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10/10/2017
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RE:Think Pharmacy RevisitedJoe Moose
Moose PharmacyCPESN USA
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Disclosures
• David Pope is receiving an honorarium for this presentation. The conflict of interest was resolved by peer review of the slide content.
• Justin Wilson is receiving an honorarium for this presentation. The conflict of interest was resolved by peer review of the slide content.
• Joe Moose is receiving an honorarium for this presentation. The conflict of interest was resolved by peer review of the slide content.
• Jay Williams is receiving an honorarium for this presentation. The conflict of interest was resolved by peer review of the slide content.
Learning Objectives
• Discuss the advances in enhanced services networks across the country.
• Compare the launch of current networks and assess your readiness.
• Describe tools that other pharmacists have used to prepare for enhanced services.
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What has NOT changed since we last met?
Healthcare Spend in America
90%
10%
Medical/Non‐Pharmacy Spend
Medication/Pharmacy Spend
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Threats to Community Pharmacy
What IS changing since we last met?
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Importance of Targeting and Channeling Patients to High Performing Pharmacies
Community‐Based Pharmacy
• All pharmacies are not the same
• Some pharmacies only focus on the prescription and filling it fast as they can… with little patient interaction
• Other pharmacies focus on patients
• These pharmacies have strong relationships with the patient and members of the patient’s local care team
• These pharmacies provide enhanced services that have proven to improve the health of complex patients
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What is happening today in response to this change?
CPESNSM Network Pharmacies
• These unique pharmacies are members of Community Pharmacy Enhanced Services Networks. CPESNSM Network pharmacies offer:
• A clear focus on interventions that change patient behavior and lead to improved health outcomes
• The experience necessary to provide medication optimization activities and other enhanced services
• A collaborative approach with other health care team members who are held jointly accountable
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Ideal Patient Type for Community‐Based Pharmacy
Care Team Collaboration
• CPESNSM pharmacies assist primary care physicians, care managers and others within the patient's care team with patient engagement & longitudinal patient management as well as:
• Remove barriers preventing optimal medication adherence such as health literacy or cognitive deficits
• Offer specialized medication‐related services such as non‐English labeling or specialized packaging
• Support the patient’s understanding of medication administration and special storage instructions
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RE:Think Pharmacy Revisited
Jay WilliamsPharmacy Directions
CPESN USA
RE:Think Marketing ‐ 2 Years Ago
At the corner of happy and ??… Competition is on every corner.
Topics/Key To Do’s
• Differentiate your product/service offering
• Identify the ‘ideal’ or ‘dream’ customer
• Create the right messages to attract them
• Be intentional in your marketing efforts
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RE:Think Marketing ‐ Today
At the corner of happy and ??… Competition remains on every corner.
Key To Do’s
• Differentiate your product/service offering
• Identify the ‘ideal’ or ‘dream’ customer
• Create the right messages to attract them
• Be intentional in your marketing efforts
Convenience & lowest prices OR something else
~10% of Americans responsible for ~50% of costs
Do your key messages resonate?
Take action & “skate wear the puck is headed”
Promoting Your Pharmacy or Your Network
OR
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Physician Messaging
Help foster medication adherence
Be responsive to immediate needs
Keep it simple
Make it easier to manage complicated patients
Messages that Resonate
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Payor Messaging
Listen to (and understand) the payor’s pain points
One size does not fit all
Emphasize your situational adaptability & readiness
Be prepared with an “ask”
Messages that Resonate
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The biggest risk is not taking any risk... In a world that changing really quickly, the only strategy that is guaranteed to fail is not taking risks. -Mark Zuckerberg
Take Action. Take Risks.
Thank You!
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The Evolution of the Revolution: Technology and
local CPESNSM updatesJustin Wilson, Pharm.D.
Valu‐Med Pharmacy, Co‐Owner
Technology Changes
• Interoperability vs Integration• Adherence/Star rating platforms
• MTM platforms
• EHRs
• New things at Valu‐Med• Paperless Immunization Platform
• Patient EHR capabilities
• Controlled Drug Disposal study
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Local CPESNSM Development
• PPOK/Rx Select provided organizational/infrastructure support
• 5 work groups with 35 pharmacist volunteers formed• Enhanced Services
• Operations and Communication
• Professional Development
• QA and Performance Metrics
• Grants and research
Local CPESNSM Development (cont.)
• Required core services developed and metrics for identifying pharmacies who qualify for the network
• 110 pharmacies qualified and invited to join network
• 69 pharmacies signed up for CPESNSM RxSelect/CPESNSM‐USA with interest from 35 more
• Potential Opportunities• Grant and Research workgroup continue to meet monthly
• Relationship formed with State Health Information Exchange (HIE) MyHealth
• Working to get in front of local Accountable Care Organizations
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Local CPESNSM Development (cont.)
• Challenges at the local level• What is the ROI? We’ve formed the network…now what??
• Staff training/buy in
• Workflow changes at the pharmacy level
• Technology…how will E‐Care plans integrate into current pharmacy platforms
Justin Wilson, Pharm.D.Valu‐Med Pharmacy, Co‐Owner
[email protected]‐741‐1200
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The Evolution of the RevolutionDavid Pope, PharmD, CDE
Chief of Innovation, Co‐Founder
The Landscape is Changing
• Laws are changing• Washington= Provider Status
• California, Tennessee
• Payers are noticing• Risk reduction
• Pharmacists are organizing• CPESNSM’s building throughout the country
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What’s Next?
• Pharmacists adopt a true appointment‐based model
• Pharmacists will bill for office visits, assessments, and more
• Pharmacists will be required to be credentialed in the same pathway as physicians
How Can You Prepare?
• Prepare for ‘Rain’• Identify the specific clinical pathways you’d like to enter
• Train yourself
• Train your staff
• Identify your pharmacy with organizations that will bring you access to additional payment models
• CPESNSM
• Develop your workflow for clinical services
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David D. Pope, Pharm.D., CDECreative Pharmacist, Chief of Innovation
