Creating the Future How Provider Status, PAI, and YOU Can Impact the Future of Pharmacy Aretha Hankinson, J.D. Director, Advocacy Communications ASHP Learning Objectives Identify the steps that the profession can take to help advance pharmacy s contributions to patient care. Describe the implementation of the Practice Advancement Initiative (PAI) and its activities and resources. Discuss the current status of proposals to recognize pharmacists as healthcare providers under the Medicare program. Review the ways that pharmacists can leverage their dual role as expert and constituent to influence public policy. Disclosure The presenter for this continuing education activity reports no relevant financial relationships Celebrating the past Creating the future No off label uses of medications will be described in this presentation 1
What Does the Future Hold? Population health management Health information technology Managing medication costs Therapeutic practice changes Increasing demand of regulatory requirements Leveraging of the pharmacy workforce Imperative for Change Movement toward value based payment 40 percent of older Americans take at least five prescription medications Self care, cost effective innovations, and infrastructure to support aging in place Operational changes in health systems Am J Health Syst Pharm. 2016;73:e617 43. Managed Care. 2015; 24:30 47. Am J Health Syst Pharm. 2016; 73:635 41. PPMI to PAI Pharmacy Practice Model Initiative Invitational Summit November 2010 147 recommendations Ambulatory Care Summit March 2014 25 recommendations Goals: Care Team Integration Leveraging Pharmacy Technicians Pharmacist Credentialing & Training Technology Leadership in Medication Use 2
Hospital Self Assessment 106 questions to assess hospital s alignment with PAI recommendations Covers a wide range of topics: Application of IT in the medication use process Deployment of pharmacy technicians Care team integration Action Plan Ambulatory Care Self Assessment Two versions of the self assessment Health System Practitioner Create an action plan to improve practice Benchmark against other facilities and measure progress over time PAI Resources Resource rich website PAI Webinar Journal Club Case studies Exemplar programs What You Can Do Now Complete the self assessments and share with your pharmacy team to develop actionable plans Evaluate the medication management system for gaps Engage in discharge counseling Delegate distributive functions to pharmacy technicians 3
What You Can Do Now Medication reconciliation at admission and discharge Get involved with ambulatory care (e.g., community, specialty, population health, leverage provider status) Educate others on PAI and be a catalyst for change Provider Status: It s Not Just a Bill Adds pharmacists to list of providers in Social Security Act Allows for participation in Medicare Part B Longstanding goal of the profession Provider Status is About Patients Achieving provider status is about giving patients access to care that improves patient safety, healthcare quality, and outcomes, and decreases costs for the healthcare system. Who Has Provider Status? Physicians Nurse practitioners Physician assistants Certified nurse midwives Psychologists Clinical social workers Certified nurse anesthetists Speech language pathologists Audiologists Registered dietitians Physical therapists 4
Pharmacy and Medically Underserved Areas Enhancement Act Increases access to healthcare for patients in medically underserved areas. Promotes cost effective healthcare by increasing opportunities for early interventions. Patient Access to Pharmacists Care Coalition (PAPCC) Coalition pushing for passage of legislation Most pharmacy groups are active members Patient advocacy groups Allows pharmacists to provide services authorized by state scope of practice. Pharmacy and Medically Underserved Areas Enhancement Act Services Managing chronic diseases Medication management Efficient care transitions Health and wellness testing Administering immunizations Overall impact: Improved health outcomes Reduced hospital readmissions Reduced emergency department visits Access to Primary Health Care Growing number of Medicare beneficiaries Increasing patients with one or more chronic conditions Newly covered patients via Affordable Care Act Projected shortage of physicians 5
Focus on Medically Underserved Communities Help meet unmet healthcare needs Strategy follows similar successful paths taken by other healthcare professionals to gain provider status Pharmacy and Medically Underserved Areas Enhancement Act (H.R. 592 and S. 109) Early reintroduction signals commitment of lead sponsors Strong, bipartisan support New administration, new Congress has little impact on strategy Next Steps Build On Momentum From 114th Congress Negotiate with Committee Staff Identify Medicare Related Legislation Your Voice Matters When constituents talk, Congress listens! Real world perspectives are valuable At home advocacy 6
How to Get Involved Make an introduction via e mail Schedule a visit Host a tour Stay connected Three Things You Can Do... Meet your member of Congress Share your involvement/interest with colleagues Consider political giving Assessment Questions Pharmacy s strategy for addressing current and emerging practice challenges includes: a) Efforts to shape pharmacy practice model b) Work with an interdisciplinary coalition c) Lobbying for laws and regulations that expand access to pharmacists services d) A and C Assessment Questions The Hospital Self Assessment is recommended for use by hospitals because: a) It provides a gap analysis to assist in identifying priorities b) It defines a preferred practice model c) It supports initiating practice change by providing reference sources d) A and C 7
Assessment Questions Which of the following tactics is not part of the pharmacy coalition s strategy to move provider status legislation? a) Include language in must pass legislation b) Push for marathon debate on the Senate floor c) Negotiate with congressional staff d) Garner bipartisan support of Congress Assessment Questions What actions can pharmacists take to influence the decisions of policy makers? a) Set up an introductory meeting with members of Congress b) Respond to calls to action by state and national organizations c) Contributing time or money to a political candidate, party, or issue d) All of the above Contact Me Q & A Aretha Hankinson ahankinson@ashp.org 301.664.8671 8