Krista M. Scardina, PharmD Program Management Officer Office of Pharmacy Affairs HHS, HRSA Improvement Co-Advisor
|
|
- Alexis Hampton
- 5 years ago
- Views:
Transcription
1 Denise H. Geolot, PhD, R.N. Director, Center for Quality Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) Collaborative Co-Director Krista M. Scardina, PharmD Program Management Officer Office of Pharmacy Affairs HHS, HRSA Improvement Co-Advisor
2 ! Improve health outcomes, increase clinical pharmacy services, and improve patient safety! Rapid improvement method! Leading practices come from the field
3 ! Increase in multiple chronic conditions! Aging population - polypharmacy! ADEs leading cause of death and injury IOM Report! Lack of integration of clinical pharmacy services
4 ! Medication Errors are Most Common! Injure 1.5 Million People Annually! Cost Billions Annually for every dollar spent on ambulatory medications, another dollar is spent to treat new health problems caused by the medication.
5 Report Finds a Heavy Toll From Medication Errors -New York Times, 2006 Doctor-Patient Bond Frays After Medical Mistake -Forbes, 2007 State Confirms Medical Error In Hospital Death Of Teen -Channel 3000, Wisconsin, 2006 Accidental Overdoses in the Home Soaring -The Washington Post, 2007
6 Committed to saving and enhancing thousands of lives a year by achieving optimal health outcomes and eliminating adverse drug events through increased clinical pharmacy services for the patients we serve.
7 ! Support programs to provide the best and safest care in the Nation! Take previously supported collaboratives with documented improvements to the next level
8 Patient Safety Pharmacy Collaborative Patient Patient Safety Safety Integrated Patient Care Services Clinical Pharmacy Services QUALITY Health Health Outcomes Outcomes
9 ! Study Phase! Identified High Performers! Conducted 34 site visits! Compiled Leading Practices The Change Package! Convened Expert Panel! Engaged Partners! Leadership Coordinating Council! Sponsored State Leadership Meeting! Implementation Phase! Enrolled Teams! Faculty Selected
10 ! Leadership Commitment: Develop organizational relationships that promote safe medication-use systems and optimal health outcomes! Measurable Improvement: Achieve change using the value and power of datadriven improvements! Integrated Care Delivery: Build an integrated health care system across providers and settings that produces safety and optimal health outcomes! Safe Medication Use Systems: Develop and operate by safe medication-use practices! Patient-Centered Care: Build a patient-centered medication-use system
11 ! Teams are Major Locus of Change! Change Package is Recipe Book for Change! Introduced and Led by a Faculty of Their Peers! Create Expectation That Each Team Begins by Addressing a Change Concept! Use the Improvement Model (Plan/Do/Study/Act) to test specific actions in their environment
12 ! Majority are from leading practice sites from study phase! Mix of leaders, physicians, pharmacists, nurses, and others! Innovators and early adapters! Voice of the Change Package! Peer leaders to inspire change by showing the way
13 Who Are the Teams?! Teams of providers (multi-disciplinary)! Multiple organizations within communities! Defined patient population
14 ! ~ 80 teams! Over 300 organizations! Teams average 3+ organizations! 42 states represented (including HI and PR)! Over 300 participants attended Learning Session # 1! Over 500 expected at Learning Session # 2
15 ! Improvement efforts organized around regular Learning Sessions! Teams come together for several days to learn about leading practices! The PSPC will convene a total of four Learning Sessions
16 ! Follow the Learning Sessions! Teams return home to apply what they have learned! Use the Model for Improvement,! A fast paced, iterative improvement method! Continuous, small scale, rapid testing leads to adaptation of leading practices to fit local conditions
17 ! 16 month rapid learning model! Focused on improving health outcomes! Led by an expert faculty and national leaders! Creates community of learning! Learning Sessions and Action Periods are venues for change! Improvements are tracked and shared for mutual benefit
18 Select Topic Planning Group Identify Change Concepts Enroll Participants Prework LS 1 PDSA=Plan, Do, Study, Act LS= Learning Session AP=Action Period A S P AP1 D LS 2 A S P AP2 D Listserv Filming Rapid Sharing Team Reporting LS 3 Supports Site Visits & Conference Calls Web site Leadership Coordinating Council A P S AP3 D LS 4 Adapted from IHI Breakthrough Series Collaboratives IHI.org
19 ! Improve health outcomes, increase clinical pharmacy services, and improve patient safety! Rapid Improvement Approach! Leading practices from field
20 July 2008: Faculty Meeting Aug 14-15, 2008: Learning Session 1 Fall 2008: Action Period 1 Dec 3-4,2008: Learning Session 2 Winter : Action Period 2 April 2009: Learning Session 3 Summer 2009: Action Period 3 Fall 2009: Learning Session 4
21 HRSA Website Questions? HRSA Knowledge Gateway
22 Arthur Martinez, MD, MSHA Chief Clinical Officer, El Rio Health Center Sandra Leal, PharmD, CDE President, Association of Clinicians for the Underserved Consultant, HRSA Pharmacy Services Support Center Clinical Pharmacy Supervisor, El Rio Health Center
23 ! 74,526 patients served! 288,149 patient encounters! 27% patients uninsured! 47% patients on Medicaid! 54% patients at or below federal poverty level! 38% patients under 15 years of age
24 ! Approached by the University of Arizona College of Pharmacy! New Entity/New Midlevel! El Rio CHC/Arizona! Population Focus! Poly-pharmacy Knowledge
25 ! Right Person! For Patients! For Medical Staff! Buy-in from Medical Staff
26 ! I do not want:! Someone to take over my patients! To be forced to share my patients! Someone to provide medical care I do not agree with
27 ! Voluntary Internal Referral System! Clinical Protocols
28 ! Emphasize quality outcomes with comprehensive assessments and treatment plans! Determine and track outcome measures to validate quality! Patient and provider satisfaction surveys! Physician profiling
29 ! Process! A1C Testing! Retinal Exam! LDL Screening! Monitoring for Nephropathy! Outcomes! Poor A1C control! LDL Level < 130 mg/dl
30 Provider Without Sandra With Sandra Total Process Outcome Total Process Outcome SL JV JE DS NF
31 ! Quality Outcomes! Share Results! Residency Training
32
33 ! In August 2001! El Rio Clinic provided a pharmacist managed diabetes (DM) clinic! Comprehensive Pharmacy Services Grants awarded by the Office of Pharmacy Affairs (OPA) a component of the Health Resources and Services Administration Healthcare Systems Bureau (HRSA)
34 ! OPA emphasizes:! Importance of comprehensive pharmacy services being an integral part of primary health care! Comprehensive pharmacy services include:! Patient access to affordable pharmaceuticals! Application of "best practices" and efficient pharmacy management! Application of systems that improve patient outcomes through safe and effective medication use
35 ! Opportunities opened with Arizona Statue ! Pharmacists prescriptive authority! Collaborative agreements with providers and patients created
36 ! Major cause of morbidity and mortality! Cost: $174 billion dollars in 2007! Personal cost to patients Opportunities to improve care:! Quality measures (HEDIS)! Lipid management! Blood pressure management
37
38 Diabetes EPIDEMIC: Early 20th Century Diabetes EPIDEMIC: Early 21st Century 11y 9m, 347 pounds
39 ! To evaluate changes in clinical parameters and medication use! Improve comprehensive access to diabetes care! Access database created in 02/02 for patient tracking pivotal to success of program
40 ! Data collected! Demographics! Medical history! Medications! Labs! Vitals! Preventative Services! SOAP notes to print for chart
41 ! Day before appointment-thorough review of chart for baseline! Foot exam/monofilament test! Review of diabetes, blood pressure, lipids including goals and previous lab work! Initiate self-testing! Ophthalmology referral! Smoking cessation counseling! Aspirin! Depression Screening! Update vaccinations! Assessment of health literacy
42 Interview, Medication Reconciliation, Disease State Management, Appropriate Medication Selection, Polypharmacy Review, Self-Management Education, Medication Access Addressing High Risk Issues
43 Changes in Recommended Annual Follow-up Screenings
44 Changes in Metabolic and Blood Pressure Measures: Baseline to Follow llow-up Parameter # Pts Baseline (Mean) FU (Mean) Diff. 95% CI P-value TC (mg/dl) to 32 <0.001 TG (mg/dl) to 104 <0.001 HDLc (mg/dl) to LDLc (mg/dl) to 19 <0.001 SBP (mm/hg) to 8 <0.001 DBP (mm/hg) to 6 <0.001 A1C (%) % 1.7 to 2 <0.001 Gluc (mg/dl) to 54 <0.001 BMI (kg/m 2 ) to -0.1 <0.036 GFR to -2 <0.001
45 0 Diabetes- Related Mortality All-Cause Mortality Myocardial Infarction Peripheral Microvascular Vascular Disease Disease % 14% 21% All P< % 37% A1C = glycosylated hemoglobin; UKPDS = United Kingdom Prospective Diabetes Study. Adapted from Stratton IM et al. BMJ. 2000;321:
46 Changes from Baseline to Follow-Up for Patients on ASA and ACEIs/ARBs* 90 patients with ASA contraindication; 81 patients with ACEI/ARB contraindication; 11 patients with statin contraindication
47 ! Pascua Yaqui and El Pueblo clinical pharmacist added! Pharmacy practice residency! Improved quality of life for patients as documented by measurable parameters and self-report! American Society of Health-System Pharmacists (ASHP) Best Practices Award! National Association of Community Health Centers (NACHC) 2007 Innovative Research in Primary Care Award! Several publications including:
48 Publications Chronic Kidney Disease Risk Reduction in a Hispanic Population Through Pharmacist-Based Disease-State Management Leal S, Soto ML. Advances in Chronic Kidney Disease, Vol 15, No 2 (April), 2008: pp doi: /j.ackd Appropriate Advancement of Type 2 Diabetes Therapy Meneghini L, Kennedy L, Koff R, Kuritzky L, Leal S, Peterson K, Zamudio V Current Clinical Practice 1(1): 19a-30a, October The Role of Rapid-Acting Insulin Analogues and Inhaled Insulin in Type 2 Diabetes Sandra Leal, Richard N. Herrier, and Marisa Soto Insulin 2007; 2: Improving Quality of Care in Diabetes through a Comprehensive Pharmacist-Based Disease Management Program Sandra Leal, Jon J. Glover, Richard N. Herrier, and Anthony Felix Diabetes Care : Pharmacist-led vs Physician Diabetes Drug Management Elizabeth G. Hogan. Sandra Leal, Marion Slack, and Dave Apgar Hospital Pharmacy Europe May/June 2006: Evaluation of HRSA's Clinical Pharmacy Demonstration Projects Volume 1: Synthesis Report Final evaluation report of the Clinical Pharmacy Demonstration Projects (CPDP) managed by OPA. The purpose of these projects was to examine the effects of expanded access to clinical pharmacists and comprehensive pharmacy services on the health outcomes of medically underserved populations. This report is an evaluation of expanded access and improved outcomes due to the Clinical Pharmacy Demonstration Projects. ftp://ftp.hrsa.gov/bphc/pdf/opa/cpdpvolume1finalreport.pdf November 30, 2004 Volume II: Case Studies Presents five case studies of Clinical Pharmacy Demonstration Project networks whose experience may prove beneficial to other Community Health Centers and providers exploring the potential for clinical pharmacy service. El Rio s Demonstration Project is highlighted. ftp://ftp.hrsa.gov/bphc/pdf/opa/cpdpvolume2finalreport.pdf November 30, 2004 Medications, Rationing, and Health Care: The Role of Pharmacists in Bridging the Gap Sandra Leal, PharmD, CDE Journal of Health Care for the Poor and Underserved 16.3 (2005) Pharmacists Disease State Management through a Collaborative Practice Model Sandra Leal, PharmD, CDE & Marisa Soto, PharmD Journal of Health Care for the Poor and Underserved 16.2 (2005) Changing the Face of Pharmacy Rx for Access Volume 2 Issues 5 p.2, MedPin (Medicine for People in Need), July/August 2005.
Improving Health Outcome Measures and Medication Safety through Integration of Clinical Pharmacy Services
Improving Health Outcome Measures and Medication Safety through Integration of Clinical Pharmacy Services Steven Chen, Pharm.D., FASHP Associate Professor Director, PGY1 Residency Program in Primary Care
More informationPeripheral Arterial Disease: Application of the Chronic Care Model. Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario
Peripheral Arterial Disease: Application of the Chronic Care Model Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario Objectives Provide brief overview of PAD Describe the Chronic
More informationMedication Management Center
Academic-Community Partnership to Implement Medication Therapy Management (MTM) Services in Rural Communities to Improve Adherence to Preventative Health Guidelines for Patients with Diabetes and/or Hypertension
More informationImproving Clinical Outcomes
Improving clinical outcomes and reducing health care costs under the Affordable Care Act - are enhanced medication management strategies part of the solution? Sandra L. Baldinger, Pharm.D., M.S. Kenneth
More informationCOLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE KPhA Annual Meeting September 7, 2014 Tiffany R. Shin, PharmD, BCACP Lyndsey N. Hogg, PharmD, BCACP Objectives Describe basic concepts of collaborative
More informationDisclosures. Learning Objectives 4/26/2017. Impact of a Pilot Ambulatory Care Pharmacist in a Family Practice Clinic
Impact of a Pilot Ambulatory Care Pharmacist in a Family Practice Clinic Taylor Sandvick, PharmD, PGY1 Pharmacy Resident St. Peter s Hospital, Helena, MT April 29, 2017 Disclosures 2 Financial: Nothing
More information2ab and 3cd. BTS Topic Selection:
2ab and 3cd. BTS Topic Selection: Meet Your Colleagues PG Pg. 3 Topic Selection Objectives By the end of this session you should be able to: List the reasons that topic selection is a critical factor in
More informationCalifornia Academy of Family Physicians Diabetes Initiative Care Model Change Package
California Academy of Family Physicians Diabetes Initiative Care Model Change Package Introduction The Care Model (CM) is a unique and proven approach for implementing proactive strategies that are responsive
More informationDisclosures. Platforms for Performance: Clinical Dashboards to Improve Quality and Safety. Learning Objectives
Platforms for Performance: Clinical Dashboards to Improve Quality and Safety Disclosures The program chair and presenters for this continuing pharmacy education activity report no relevant financial relationships.
More informationClinical Webinar: Integrated Pharmacy
Clinical Webinar: Integrated Pharmacy Benjamin Gross, Pharm D, MBA, BCPS, BCACP, CDE, BC ADM, ASH CHC Associate Professor Director of Residency Programs Lipscomb University College of Pharmacy Objectives
More informationManaging Patients with Multiple Chronic Conditions
Managing Patients with Multiple Chronic Conditions Sponsored by AMGA and Merck & Co., Inc. 1 Group Pre-work Affinity Medical Group Heart, Lung & Vascular Center COURAGE Clinic 2 Medical Group Profile Affinity
More informationCardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers
Cardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified March 2015 Table of Contents
More informationCore Item: Clinical Outcomes/Value
Cover Page Core Item: Clinical Outcomes/Value Name of Applicant Organization: Fremont Family Care Organization s Address: 2540 N Healthy Way, Fremont, NE 68025 Submitter s Name: Elizabeth Belmont Submitter
More informationBilling for Pharmacist Collaborative Patient Care Services
3/9/15 SCSHP 15 Annual Meeting Disclosure Billing for Pharmacist Collaborative Patient Care Services Bob Davis, PharmD, FAPhA Professor, Kennedy Pharmacy Innovation Center, University of South Carolina
More informationHypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc. October 13-15, 15, 2010 Scottsdale, AZ Kaiser Permanente of the Mid-Atlantic States (KPMAS) 1 KPMAS Medical Group Profile
More informationThe Heart and Vascular Disease Management Program
Element A: Program Content The Heart and Vascular Disease Management Program GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to
More informationCLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW
Diplomate: CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW A. INFORMATION MANAGEMENT 1. Does your practice currently use an electronic medical record system? Yes No 2. If Yes, how long has the
More informationPresbyterian Healthcare Services Care Management
Presbyterian Healthcare Services Care Management Kathy M. Garcia RN, BSN Director of Nursing, Primary Care Service Line November 2012 Future Healthcare Challenges Increasing number of patients Decreasing
More informationComprehensive Medication Management (CMM) for Hypertension Patients: Driving Value and Sustainability
Comprehensive Medication Management (CMM) for Hypertension Patients: Driving Value and Sustainability Steven W. Chen PharmD, FASHP, FCSHP, FNAP Associate Dean for Clinical Affairs chens@usc.edu, 323-206-0427
More informationPPS Performance and Outcome Measures: Additional Resources
PPS Performance and Outcome Measures: PPS Performance and Outcome Measures: This document includes supplemental resources to the content on PPS Performance and Outcome Measures presented at the December
More informationQuality Management Report 2018 Q1
Quality Management Report 2018 Q1 Care Wisconsin Participates in Many Quality Initiatives Across the State and Federal Levels These activities include: Centers for Medicare & Medicaid Services (CMS) Department
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More informationQuality of Care of Medicare- Medicaid Dual Eligibles with Diabetes. James X. Zhang, PhD, MS The University of Chicago
Quality of Care of Medicare- Medicaid Dual Eligibles with Diabetes James X. Zhang, PhD, MS The University of Chicago April 23, 2013 Outline Background Medicare Dual eligibles Diabetes mellitus Quality
More informationSacramento County Department of Health and Human Services Division of Public Health - Public Health Advisory Board
Meeting November 2, 2011, 12:00 1:35 p.m. Primary Care Center 4600 Broadway Sacramento, CA 95820 Conference Room 2020 Chair: Marty Keale (Chairing for Robert Meagher) Staff: Paula Gammell Board Attendees:
More informationA. DIABETES AND HEART/STROKE Data Detail
A. DIABETES AND HEART/STROKE Data Detail Under the category of Effective Care, MHMC currently reports practices who have achieved national recognition for any of the Bridges to Excellence (BTE) clinical
More informationRina Ramirez, MD, FACP Teresita Lawson, BSPharm, RPh, CDE Suyen Segura, MPH, CHES
Rina Ramirez, MD, FACP Teresita Lawson, BSPharm, RPh, CDE Suyen Segura, MPH, CHES 1 Name three approaches that address specific health needs of seniors Discuss how different disciplines may be integrated
More informationEffects of Patient Navigation on Chronic Disease Self Management
Effects of Patient Navigation on Chronic Disease Self Management M. Christina R. Esperat, RN, PhD, FAAN, Professor and Associate Dean for Clinical Services, Texas Tech University Health Sciences Center
More informationPost Acute Continuum Lessons Learned from Geisinger s ProvenHealth Navigator
Post Acute Continuum Lessons Learned from Geisinger s ProvenHealth Navigator Janet Tomcavage, RN, MSN VP Health Services, Geisinger Health Plan Danville, PA February 3, 2012 Patient-centered primary care
More informationTHE BEST OF TIMES: PHARMACY IN AN ERA OF
OBJECTIVES THE BEST OF TIMES: PHARMACY IN AN ERA OF ACCOUNTABLE CARE Toni Fera, BS, PharmD October 17, 2014 1. Describe the role of pharmacists in accountable care organizations (ACO). 2. List four key
More informationHouseCalls Objectives
Overview Agenda Overview Objectives Background Case studies Member Experience Primary Care Provider Experience Referrals and Follow-up Influence on Centers for Medicare & Medicaid Services (CMS) Star Ratings
More informationLearning Objectives. Learning Objectives Cont. If sick patients held Olympics, how may medals would the U.S. win?
Interdisciplinary Teamwork: How Physicians, Nurses and Pharmacists Can Work Together Mark Loafman MD, MPH Assistant Professor Family Medicine, Northwestern Feinberg School of Medicine National Faculty
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 informationMedication Trauma Crisis: Primary Care Innovations. Session Code: D25, E25
Medication Trauma Crisis: Primary Care Innovations Session Code: D25, E25 Speakers and Disclosures Speaker James Slater, PharmD Executive Pharmacy Director, CareOregon Kristen Benkstein, PharmD Pharmacy
More informationMedication Adherence
Medication Adherence Robert DiGregorio, PharmD, FNAP, BCACP Professor (Long Island University) Sr. Director, Pharmacy & Pharmacotherapy Services (TBHC) Chief, Pharmacotherapy Department of Internal Medicine
More informationQuality Measurement, Population Health and Payment Reform
Quality Measurement, Population Health and Payment Reform The Move from Volume to Value Dale W. Bratzler, DO, MPH, FACOI, FIDSA Professor, Colleges of Medicine and Public Health Associate Dean, College
More informationBenefits of National Provider Identifier
Florida Pharmacy Association Professional Affairs Council Benefits of National Provider Identifier Written by: Kayla Mackanin, USF PharmD Candidate 2015, Professional Affairs Council Member Created on:
More informationOrganized, Evidence-based Care
Organized, Evidence-based Care Planning Care for Individual Patients and Whole Populations MODERATOR: Nicole Van Borkulo, MEd, Practice Improvement Specialist, SNMHI, Qualis Health SPEAKERS: Ed Wagner,
More informationPerformance Measurement of a Pharmacist-Directed Anticoagulation Management Service
Hospital Pharmacy Volume 36, Number 11, pp 1164 1169 2001 Facts and Comparisons PEER-REVIEWED ARTICLE Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Jon C. Schommer,
More informationRole of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018
Role of Clinical Pharmacist in Primary Care Clinic HYOJIN SUNG, PHARM.D SALEM HEALTH MEDICAL GROUP OSMA ANNUAL CONFERENCE APRIL 14, 2018 Objectives Understand the scope of practice for pharmacist and role
More informationCSM Physician Bulletin
CSM Physician Bulletin September 2015 Volume 5, Issue 7 Quality and Clinical Integration Status of Performance for FY 2016 Goals: July and August Results We continue to be a leader in breast cancer screening
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 informationExploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics
Exploring Public Health Barriers and Opportunities in Eye Care: Role of Community Health Clinics Susan A. Primo, O.D., M.P.H., F.A.A.O. Director, Vision and Optical Services Emory Eye Center Professor
More informationPRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
More informationPatient Centered Medical Home The next generation in patient care
Patient Centered Medical Home The next generation in patient care Provider Training Module I OBJECTIVE To explain... What Patient Centered Medical Home is How it works Why it s important Where to begin
More informationThe Medical Home Model as a Solution to Diabetes Disparities
Kenyatta Lee, MD Clinical Director Community Clinics Department University of Florida/Shands Jacksonville The Medical Home Model as a Solution to Diabetes Disparities Objectives: 1Provide an overview the
More informationEvolving Roles of Pharmacists: Integrating Medication Management Services
Evolving Roles of Pharmacists: Integrating Management Services Marie Smith, PharmD, FNAP Palmer Professor and Assistant Dean, Practice and Policy Partnerships UCONN School of Pharmacy (marie.smith@uconn.edu)
More informationPharmacy s Role in Decreasing Hospital Readmissions
Pharmacy s Role in Decreasing Hospital Readmissions ACPE UAN 107-000-11-004-L04-P & 107-000-11-004-L04-T Activity Type: Knowledge-Based 0.15 CEU/1.5 Hr Program Objectives for Pharmacists: Upon completion
More informationIntegration of Behavioral Health & Primary Care in a Homeless FQHC
Integration of Behavioral Health & Primary Care in a Homeless FQHC AtlantiCare Health Services Mission Health Care May 2012 Bridgette Richardson, LCSW Executive Director, AtlantiCare Health Services, Mission
More informationGoals & Challenges for Outpatient Quality Directors. Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE
Goals & Challenges for Outpatient Quality Directors Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE Objectives Learn a practical way for Quality Directors to align Quality Measures
More informationImproving Public Health by Enhancing the Patient Centered Interprofessional Primary Care Team
Improving Public Health by Enhancing the Patient Centered Interprofessional Primary Care Team Kevin Peterson, MD MPH Professor, Family Medicine and Community Health Director, Center of Excellence in Primary
More informationHAAD Guidelines for The Provision of Cardiovascular Disease Management Programs
HAAD Guidelines for The Provision of Cardiovascular Disease Management Programs March 2017 Document Title: HAAD Guidelines for The Provision of Cardiovascular Disease Management Programs (DMP) Document
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 informationPresenter Disclosure Information
The following program is co-provided by the American Heart Association and Health Care Excel, the Medicare Quality Improvement Organization for Kentucky. 3/1/2013 2010, American Heart Association 1 1 2
More informationImproving Quality of Care for Medicare Patients: Accountable Care Organizations
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Improving Quality of Care for Medicare Patients: FACT SHEET Overview http://www.cms.gov/sharedsavingsprogram On October
More informationACHIEVING POPULATION HEALTH: THE POWER OF TEAM BASED CARE
ACHIEVING POPULATION HEALTH: THE POWER OF TEAM BASED CARE JAMES JERZAK M.D. KATHY KERSCHER, MBA BELLIN HEALTH GREEN BAY WI IHI NATIONAL FORUM 12 13 2017 2 GREEN BAY, WISCONSIN Agenda Why Team-Based Care
More informationObjectives. Medication Therapy Management: The Important Role of the Pharmacy Technician. Medication Therapy Management (MTM)
Medication Therapy Management: The Important Role of the Pharmacy Technician Nancy Myers, PharmD, MBA, BCPS, CDE Katrina Harper, PharmD, MBA Objectives Define Medication Therapy Management () and its Core
More informationNew Patient Welcome. elrio.org
New Patient Welcome elrio.org Welcome to EL RIO Your HEALTHCARE HOME A healthcare home is a place where healthcare professionals know your needs, history, and how to help you stay healthy. A healthcare
More informationSouth Dakota Health Homes Care Coordination Innovation
South Dakota Health Homes Care Coordination Innovation Senator Deb Soholt NCSL Health Innovation Task Force December 6, 2016 South Dakota Health Homes Health Homes (HH)- provide enhanced health care services
More informationExecutive Summary: Davies Ambulatory Award Community Health Organization (CHO)
Davies Ambulatory Award Community Health Organization (CHO) Name of Applicant Organization: Community Health Centers, Inc. Organization s Address: 110 S. Woodland St. Winter Garden, Florida 34787 Submitter
More informationAccelerating the Impact of Performance Measures: Role of Core Measures
Accelerating the Impact of Performance Measures: Role of Core Measures Mark McClellan, MD, PhD Director, Engelberg Center for Health Care Reform Senior Fellow, Economic Studies Leonard D. Schaeffer Chair
More informationFalcon Quality Payment Program Checklist- 2017
Falcon Quality Payment Program Checklist- 2017 DISCLAIMER: This material is provided for informational purposes only and should not be relied upon as legal or compliance advice. If legal advice or other
More informationAccountable Care and the Laboratory Value Proposition. Les Duncan Director of Operations Highmark Health - Home and Community Services
Accountable Care and the Laboratory Value Proposition Les Duncan Director of Operations Highmark Health - Home and Community Services Agenda The Goals and Status of Delivery System Reform and Alternative
More informationUse of Health Information Technology to Reduce Health Risk
Use of Health Information Technology to Reduce Health Risk Sandra M. Foote Senior Advisor, Chronic Care Improvement Centers for Medicare & Medicaid Services September 9, 2005 The MHS Challenge Develop
More informationMy Complete Medications List
Pharmacy Features 1 My Complete Medications List 2 My HealtheVet: Get Care Get Care: Care Givers Treatment Facilities My Coverage Health insurance Health Calendar To-Do s Wellness Reminders 3 My HealtheVet:
More informationIntroduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
More informationBob Davis, PharmD, FAPhA Professor and Chair, KPIC
Bob Davis, PharmD, FAPhA Professor and Chair, KPIC davisb@kennedycenter.sc.edusc edu South Carolina Primary Health Care Association September 19, 2015 Myrtle Beach, SC Disclosures Robert E. Davis declare(s)
More informationNational Survey of Physician Organizations and the Management of Chronic Illness II (Independent Practice Associations)
If you want to use all or part of this questionnaire, please contact Patty Ramsay (email: pramsay@berkeley.edu; phone: 510/643-8063; mail: Patty Ramsay, University of California, SPH/HPM, 50 University
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 informationMedication Challenges in Care Transitions: Issues Faced by Patients, Providers & Community Professionals
Medication Challenges in Care Transitions: Issues Faced by Patients, Providers & Community Professionals Joshua Akers, PharmD Geoffrey Meer, PharmD Shanna O Connor, PharmD, BCPS Introductions GROUP WORK
More informationMichigan Department of Community Health Diabetes Self-Management Education Program Standards
Standard 1: Internal Structure: The provider(s) of DSME will document their organizational structure, mission statement, and goals. For those providers working within a larger organization, that organization
More information11/7/2016. Objectives. Patient-Centered Medical Home
Team-Based Care November 10, 2016 Objectives Overview of Patient-Centered Medical Home (PCMH) Recognition Overview of PCMH Team-Based Care Discuss examples of practice teams in Montana health centers Source:
More informationTransition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit Henry Ford Hospital Detroit Transition of Care (TOC) Services Introduction to Pharmacy Services Pharmacy Transition
More informationPatient Centered Medical Home. History of PCMH concept. What does a PCMH look like? 10/1/2013. What is a Patient Centered Medical Home (PCMH)?
What is a Patient Centered Medical Home (PCMH)? Patient Centered Medical Home Jeremy Thomas, PharmD, CDE UAMS Department of Pharmacy "an approach to providing comprehensive primary care that facilitates
More informationIn North Wales, four years ago, we had not seen the sudden increase in CKD referrals seen elsewhere in
The development of the CKD nurse led service across North Wales BCUHB 2013 Background In North Wales, four years ago, we had not seen the sudden increase in CKD referrals seen elsewhere in the country.
More informationManaging Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
More informationThe Value of Interoperable Health Information Technology
Florida Health Care Coalition Central Florida RHIO The Value of Interoperable Health Information Technology March 23, 2006 Washington, DC Florida Health Care Coalition Service Area Orange Seminole Osceola
More informationBlueprint Integrated Pilot Programs
Blueprint Integrated Pilot Programs Improving Access Improving Quality Improving Efficiency National Conference of State Legislatures December 10, 2008 Craig Jones MD Craig.jones@state.vt.us Health Care
More informationImplementing Health Coaching
Implementing Health Coaching Presented by: Amireh Ghorob, MPH Adriana Najmabadi Camille Prado UCSF Center for Excellence in Primary Care IHI Summit 2014, Washington DC March 10, 2014 Session: L9 These
More informationThe Burden of Diabetes
The Burden of Diabetes Cost-Effectiveness of Interventions for Preventing & Treating Diabetes Priority Level 1 Glycemic control in people with A1c>9 Blood pressure control in people with BP>160/95 Foot
More informationMedication Management Services in Connecticut
Medication Management Services in Connecticut Connecticut Department of Public Health, UConn School of Pharmacy and Community Pharmacies Mehul Dalal, MD, MSc, MHS - Chronic Disease Director, CT Department
More informationTransforming Clinical Practices Initiative
Transforming Clinical Practices Initiative Overview CMS through its Center for Medicare & Medicaid Innovation is launching its Transforming Clinical Practices Initiative (TCPI), which over a four-year
More information2019 Quality Improvement Program Description Overview
2019 Quality Improvement Program Description Overview Introduction Eon/Clear Spring s Quality Improvement (QI) program guides the company s activities to improve care and treatment for the member s we
More informationQuality Management Report 2017 Q4
Quality Management Report 2017 Q4 Care Wisconsin Participates in Many Quality Initiatives Across the State and Federal Levels. These activities include: CMS DHS DHS & CMS HEDIS Member Satisfaction (CAHPS
More informationMedicare Advantage Star Ratings
Medicare Advantage Star Ratings December 2017 The Star Rating System measures how well Medicare Advantage (MA) and its prescription drug plans perform for consumers. As an integrated health system, Presbyterian
More informationUnderstanding Patient Choice Insights Patient Choice Insights Network
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Understanding Patient Choice Insights Patient Choice Insights Network SM www.aetna.com Helping consumers gain
More informationFast Facts 2018 Clinical Integration Performance Measures
IMPORTANT: LHP providers who do not achieve a minimum CI Score in 2018 will not be eligible for incentive distribution and will be placed on a monitoring plan for the 2019 performance year. For additional
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 informationMedicaid P4P Programs: Arizona s Perspective
Medicaid P4P Programs: Arizona s Perspective Marc Leib, MD, JD Arizona Health Care Cost Containment System (AHCCCS) February 28, 2008 Program Overview Over 1 million members in AHCCCS, Arizona s Medicaid
More informationEffectiveness of Interventions Engaging Community Health Workers to Prevent Cardiovascular Disease
Effectiveness of Interventions Engaging Community Health Workers to Prevent Cardiovascular Disease A Community Guide Systematic Review Krista Proia, MPH, CHES Health Scientist Karna, LLC Community Guide
More informationACO Information Required to be Published on ACO Website per CMS Regulations
ACO Name and Location SJFI, LLC dba Oklahoma Health Initiatives St. John Administration 1923 S. Utica Ave Tulsa, OK 74104 ACO Primary Contact Ann Paul, MPH ACO President OKHI@sjmc.org 918.744.2180 Organizational
More informationFinancial Models for Clinical Pharmacy Integration
Financial Models for Clinical Pharmacy Integration Todd J. Lessley, MPH, RN, BSN Accountable Care Manager Salud Family Health Centers Gina D. Moore, PharmD, MBA Assistant Dean for Clinical and Professional
More informationBetter health. Better bottom line.
Better health. Better bottom line. Tailored well-being solutions to improve health and lower costs 847987 06/11 The Power of Well-Being To us, well-being is more than just promoting physical wellness.
More informationPPC2: Patient Tracking and Registry Functions
PPC2: Patient Tracking and Registry Functions Element F: Use of System for Population Management At we use our EMR, clinical event manager, and the ad hoc reporting system (Business Objects) for a multi-pronged
More informationThe Pharmacist s Role in Reducing Readmissions
The Pharmacist s Role in Reducing Readmissions John Vinson, Pharm.D. UAMS West Family Medical Center Fort Smith, Arkansas Assistant Professor Co-Chair Clinical Leadership Committee UAMS Regional Programs
More informationHow Does This Fit into the Provisions of the Affordable Care Act? The goals are aligned
Background April 2012 The Federal Centers for Medicare and Medicaid Services (CMS) approved 3 NJ Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program Accountable
More informationGetting Ready for the Maryland Primary Care Program
Getting Ready for the Maryland Primary Care Program Presentation to Maryland Academy of Nutrition and Dietetics March 19, 2018 Maryland Department of Health All-Payer Model: Performance to Date Performance
More informationCROSSWALK FOR AADE S DIABETES EDUCATION ACCREDITATION PROGRAM
Standard 1 Internal Structure: The provider(s) of DSME will document an organizational structure, mission statement, and goals. For those providers working within a larger organization, that organization
More informationINTEGRATED CARE SERVICE AND OUTCOMES
DR. HADAS LEWY INTEGRATED CARE SERVICE AND OUTCOMES 10/8/2014 1 Maccabi Healthcare Services Second largest and fastest growing HMO in Israel ( 25% of Market) Non-profit mutual Recognized health fund -
More informationCultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director
Cultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director AMGA Pre-conference Workshop 1 April 14, 2011 Washington, D.C. Disclosure Nothing in Today
More informationClick to edit Master title style
Preventing, Detecting and Managing Chronic Disease for Medicare Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair of the Department of Health Policy & Management, Rollins School of Public
More information