Unrealized potential and unrecognized value: Community‐based pharmacy practice is reinventing itself—Join the movement

McGivney, Melissa Somma; Pope, David D.; Trygstad, Troy

doi:10.1002/jac5.1147

Cited by 14 publications

(12 citation statements)

References 15 publications

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“…4 With over 62,000 community pharmacies nationwide and 89% of Americans living within five miles of a community pharmacy, community-based pharmacist practitioner (CPP) are accessible and eager to assist. [5][6][7][8] To assist their clinician colleagues, CPP must transform their practices to support the provision of enhanced services and medication optimization. 9 This transformation can be accomplished by moving from a dispensing-focused practice to one in which enhanced patient care services are integrated and performed during the normal workflow.…”

Section: Introductionmentioning

confidence: 99%

Scaling Community Pharmacy Transformation with the ‘Flip the Pharmacy’ Implementation Model: Program Origins

Kondic

Trygstad

McDonough³

et al. 2020

Innov Pharm

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The rising costs of healthcare, increased chronic illnesses, and healthcare provider burnout has led to an environment desperate for scalable solutions to ease practice burdens. With a projected shortage in the number of primary healthcare providers available to provide team-based care, community-based pharmacy practitioners are accessible and eager to assist. In order to provide enhanced patient care services to aid their clinician colleagues, community-based pharmacists will have to transform their practices to support the provision of enhanced services and medication optimization in value-based payment models. The purpose of this article is to define how multiple factors in pharmacy, healthcare, technology and payment models aligned to create an opportunity for the Community Pharmacy Foundation and CPESN® USA to implement a nationwide community pharmacy practice model called ‘Flip the Pharmacy’. This new model aims to scale community pharmacy practice transformation and move beyond filling prescriptions at a moment-in-time to caring for patients over time through a 24-month step-wise program paired with in-person pharmacist coaching. Preliminary observations from the first six months of the program highlight community pharmacy as a site of care with community-based pharmacist practitioners providing and documenting targeted patient care interventions. Article Type: Commentary

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Section: Introductionmentioning

confidence: 99%

Scaling Community Pharmacy Transformation with the ‘Flip the Pharmacy’ Implementation Model: Program Origins

Kondic

Trygstad

McDonough³

et al. 2020

Innov Pharm

Self Cite

View full text Add to dashboard Cite

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“…14 Community pharmacy practices and the roles of the community pharmacist in team care are expanding and improving patient outcomes. 15,16 Community pharmacists involved in chronic disease management increase patients' achievement of chronic disease health goals such as blood pressure and A1C goals. 17 Based on a meta-analysis of 32 studies, transitions of care programs that included community pharmacists decreased all cause 30-day hospital readmission by 32%.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Interprofessional Education in a Community Pharmacy

O’Connell

Pattin

Gilkey

et al. 2020

Journal of Pharmacy Practice

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Objective: To evaluate student learning, preceptor opinions, and feasibility of conducting interprofessional education in a community pharmacy. Methods: Six pharmacy and 6 physician assistant students from 2 universities were paired to practice together in a community pharmacy for 1 day and clinic or emergency department for 1 day. Investigator-developed surveys were completed anonymously by students and preceptors. Students self-assessed learning and team attitudes. Preceptors evaluated team functioning and provided feedback. Students and preceptors attended separate focus groups to discuss their experiences. Results: Students reported improved understanding of discipline-specific roles. Students stated shared learning would improve future ability to work on a team (n = 9), helped with understanding patients’ clinical problems (n = 8), and improved professional communications (n = 8). Students thought teams avoided healthcare delivery errors (n = 12), improved patient care (n = 11), increased efficiency (n = 8), and increased interventions (n = 7) compared to solo practice. Some students (n = 6) felt preceptors did not provide enough feedback. Students and preceptors stated the project should be continued. Students suggested improving orientation by including team functioning expectations and insuring patient availability for medication therapy management reviews. Preceptors wanted more training on providing team feedback and thought the experience should be longer to accommodate physician assistant student orientation to pharmacy operations. Conclusions: Interprofessional education in a community pharmacy was feasible and resulted in students learning about discipline roles, team functioning, and team care. Additional training and orientation for both students and preceptors are needed. More than 1 day at each practice site is needed to enhance interprofessional learning and skills.

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“…PPCN is a local member of the national community pharmacy enhanced services network, CPESN USA. CPESN USA is a clinically integrated network of over 2500 community pharmacies across the United States formed to advance pharmacist-provided care [ 1 , 2 , 3 , 4 ]. Clinically integrated networks (CINs) are “a collection of health care providers that demonstrates value to the market by working together to facilitate the coordination of patient care across conditions, providers, settings, and time to improve patient care and decrease overall healthcare costs [ 1 ].” There are seven components to CINs: (1) structure and governance; (2) provider leadership; (3) participation criteria; (4) performance objectives and quality improvement; (5) information technology; (6) contracting; (7) distribution of funds [ 5 , 6 ].…”

Section: Introductionmentioning

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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Unrealized potential and unrecognized value: Community‐based pharmacy practice is reinventing itself—Join the movement

Cited by 14 publications

References 15 publications

Scaling Community Pharmacy Transformation with the ‘Flip the Pharmacy’ Implementation Model: Program Origins

Scaling Community Pharmacy Transformation with the ‘Flip the Pharmacy’ Implementation Model: Program Origins

Feasibility of Interprofessional Education in a Community Pharmacy

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

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