Integrating Pharmacists in Primary Care Medical Homes
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Presentation given at the Medical Home Summit IV in Philadelphia on 28FEB12
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Integrating Pharmacists in Primary Care Medical Homes
- 1. integration of medication therapy management in primary care wayne pan, md, mba chief medical ofïŹcer santa clara county ipa
- 2. how to incorporate community pharmacists in a patient-centered medical home wayne pan, md, mba chief medical ofïŹcer santa clara county ipa
- 10. Have you seen ANSWERS? 6-month old lab mix well-trained to do old tricks, not so good with new tricks
- 11. healthplans
- 13. hospitals
- 14. physicians
- 15. NO
- 19. how will the patient beneïŹt from this? does this make it easier for the patient?
- 23. why?
- 25. patientbehavior
- 26. see the whole
- 27. see the holes
- 28. MIND THE GAP
- 32. systemsthinking
- 33. designthinking
- 34. designdoing
- 35. what got you here marshall goldsmith
- 36. won't get you there marshall goldsmith
- 37. WE ARE HERE From: Dan Roam, âAmerican Healthcare: a 4-napkin explanationâ www.slideshare.net/danroam/healthcare-napkins-all
- 38. Source: Organisation for Economic Co-operation and Development (2010), "OECD Health Data", OECD Health Statistics (database). doi: 10.1787/data-00350-en (Accessed on 14 February 2011). Notes: Data from Australia and Japan are 2007 data. Figures for Belgium, Canada, Netherlands, Norway and Switzerland, are OECD estimates.
- 39. Cumulative Increases in Health Insurance Premiums, Workersâ Contributions to Premiums, Inflation, and Workersâ Earnings, 1999-2011 200% 150% 100% 50% 0% 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Health Insurance Premiums Workers' Contribution to Premiums Workers' Earnings Overall Inflation Source: Kaiser/HRET Survey of Employer-Sponsored Health BeneïŹts, 1999-2011. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual InïŹation (April to April), 1999-2011; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2011 (April to April).
- 40. Exhibit ES-1. Overall Ranking Country Rankings 1.00â2.33 2.34â4.66 4.67â7.00 AUS CAN GER NETH NZ UK US OVERALL RANKING (2010) 3 6 4 1 5 2 7 Quality Care 4 7 5 2 1 3 6 Effective Care 2 7 6 3 5 1 4 Safe Care 6 5 3 1 4 2 7 Coordinated Care 4 5 7 2 1 3 6 Patient-Centered Care 2 5 3 6 1 7 4 Access 6.5 5 3 1 4 2 6.5 Cost-Related Problem 6 3.5 3.5 2 5 1 7 Timeliness of Care 6 7 2 1 3 4 5 Efficiency 2 6 5 3 4 1 7 Equity 4 5 3 1 6 2 7 Long, Healthy, Productive Lives 1 2 3 4 5 6 7 Health Expenditures/Capita, 2007 $3,357 $3,895 $3,588 $3,837* $2,454 $2,992 $7,290 Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity). Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund THE COMMONWEALTH FUND Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
- 41. insanity: doing the same thing over and over and expecting different results
- 43. on average, there is a pharmacy within 2.5 miles of every US resident Source: National Association of Chain Drug Stores
- 44. Source: Gallop, November 28, 2011-December 1, 2011
- 46. get out of the rut?
- 49. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
- 50. IPA hosspital onsite discharge case planner manager hospitalist patient discharge planning thepatientjourney
- 51. hospitalist Rx patient discharge medication planning reconciliation thepatientjourney
- 52. hospitalist discharge instructions patient outpatient discharge medication physician planning reconciliation follow-up thepatientjourney
- 53. Rx discharge instructions family patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
- 55. failsafe
- 56. hosspital discharge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
- 57. hosspital discharge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
- 58. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
- 59. brainstorm
- 61. hosspital discharge IPA onsite hospitalist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
- 62. hosspital discharge IPA onsite pharmacist hospitalist Rx discharge instructions case planner manager hospitalist Rx discharge instructions family patient patient patient patient outpatient discharge medication physician discharge planning reconciliation follow-up thepatientjourney
- 63. âput hot triggers in the path of motivated peopleâ BJ Fogg, PhD Director, Persuasive Technology Lab Stanford University
- 67. Santa Clara County IPA (SCCIPA) Medication Reconciliation Pilot Project How to ïŹnd the medication list for patients using AccessExpress 1. Go to the PPMSI AccessExpress provider portal (http://ppmsi.com/accessexpress.html): 2. Select Santa Clara County IPA: 3. Enter USER NAME and PASSWORD, click on âSUBMITâ:
- 69. Your SCCIPA doctor wants to help you with your medications, after you leave the hospital. Michael Lam, RPh pharmacist Samaritan Medical Center Pharmacy 2505 Samaritan Drive San Jose, CA (408) 356-7111 Please visit the Samaritan Medical Center Pharmacy to pick up your new prescriptions and have a pharmacist review your medications with you. SCCIPA A PaciïŹc Partners Medical Group
- 70. from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
- 71. what happened?
- 73. failfast
- 80. just one more thing....
- 81. alignment
- 82. engage
- 96. Thank you! wpan@ppmsi.com WWW.SNOOPY.COM