operating Model Transforms Care Delivery and Improves Performance
A New Clinical Operating Model Transforms Care Delivery and Improves Performance The Unified Clinical Organization (UCO) Paul Conlon, PharmD, JD SVP, Clinical Quality and Patient Safety, Trinity Health
More informationThree Steps to Streamline Laboratory Operations:
Three Steps to Streamline Laboratory Operations: A GUIDE FOR IMPROVING PERFORMANCE AND QUALITY By Richard Walker, MBA, MLS (ASCP), and Kelly Straub, M.S., Huron Healthcare The evolving healthcare environment
More informationPharmacists Improve Care Through Team Collaboration
Pharmacists Improve Care Through Team Collaboration Trista Pfeiffenberger, PharmD, MS Director, Network Pharmacy Programs Community Care of North Carolina Disclosure and Conflict of Interest I am an employee
More information2015 Annual Convention
2015 Annual Convention Date: Tuesday, October 13, 2015 Time: 8:00 am 9:30 am Location: Gaylord National Harbor Resort and Convention Center, National Harbor 10 Title: Activity Type: Speaker: Opportunities
More information04/08/2015. Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists. Pharmacist Objectives. Technician Objectives
1 2 Thinking Beyond the Hospital Walls: Readmission Reduction Strategies for Pharmacists Stacey Zorska, Pharm.D., MHA Director of Pharmacy Services Southwest General Middleburg Heights, OH Pharmacist Objectives
More informationPresenter Disclosures
Creating the Future of Health Care Unleashing the Power of Teams and HIT The 25 th Annual National Forum on Quality Improvement in Health Care December 11, 2013 Marilyn Chow, RN, PhD, FAAN Vice President,
More informationACOs: Transforming Systems with New Payment Models & Community Integration
ACOs: Transforming Systems with New Payment Models & Community Integration Sunnah Kim PNP (Moderator), American Academy of Pediatrics Herbert Druilhet, RN, DNP, FNP-BC Lafayette General Medical Doctors
More informationUsing benchmarking to improve Quality
Using benchmarking to improve Quality Bent Grubb Laursen, MD, Physician lead, Accenture Denmark @ DocBlogIt DANISH HEALTHCARE SYSTEM IS BETTER THAN THE SWEDISH HEALTHCARE SYSTEM Pride Complacency Insult
More informationPatient Assistance and Financial Access for Immuno-Oncology
Patient Assistance and Financial Access for Immuno-Oncology Charles Lynch Program Coordinator of Oncology Medication Assistance Program; Smilow Cancer Hospital at Yale New Haven January 21,2016 12-1 p.m.
More informationImproving the Patient Experience Through Pharmacy
Rick Burnett Chief Operating Officer Kenneth Maxik Director, Patient Safety & Pharmacy Compliance Improving the Patient Experience Through Pharmacy August 19, 2015 Speakers Rick Burnett, PharmD, FACHE
More information