Financial impact of patients enrolled in a medication adherence program at an independent community pharmacy

Clifton, Cody L.; Branham, Ashley R.; Hayes, Harskin “Hj”; Moose, Joseph S.; Rhodes, Laura A.; Marciniak, Macary Weck

doi:10.1016/j.japh.2018.04.022

Cited by 15 publications

(13 citation statements)

References 5 publications

(5 reference statements)

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“…The medications adherence metric Proportion of Days Covered (PDC) is an indirect measure for reporting health outcomes [ 41 ]. Community pharmacists have been shown to positively improve this metric, leading to health improvement [ 42 , 43 ]. However very few contracts are linked to positive revenue surrounding PDC [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

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Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

et al. 2020

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Background: Pharmacists are positioned as an accessible source of patient care services (PCS). Despite the adversity community pharmacies continue to face, the expanding opportunity of offering PCS continues to be a pathway forward. Objective: To identify community pharmacists’ perceptions to deliver PCS within an enhanced service network. Methods: One-on-one semi-structured phone interviews were conducted as part of a mixed-methods approach. Interview transcripts were analyzed using a consensus codebook to draft thematic findings. Participants were recruited from an electronic survey targeting community pharmacists from the New York chapters of the Community Pharmacy Enhanced Services Network (CPESN). Results: Twelve pharmacists were interviewed with four main themes identified. The majority of study participants were pharmacy owners (92%) devoting an average of 15 h/week to PCS and 8 h/week addressing social barriers. The main themes identified include: (1) perceptions of pharmacy profession, (2) reimbursement models and sustainability of PCS, (3) provision of patient care services, and (4) how PCS address social determinants of health. Conclusions: Offering PCS opportunities for patients is a direction many community pharmacists have embraced and are working to succeed. Ongoing research is needed focusing on community pharmacists’ self-perceptions of the clinical impact and role they hold in an evolving healthcare system.

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Section: Discussionmentioning

confidence: 99%

“…It can also cut back on the additional delivery costs if the pharmacy is providing free delivery [ 47 ]. Adherence packaging can help patients better understand their therapy and achieve compliance [ 43 ]. Enhanced patient counseling can help patients that have trouble understanding their therapy.…”

Section: Discussionmentioning

confidence: 99%

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

et al. 2020

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“…There is a growing body of literature on CPESN networks and the implementation of medication management services within community pharmacies [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. Though there is a growing body of literature on these topics, to our knowledge, formally utilizing students as an implementation team for a CPESN network is a novel approach.…”

Section: Discussionmentioning

confidence: 99%

A Student Pharmacist Quality Engagement Team to Support Initial Implementation of Comprehensive Medication Management within Independent Community Pharmacies

et al. 2020

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In 2017, the Pennsylvania Pharmacists Care Network (PPCN), an enhanced pharmacy services network, and STRAND Clinical Technologies partnered to launch a payor contract with a Pennsylvania Medicaid Managed Care Organization for the provision of comprehensive medication management (CMM) at PPCN pharmacies. PPCN and the Community Leadership and Innovation in Practice Center at the University of Pittsburgh School of Pharmacy partnered to create the Quality Engagement Team (QET), a group of student pharmacists formed with the intent to support the initial implementation of this contract. The QET supported the pharmacies through biweekly phone calls, which led to increased pharmacist engagement and produced impactful patient encounter stories that were then reported back to the payor. We utilized Active Implementation Frameworks and select implementation strategies from the Expert Recommendations for Implementing Change project throughout the implementation period. The QET supported the successful implementation of this payor contract, which saw an increase in CMM encounters completed by the pharmacists during each month of the four-month contract period. Students, pharmacists and the payor each derived meaningful benefits from this initiative. Student pharmacists can be a powerful asset in the implementation of payor programs within an enhanced pharmacy services network, resulting in the mutually beneficial and sustainable support of the network.

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“…In an effort to improve adherence and reduce unnecessary spending, medication synchronization (Med Sync) programs have been adopted by community pharmacies [6]. Studies show medication adherence improves when patients are enrolled in a Med Sync program; however, considerable variability in the implementation of this service exists between community pharmacies [7][8][9][10][11]. Med Sync, as described by the American Pharmacists' Association (APhA) in their white paper, is designed to improve consumers' adherence to medications and build efficiencies in pharmacy operations.…”

Section: Introductionmentioning

confidence: 99%

T.E.A.M.S.Work: Leveraging Technicians to Enhance ABM Med Sync in Community Pharmacies

et al. 2020

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The expansion of pharmacy technicians’ roles in community pharmacies allows pharmacists the opportunity to focus on providing clinical services to patients. This study explores the tasks pharmacy technicians’ perform to support Med Sync programs in community pharmacies. Pharmacy staff members at North Carolina pharmacies with more than fifty percent of their prescription volume being dispensed as part of a Med Sync program were recruited to participate in semi-structured interviews. Inductive coding and summary analysis were used to analyze the interview data. Study participants described pharmacy technicians’ roles in identifying patients for marketing and enrollment, reviewing patients’ medications list, choosing alignment dates based on patient preference, contacting patients in preparation for dispensing and, lastly, engaging in pickup or delivery of medications. This study highlights technicians’ vital role in completing tasks that support Med Sync programs in community pharmacies.

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Financial impact of patients enrolled in a medication adherence program at an independent community pharmacy

Cited by 15 publications

References 5 publications

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

A Student Pharmacist Quality Engagement Team to Support Initial Implementation of Comprehensive Medication Management within Independent Community Pharmacies

T.E.A.M.S.Work: Leveraging Technicians to Enhance ABM Med Sync in Community Pharmacies

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