Abstract
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.
Highlights
Pennsylvania Pharmacists Care Network (PPCN) and STRAND partnered with the University of Pittsburgh School of Pharmacy students, faculty and staff to pilot a student-led model to support the initial implementation of the payor contract to meet the quality assurance and improvement needs
The objective of this paper is to describe how a student-led Quality Engagement Team (QET)
The QET was comprised of five University of Pittsburgh School of Pharmacy student pharmacists who supported the initial implementation of the payor contract for comprehensive medication management (CMM)
Summary
The Pennsylvania Pharmacists Care Network (PPCN) is an enhanced pharmacy services network of over 140 community pharmacies in Pennsylvania. PPCN is one of 49 local CPESN networks nationwide with a local governance structure and leadership developed to meet the criteria of CINs. PPCN’s mission is to enable and support the delivery of quality pharmacy care and outcomes in collaboration with patients, practitioners and stakeholders involved in a patient’s care [7]. There were 61 independent pharmacies that self-selected to participate in this first payor contract This initial four-month contract period compensated community pharmacists for providing comprehensive medication management (CMM) to Medicaid members who filled at least one medication at a PPCN pharmacy. PPCN and STRAND partnered with the University of Pittsburgh School of Pharmacy students, faculty and staff to pilot a student-led model to support the initial implementation of the payor contract to meet the quality assurance and improvement needs
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