Pharmacy Cost Reduction Strategies. Presenters: James Jorgenson, RPH, MS, FASHP CEO, Visante Inc. & Visante Ltd.
|
|
- Ronald Golden
- 5 years ago
- Views:
Transcription
1 Pharmacy Cost Reduction Strategies Presenters: James Jorgenson, RPH, MS, FASHP CEO, Visante Inc. & Visante Ltd.
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: - Speakers Bureau: Novartis Pharmaceuticals Non-Branded Educational Series - CEO and shareholder Visante Inc.
3 Do More With Less & Work Smarter Not Harder Objectives: Explore reengineering processes for greater efficiency Evaluate options to deploy more innovative and effective technology Utilize external resources Understand the need to invest money to save money
4 Why Is Cost Management Increasingly Important? Escalating Demand Shrinking Reimbursement Escalating Operating Costs Demand for Improved Outcomes
5 What Do Typical Pharmacy Expenses Look Like? Manpower 20% Other 2% Total Drug Spend 78%
6 Driving Drug Cost Savings Requires Resources Many organizations focus on the price, versus the utilization When pharmacists are in patient care areas working with physicians, they are better able to: Improve patient care Implement clinical programs Improve patient satisfaction Increase drug cost savings Yet pharmacy needs resources and support in order to be fully deployed in patient care settings 1 Source: Pharmacotherapy 2008:28(11)
7 Drugs Are a Major Driver of Healthcare Expenditures US Rx Drug Spend topped $457B Produced 1 st $100B quarter ever Drugs are now 17% of total US healthcare spend Drug spend this year projected to rise 11.6% By 2020 drug spend in the US could hit $640B 4.4B prescriptions dispensed (10% increase) ASPE Issue Brief, Department of Health & Human Services, Office of the Assistant Secretary for Planning & Education, accessed 3/15/17 Keehan S, et al, Health Spending Projections Through 2017: The Baby-Boom Generation is Coming to Medicare, Health Aff Vol. 27, No 2:
8 Drug Costs Highest number of new molecular entities in the last 10 years 50% of total drug spend on trade name drugs on the market for less than 2 years Slow down in brand name drugs moving off patent Increase in sole source generics and price Orphan drugs = 27% of total spend and < 7% of Rx volume Berkrodt B, US Prescription Drug Spend, Reuters, April 14, 2016, accessed 3/15/17
9 Specialty Drugs High cost drugs used for complex diseases Specialty drug increase at 18.7% Represents 35% of total US drug spend but < 1% of total volume By 2019 estimates are that 40-50% of total US drug spend will be for specialty drugs Braverman B, Prescription Drug Prices Headed for Double Digit Increases in 2017, The Fiscal Times, October 24, 2016
10 Composite Factors Fueling Overall Drug Cost Increases Population Growth 10% Increase in Rx/Person 30% Economy Wide Inflation 30% Price Increases & Shifts In Usage 30% ASPE Issue Brief, Department of Health & Human Services, Office of the Assistant Secretary for Planning & Education, accessed 3/15/17
11 Transformational Change If you continue to think as you always thought, you will continue to get what you have always gotten Marilyn Ferguson, The Aquarian Conspiracy In an evolving market organizations that achieve the same results they have in the past will eventually fall behind Changing thinking produces that breakthrough level of performance needed for the future Transformational change Seat Belts
12 Will Today s Thinking Serve You in the Future? Current Results Future Breakthrough Results Behavior New Behavior Thinking Choice New Thinking
13 Formulary Management Evidence Based Approach Safety, Efficacy, Cost Pharmacoeconomic Analysis Rare Disease Strategy Biosimilar Strategy
14 Formulary Management P&T/Medical Executive Committee Structure System Formulary o Inpatient o Outpatient Don t let the perfect stand in the way of the good
15 Employee Prescription Benefits Double digit increases in drug costs impact your HR department as well as your pharmacy budget Employee Rx use mirrors the overall trends in the general population Excellent opportunity for pharmacy to engage with HR to evaluate the Pharmacy Benefit Management plan
16 Employee Prescription Benefits Opportunity to: o Maximize the value of a PBM program for the hospital o Traditional vs. Fully Transparent Model o Co-pay Tiers o Specialty Pharmacy o Incentivize business for internal pharmacy programs o Reduce costs for employees
17 Traditional PBM Model Physicians Rx $67 spread! Claim Employer $85 Payment Rx, Co-pay Claim Claim Data $8.50 $18 PBM Patients Drug Pharmacies Payment Rebates Not Passed Through to Client Pharma Companies
18 Utilization Management Drug Cost Opportunity Analytics The right data to drive cost savings The right clinical resources to interpret and promote the data A proven system that delivers accurate results A process that sustains savings year-over-year
19 Leveraging a Total Equation to Manage Costs Cost = Price x Utilization Price of medications Optimizing prescribing and medication utilization Involves one function Quick success with low impact Requires multi-disciplinary teams (physicians, nurses and pharmacy) Yields significant impact to hospital s financial and quality benefits yet requires long-term focus Phase one: Price Contract Optimization Lowest cost on drugs Pharmacy focused Phase two: Utilization Benchmark data Targeted programs Measurement/scorecards Benefits Improve outcomes Lower costs Decrease LOS
20 Realize Medication Savings Opportunities Identify and monitor savings through proprietary analytics tool Leverage established strategies and tools to drive savings Deploy scorecard to monitor results Clinical Support Initiative database Implementation tool library Access to subject matter experts Project management and change management tools Drug Cost Opportunity Analytics Monitor both purchase and utilization drug costs Trend antibiotic use Benchmark against similar hospitals by drug cost or DRG costs Evaluate length of stay as a surrogate for outcome data
21 Antimicrobial Stewardship Impacts quality of care and cost of care with rapid ROI Multi-drug resistant organisms (MDRO) on the rise MDROs impact mortality/morbidity & add significant cost Anti-infectives still consume approximately 20% of the total cost of drugs for a typical hospital
22 Antimicrobial Stewardship Over 50% of all hospital patients receive an antibiotic Most effective strategy for hospitals is a well run AMS program o Pharmacy o Infectious Disease o Infection Control o Laboratory o IT Trends in US Antibiotic Use, PEW Charitable Trust Issue Brief, March 2017, Accessed 3/27/17
23 Antimicrobial Stewardship Do you know what your anti-infective resistance patterns are and where you have current or emerging problem areas? Do you know what your drug spend/patient day is and how that compares to best practices? Do you know what percent of your total drug spend is consumed by anti-infectives and how that compares to best practices?
24 Antimicrobial Stewardship Do you know how many of your 30-day readmissions are infection related? Do you know what your CMS penalty potential is for 30-day pneumonia readmissions? Do you know what your Hospital Acquired Conditions status is relative to infections (CLABSI & CAUTI)?
25 Risk Sharing Innovative new business model Leveraged business expertise of partner Created at risk financial model with $12M guarantee over 36 months Linked inpatient and outpatient pharmacy care Improved quality of care and financial performance
26 Risk Model All expenses netted against totals All dollars real and hit the operating statement no cost avoidance numbers included Added clinical pharmacists in oncology, dialysis, cardiology, HIV, infectious disease, chronic disease management, PBM, and OP Pharmacy
27 Risk Model Outcomes Reduced cost of goods Improved utilization Reduced readmissions Improved clinical outcomes Improved revenue o Outpatient Rx capture o Clinic infusion revenue Net margin improvement of $34M in 36 months
28 Capital Partner Focus on ambulatory pharmacy programs o Outpatient Pharmacy o Specialty Pharmacy o Mail Order o Infusion Services o Clinical Services Provide capital & expertise Create hospital branded program Share in bottom line profit
29 Outsourcing Effective use of external resources on an episodic or on-going basis Ongoing use of external resources o Packaging o Compounding o Inventory Management o Order Entry/Review
30 Order Entry/Review Redeploy existing pharmacist FTEs from order entry to higher margin strategic projects and clinical initiatives Provide work-load balancing and reduce order review and order entry times, especially during peak hours Perform order entry/review at a lower cost per order action
31 When Do You Consider A Consultant? Organization is stuck and needs a fresh perspective Organization understands it needs a particular set of skills for a project that is not currently in place The organization does not have sufficient internal resources for a specific project There is a time sensitive nature to a project where adding additional external resources produces faster results Need a respected external opinion to validate an organizational direction and help push it over the goal line
32 Barriers to Consultants Pharmacy leaderships perception that using external resources somehow means they have failed or are not good enough The professional attitude that I can do it all and don t need any help Concerns that using a consultant may uncover problems that would reflect negatively on the operation or leadership
33 Barriers to Consultants Negative connotation associated with slash and burn consultants C-suite familiarity with consultants that may not really have any pharmacy expertise Negative perception of consultants that provide cookie cutter solutions Lack of innovation & creativity by consultants - someone that uses your watch to tell you the time
34 Service Consolidation Drug Policy Development Medication Safety Contracting/Purchasing o Cost of Money Pharmacy Ebay
35 Service Consolidation Centralized Distribution Education Research Compliance o 340B o USP 795/797/800 o Drug Diversion
36 340B Complex program that is continuously and rapidly evolving and changing Maximize program value o Prime Vendor Use o Sub-ceiling discounts o Contract Pharmacy o IT Configuration/Maintenance
37 340B Protect current discounts: o GPO exclusion o Duplicate discount o Diversion o Split billing software o Contract pharmacy management o Self audits
38 System Approach to 340B Compliance
39 Clinical Services Clinical pharmacists generally are the most expensive personnel resource Are they used most effectively in terms of an ROI for caring for patients? How do they typically see patients? How do they gather/use data to support their activity? How do they document their activity?
40 Clinical Services New approach and real time tool for clinical pharmacist workflow Risk stratifies patients relative to risk for an adverse drug event Creates pharmacist task list
41 Clinical Services Links to data sources to pull all relevant clinical information needed by pharmacy to care for the patient Captures pharmacist interventions Dashboard for order time waiting 30% increase in clinical pharmacist productivity
42 Pharmacist Work Display Interventions captured in background
43 Pharmacist Work Display Consults Worklist Rounds notebook Order volume & wait time Service area patients risk stratified based upon auto profile review and pharmacocomplexity Clinical Coordinator view of all clinical pharmacy activity and patient risk & complexity
44 Pharmacotherapy Complexity Score
45 Risk Review Drill Down
46 Admission/Readmission Reduction CMS Readmission Reduction Focus Hidden Cost of Adverse Drug Events sssociated with ineffective Admission Med Rec Oncology Payment Model Up to 35% of readmissions are medication related Best defense o Strong Medication Reconciliation Program o Strong Discharge Rx Capture Program
47 Admission Medication Reconciliation Typically falls to mid-level practitioners and prescribers who are not as familiar with medication therapy as pharmacists Generally requires at least 15 minutes for a complete admission Med Rec Hidden source of medication errors and costs Medication reconciliation project performed by Laura Jobin and Lauren Gray, PharmD students under the direction of Brian Marden, DOP Maine Medical Center
48 Med/Surg Unit Admit Med Rec Accuracy 75% Incorrect > 1 error on original admission med list 25% Correct 25% Correct 75% Incorrect With permission from Main Medical Center
49 Discharge Medication Reconciliation Significant opportunity to help patients leave the hospital on the correct medications, doses and schedules Opportunity for further education on medications and the importance of adherence Coupled with a Discharge Rx Capture program for organizations with outpatient prescription programs can provide a powerful deterrent to readmissions as well as a source of new revenue
50 Effective Medication Reconciliation DISEASE STATE 7/1 9/30 RE- ADMISSION RATE AMI 18.9% 7.4% HEART FAILURE PNEUM ONIA 22.5% 18% 19.4% 4.3% 11/1 RE- ADMISSION RATE COPD 17.3% 16.6% Medication histories from 11am to 11pm on all ER patients Medication histories within 24 hr. of admission for all inpatients Review of allergy info and status Review of vaccine info and status Med reconciliation by pharmacy at admission, transfer, and discharge with pharmacists entering medication orders as pending at discharge for MD approval Patient education for all Core Measure patients as well as other high impact patient groups or medications
51 If you build it, they will come Maybe Discharge Rx Program 5-15% discharge Rx capture with passive approach 55-70% utilizing pharmacy technicians rounding through hospital Bedside delivery Improved patient satisfaction and convenience Enhanced access and triage
52
Specialty 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 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 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 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 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 information340B Program Overview
340B Program Overview OSHP 77 th Annual Meeting Friday, April 22, 2016 Kevin Williams PharmD Candidate 2016 University of Cincinnati James L. Winkle College of Pharmacy Katie McKinney, PharmD, MS, BCPS
More informationDisclosure. Objectives. Examples To Be Described Today 7/25/2013. Positions Approved at LMHS
47 th Annual Meeting August 2-4, 2013 Orlando, FL Administration C Suite Track Session 1 Identifying and Reporting Cost Justification and Savings Opportunities John A. Armitstead, MS, RPh, FASHP System
More informationLeadership Engagement in Antimicrobial Stewardship
Leadership Engagement in Antimicrobial Stewardship Joe Dula, Pharm.D., BCPS System Director, Clinical Services jdula@pharmacysystems.com Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation
More informationTKG Health Systems Advisory Panel Meeting. Healthcare in 2017: Trends & Hot Topics. Tuesday, March 24 th, 2017 Gaylord Texan Resort, Grapevine, TX
TKG Health Systems Advisory Panel Meeting Healthcare in 2017: Trends & Hot Topics Tuesday, March 24 th, 2017 Gaylord Texan Resort, Grapevine, TX Executive Summary Key Trends The transition to value-based
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 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 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 informationUPDATE ON MEANINGFUL USE. HITECH Stimulus Act of 2009: CSC Point of View
HITECH Stimulus Act of 2009: CSC Point of View UPDATE ON MEANINGFUL USE Introduction The HITECH provisions of the American Recovery and Reinvestment Act of 2009 provide a commanding $36 billion dollars
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 informationTRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine
TRANSITIONS of CARE Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine 5-15-15 Objectives At the conclusion of the presentation, the participant will be able to: 1. Improve
More informationToward the Electronic Patient Record:
June 2007 Toward the Electronic Denise Henderson Director, Consulting Services MedSynergies, Inc. Toward the Electronic The TEPR (Toward the Electronic Patient Record) conference held by the Medical Records
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 information340B Drug Program Summary
Summary Congress created section 340B of the Public Health Service Act in 1992 to allow eligible health care providers known as Covered Entities to stretch scarce Federal resources, reaching more patients
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: 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 informationLearning Experiences Descriptions
Anticoagulation Management Clinic Learning Experiences Descriptions The Anticoagulation Management rotation is an elective learning experience that focuses on the outpatient management of anticoagulation.
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 informationOptumRx: Measuring the financial advantage
OptumRx: Measuring the financial advantage New study shows $11-16 PMPM medical savings when Optum care management and Optum pharmacy are provided together with medical benefits. Page 1 Synopsis Optum recently
More information340B Program Mgr Vice President, Finance SVP, Chief Audit, Ethics & Compliance Officer
340B Drug Purchasing Program Page 1 of 7 340B Drug Purchasing Program Policy & Procedure Number Policy Manual Ethics and Compliance Type Policy & Procedure Document Owner Effective Date Next Review Date
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 informationUpdate on 340B Drug Pricing Program
Update on 340B Drug Pricing Program LCDR Joshua E. Hardin MBA, RN/BSN, MLT Donna Murray Office of Pharmacy Affairs U.S. Department of Health and Human Services Health Resources and Services Administration
More informationEnhancing E Prescribing and Medication Adherence in the CT Medicaid Population
Enhancing E Prescribing and Medication Adherence in the CT Medicaid Population Marie Smith, PharmD UConn School of Pharmacy Marghie Giuliano, RPh, CAE CT Pharmacists Association 4th National Medicaid Congress
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 informationThe Alternative Quality Contract (AQC): Improving Quality While Slowing Spending Growth
The Alternative Quality Contract (AQC): Improving Quality While Slowing Spending Growth Dana Gelb Safran, ScD Senior Vice President, Performance Measurement and Improvement Presented at: MAHQ 16 April
More informationWelcome to the New England QIN-QIO Medication Safety Webinar!
Welcome to the New England QIN-QIO Medication Safety Webinar! Thank you for joining. Our presentation will begin shortly. If you haven t already, please dial in to the audio line: 888-895-6448 Passcode:
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 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 information340B Compliance. Overview
340B Compliance LIFE AFTER A HRSA AUDIT AND IMPLEMENTING A CORRECTIVE ACTION PLAN HCCA Compliance Institute March 27, 2017 Presented by: Melissa Singleton Sarah Bowman, CHC Overview 340B Program Background
More informationHow Allina Saved $13 Million By Optimizing Length of Stay
Success Story How Allina Saved $13 Million By Optimizing Length of Stay EXECUTIVE SUMMARY Like most large healthcare systems throughout the country, Allina Health s financial health improves dramatically
More informationClinical Service Networks Re-Engineering Your Pharmacy Practice Bootcamp August 13, 2016
Clinical Service Networks Re-Engineering Your Pharmacy Practice Bootcamp August 13, 2016 Ashley Branham, PharmD, BCACP Joe Moose, PharmD Disclosures Ashley Branham is receiving an honorarium for this program.
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 informationACO Practice Transformation Program
ACO Overview ACO Practice Transformation Program PROGRAM OVERVIEW As healthcare rapidly transforms to new value-based payment systems, your level of success will dramatically improve by participation in
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 informationToday s webinar will begin in a few minutes.
Today s webinar will begin in a few minutes. Please press *6 to mute your line or use the mute button on your phone. If you have questions for the presenter or need to contact TCPS staff, type your comments
More informationTransitions of Care. Objectives 1/6/2016. Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital. The author has nothing to disclose.
Transitions of Care Roman Digilio, PharmD PGY1 Resident West Kendall Baptist Hospital 1 The author has nothing to disclose. 2 Objectives Discuss current healthcare trends and the need for pharmacists in
More informationOptimizing pharmaceutical care via Health Information Technology:
Optimizing pharmaceutical care via Health Information Technology: The Epic Challenge Rilwan Badamas, PharmD, CAHIMS Pharmacy Grand Rounds 01/03/2017 2011 MFMER slide-1 The medication management team requests
More informationUnderstanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS
Understanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS Objectives Discuss the need for antimicrobial stewardship programs Explain the components of an effective
More informationThe Impact of CPOE and CDS on the Medication Use Process and Pharmacist Workflow
The Impact of CPOE and CDS on the Medication Use Process and Pharmacist Workflow Conflict of Interest Disclosure The speaker has no real or apparent conflicts of interest to report. Anne M. Bobb, R.Ph.,
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 informationA Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation
A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish
More informationAntimicrobial Stewardship Program in the Nursing Home
Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing
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 informationProfiles in CSP Insourcing: Tufts Medical Center
Profiles in CSP Insourcing: Tufts Medical Center Melissa A. Ortega, Pharm.D., M.S. Director, Pediatrics and Inpatient Pharmacy Operations Tufts Medical Center Hospital Profile Tufts Medical Center (TMC)
More informationAmbulatory Care Practice Trends and Opportunities in Pharmacy
Ambulatory Care Practice Trends and Opportunities in Pharmacy David Chen, R.Ph., M.B.A. Senior Director Section of Pharmacy Practice Managers ASHP Objectives Describe trends in health system pharmacy reported
More informationAccomplishments Fiscal Year UPMC Passavant
Accomplishments Fiscal Year 2015 UPMC Passavant UPMC Passavant Summary of Significant FY15 Accomplishments Continue employee engagement initiatives that are aligned with UPMC Passavant s Mission, Vision,
More informationExhibit A GENERAL INFORMATION
GENERAL INFORMATION A. Eligibility 1. What are the criteria for eligibility? Eligibility falls under Rule 64D-4 Florida Administrative Code. Criteria for core eligibility is Proof of HIV, Proof of Living
More informationCMS AMI and CABG Bundled Payment Initiative AMGA HF Collaborative December 13, 2016
CMS AMI and CABG Bundled Payment Initiative AMGA HF Collaborative December 13, 2016 Agenda Collaborative Learnings HF Correlation to AMI and CABG Bundled Payments CMS AMI & CABG Bundled Payment Programs
More informationInnovation in Self-Care
Innovation in Self-Care S-OPAT Intro Speakers Kavita Bhavan, MD, MHS Associate Professor of Infectious Diseases at the UTSW, Service Chief Infectious Diseases at Parkland, and Medical Director of Outpatient
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 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 informationRita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center Asst. Dean, Clinical Pharmacy, UCSF School of Pharmacy
Rita Shane, Pharm.D., FASHP, FCSHP Chief Pharmacy Officer Cedars-Sinai Medical Center Asst. Dean, Clinical Pharmacy, UCSF School of Pharmacy Describe the transformation of health-systems in response to
More informationeprescribing Information to Improve Medication Adherence
eprescribing Information to Improve Medication Adherence April 2017 (revised) About Point-of-Care Partners Executive Summary Point-of-Care Partners (POCP) is a leading management consulting firm assisting
More informationCore Item: Hospital. Cover Page. Admissions and Readmissions. Executive Summary
Cover Page Core Item: Hospital Admissions and Readmissions Name of Applicant Organization: Horizon Family Medical Group Organization s Address: 4 Coates Drive, Goshen NY 10924 Submitter s Name: Rinku Singh
More informationObjectives. Prevalence of Non-Adherence. Medications and Care Transitions. The Cost of Readmissions. The Pharmacist s Role in Improving Care 4/22/2015
MEDS TO BEDS: DELIVERING REDUCED READMISSIONS, LOWER COSTS, AND IMPROVED QUALITY Laura S. Carr PharmD, Senior Attending Pharmacist, Transitional Care Massachusetts General Hospital Ed Cohen, PharmD, FAPhA
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 informationSENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
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 informationQUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS
LEADERSHIP IN IMPROVING HEALTHCARE Harborview Medical Center Code Sepsis: Improving Survival in Sepsis with Early Identification and Activation of a Critical Care Team Sepsis, one of the highest causes
More informationPractice Spotlight. Children's Hospital Central California Madera, California
Practice Spotlight Children's Hospital Central California Madera, California http://www.childrenscentralcal.org Richard I. Sakai, Pharm.D., FASHP, FCSHP Director of Pharmacy Services IN YOUR VIEW, HOW
More informationThe Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management
The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management By Jim Hansen, Vice President, Health Policy, Lumeris November 19, 2013 EXECUTIVE SUMMARY When EMR data
More informationTransforming Clinical Care: Why Optimization of Clinical Systems Can t Wait
Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait A White Paper March 2016 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800-680-7570 Impact-Advisors.com
More informationImpact of an Innovative ADC System on Medication Administration
Impact of an Innovative ADC System on Medication Administration March 1, 2016 Nilesh Desai, BS, RPh, MBA Administrator Pharmacy and Clinical Operations Hackensack University Medical Center Conflict of
More informationUNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS DEPARTMENT OF PHARMACY SCOPE OF PATIENT CARE SERVICES FY 2017 October 1 st, 2016 Department Name: Department of Pharmacy Department Director: Steve Rough, MS,
More informationMedication History for Hospital Settings: Better Data, Better Decisions. Tuesday, March 25, 2014 Pharmacy Town Hall Series
Medication History for Hospital Settings: Better Data, Better Decisions Tuesday, March 25, 2014 Pharmacy Town Hall Series Program Purpose The availability of comprehensive and accurate medication history
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 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 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 informationImproving Primary Care Medication Patient Safety: System-level Medication Adherence Issues
Improving Primary Care Medication Patient Safety: System-level Medication Adherence Issues Marie Smith, PharmD Professor and Asst. Dean, Practice and Public Policy Partnerships Meg Mello Moniz, PharmD
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 informationSuccess of an MTM Program Beyond Medicare Part D: Is It Really a Pharmacy Pay for Performance Model? Jim Gartner RPh, MBA CareSource
Success of an MTM Program Beyond Medicare Part D: Is It Really a Pharmacy Pay for Performance Model? Jim Gartner RPh, MBA CareSource 10 28 2014 Learning Objectives Understand why a health plan would want
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationThe Challenges and Opportunities in Using Data Bundled Payment, Care Improvement
The Challenges and Opportunities in Using Data Bundled Payment, Care Improvement Helen Macfie, Pharm.D., FABC For IHI Leading Population Heath Transformation February, 2017 It started with a project PHYSICIAN
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 informationLab Quality Confab Process Improvement Institute. New Orleans, LA. John Waugh 11/3/2015
Implementing a Single Quality Management System Across Multiple Hospitals of the Henry Ford Health System: Combining ISO 15189 with Lean to Deliver More Value Lab Quality Confab Process Improvement Institute
More informationThe Core Elements of Antibiotic Stewardship with CMS and QAPI Updates
The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates Emily Lutterloh, MD, MPH Director, Bureau of Healthcare Associated Infections New York State Department of Health February 8, 2017
More informationClinical Operations. Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012
Clinical Operations Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012 Forward-looking Statements Certain statements contained in this presentation
More informationIMPROVING MEDICATION RECONCILIATION WITH STANDARDS
Presented by NCPDP and HIMSS for the Pharmacy Informatics Community IMPROVING MEDICATION RECONCILIATION WITH STANDARDS December 13, 2012 Keith Shuster, Manager, Acute Pharmacy Services, Norwalk Hospital
More informationPart 1: Central Fill Pharmacy - A Consolidated Services Center Part 2: A Review of CMS Initiatives That Involve Drug Therapy
New Opportunities for Pharmacy Part 1: Central Fill Pharmacy - A Consolidated Services Center Part 2: A Review of CMS Initiatives That Involve Drug Therapy Presenters: Bonnie Kirschenbaum, MS, FASHP, FCSHP
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 informationIntroduction to 340B Part 1 of 2 February 5, 2014
Introduction to 340B Part 1 of 2 February 5, 2014 Lisa Scholz, PharmD, MBA Chief Operating Officer/Chief Pharmacy Officer Safety Net Hospitals for Pharmaceutical Access 10 th Annual 340B Winter Conference
More informationEnhance Your Pharmacy Performance Performance Tips from a Fellow Good Neighbor Pharmacy Owner
Enhance Your Pharmacy Performance Performance Tips from a Fellow Good Neighbor Pharmacy Owner Series 4 Medication Therapy Management: An Opportunity to Engage Presented By Jason Turner, PharmD Moundsville
More informationPatient Payment Check-Up
Patient Payment Check-Up SURVEY REPORT 2017 Attitudes and behavior among those billing for healthcare and those paying for it CONDUCTED BY 2017 Patient Payment Check-Up Report 1 Patient demand is ahead
More informationSpecialty Pharmacy -- Still An Issue. Presenters: Jerry Buller, DPh. MMHC Vanderbilt University Medical Center
Specialty Pharmacy -- Still An Issue Presenters: Jerry Buller, DPh. MMHC Vanderbilt University Medical Center FACULTY DISCLOSURE The faculty reported the following financial relationships or relationships
More informationPartnering with Pharmacists to Enhance Medication Management
Partnering with Pharmacists to Enhance Medication Management Tamara Ravn PharmD BCACP Staff Pharmacist Clinical Cancer Pharmacy Froedtert & The Medical College of Wisconsin April 6, 2016 Objectives Describe
More informationFrom Risk Scores to Impactability Scores:
From Risk Scores to Impactability Scores: Innovations in Care Management Carlos T. Jackson, Ph.D. September 14, 2015 Outline Population Health What is Impactability? Complex Care Management Transitional
More informationSeeing the Value and Transparency of Medicare Part B: Four Case Studies of Medicare Successes
Seeing the Value and Transparency of Medicare Part B: Four Case Studies of Medicare Successes As the largest payer of healthcare services in the United States, the Centers for Medicare & Medicaid Services
More informationTaking Into Account Entire Supply Chain. Biopharmaceutical Companies
340B 101 Taking Into Account Entire Supply Chain Biopharmaceutical Companies Providers Payers and PBMs 2 Medicine Spending is in Line with Other Health Care Services Percent Annual Growth Rate Health Care
More informationPharmacy Services Providing Value In An Accountable Care Organization
Presentation Outline Pharmacy Services Providing Value In An Accountable Care Organization The Fairview i Experience Pamela Phelps, Pharm.D., FASHP Director, Clinical Pharmacy Services Fairview Health
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 informationTransforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
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 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 informationA powerful medication management tool for the new healthcare environment
Pyxis ES platform: A powerful medication management tool for the new healthcare environment Introduction Medication management practices have become more complex and demanding as the continuum of care
More informationThe Future of Pharma: Patients Rising to the Core
The Future of Pharma: Patients Rising to the Core Jyotirmay Datta Vice President and Global Industry Head for Medical Devices, Wipro Limited Nitin Raizada GM, Industry Solutions Group, Lifesciences, Wipro
More informationFederal Regulatory Policy Report. NACHC Study: Benefits of the 340B Drug Pricing Program for Health Centers
Federal Regulatory Policy Report NACHC Study: Benefits of the 340B Drug Pricing Program for Health Centers May 2011 NACHC Study on the Benefits of the 340B Drug Pricing Program for Health Centers May 2011
More information