SESSION I - 11:00 AM to 12:30 PM
SPEAKERS
Loren Kirk, PharmD
Director of Stakeholder Engagement, Pharmacy Quality Alliance
(PQA 2020 Annual Meeting Emcee)
SESSION DESCRIPTION
PQA CEO Laura Cranston will provide opening remarks and lead a fireside chat on the impact of COVID-19 on care delivery and the businesses of PQA’s members
Session Code: WGS-1
SPEAKERS
Laura Cranston, RPh
CEO, Pharmacy Quality Alliance
Bruce Japsen
Health Care Contributing Writer, Forbes
Benjamin McNabb, PharmD
Owner & Pharmacist, Love Oak Pharmacy
SESSION DESCRIPTION
PQA sponsored a social determinants of care (SDOH) workshop prior to the 2019 Leadership Summit. During this workshop, PQA and other stakeholders challenged participants to integrate pharmacists and their accessibility into SDOH care models and patient-level evaluations. A session at the Annual meeting dedicated to SDOH will help continue the conversation and provide tangible evidence from an initiative conducted by Humana and OutcomesMTM. The initiative is tackling SDOH in a scalable way by leveraging community pharmacists across the nation to complete an assessment with tens of thousands of patients. The initiative launched in fall of 2019, and we will have qualitative and quantitative data ready to share at the May PQA Annual meeting. The session will also include information on successes and challenges, as well as how pharmacists are connecting patients with both community and health plan resources to help address this complex issue in healthcare.
LEARNING OBJECTIVES
1. Recognize the role community pharmacies can play in completing social determinants of health assessments with patients.
2. Explain the SDOH screening process utilized by pharmacists during this pilot program.
3. Describe the success and barriers of completing these assessments in the pharmacy setting.
4. Identify opportunities and strategies to incorporate SDOH needs into programs that improve outcomes.
5. Analyze identified SDOH and trends in pilot population.
Session Code: W1-B2-F
ACPE UAN: 0221-9999-20-244-L04-P
Contact Hours of Credit: 0.5
SPEAKERS
Dani Markus, PharmD, MBA
Vice President of Quality, OutcomesMTM
Sarah Dean, PharmD, MPH
Clinical Program Lead, Quality Network, Humana
SESSION II - 1:30 PM to 3:00 PM
SESSION DESCRIPTION
"Slice of PIE" (Partners in Excellence) is a multi-partner effort that combines proven strategies to stimulate increased engagement in comprehensive medication management service delivery by community pharmacists with a multi-dimensional program design by a large regional health plan. The novel program leverages a pay-for-performance payment strategy and provider enabling tools from the health plan, a facilitated community of learning and coaching support structure for provider organizations and a comprehensive evaluation plan that includes implementation, clinical and cost outcomes. Thirteen provider organizations representing over 100 pharmacies are enrolled in the effort.
This session will describe how implementation science has influenced program design and how it differs from traditional efforts to apply value-based payment design. Methods for evaluating success from the perspective of both the health plan and provider organizations will also be discussed.
LEARNING OBJECTIVES
1. Discuss how clinical quality measures tied to performance based-payment strategies may be utilized to enhance medication management service delivery.
2. Explain the relationship between implementation science, clinical program development and return of value.
3. List the key elements of a learning and action community that accelerate adoption of services and produce consistent outcomes.
Session Code: W2-B1-A
ACPE UAN: 0221-9999-20-245-L04-P
Contact Hours of Credit: 0.5
SPEAKERS
Dan Rehrauer, PharmD
Senior Manager, MTM Program and Community Pharmacy Partnerships, HealthPartners
Carrie Blanchard, PharmD, MPH
Research Assistant Professor, UNC Eshelman School of Pharmacy
Todd Sorensen, PharmD
Professor and Associate Dean for Strategic Initiatives and Innovation, University of Minnesota College of Pharmacy
SESSION DESCRIPTION
As deaths continue to rise, managing the opioid crisis is top of mind for many business leaders. Opioid abuse now costs employers $15,000 per patient annually. How are employers beginning to deal with the opioid crisis among their employees? Claims data is a rich resource employers can use to improve their understanding of the opioid problem. This session will outline a case study in which one employer has begun using claims data to understand conditions that may lead to opioid dependence. The speakers will demonstrate how claims data can be used to identify the most frequent conditions for which opioids are prescribed, and detail the contributing conditions the employer found through data analysis. Males and females may have varying contributing conditions: The employer in this study used data to identify male versus female traits and to create a general profile for broad communication strategies.
LEARNING OBJECTIVES
1.Discuss stratification methods to improve understanding of opioid dependent members
2. Identify the most frequent diagnosed conditions for which opioids were prescribed.
3. Explain other conditions employees face which increase costs
4. Describe the difference in costs of employees who have moved from an opioid dependence to an opioid remission diagnosis.
5. Discuss the benefits of using PQA Opioid Quality Measures to prevent and treat dependence
Session Code: W3-Q2-F
ACPE UAN: 0221-9999-20-246-L04-P
Contact Hours of Credit: 0.35
SPEAKERS
Jaime Jenkins, MBA, PhD
Senior Program Manager, Client Services, Cotiviti
Jennifer Ach, PT, MHA
Director, Clinical Metrics and Compliance, Cotiviti
SESSION DESCRIPTION
The Rural Carrier Health Benefit Plan (RCBP) is a closed membership health plan of 60,000 members sponsored by the National Rural Letter Carriers Association, a postal union representing rural letter carriers nationwide. Like other organizations serving rural communities, RCBP faces challenges in ensuring their members have access to quality care. RCBP has partnered with TrestleTree, a wellness coaching organization, and Discern Health, quality strategic advisors, to improve outcomes for members with chronic pain, and reduce opioid abuse and addiction.
Presenters will discuss the opioid quality measure landscape and identify best practices for accountable plans and providers to improve outcomes for their members and patients. The panel will review its experience with implementing a population health management program to prevent opioid abuse and addiction, including actionable tactics to improve care coordination, member engagement, and performance on related quality measures.
LEARNING OBJECTIVES
1. Discuss challenges facing health plans, providers, and other organizations serving rural communities at-risk for opioid abuse and addiction.
2. Examine the opioid quality landscape and identify relevant quality measures for plans and providers.
3. Discuss how to apply best practices for improving care coordination, engaging members and providers, and strengthening community partnerships to improve outcomes and related quality measure. performance.
Session Code: W4-B1-C
ACPE UAN: 0221-9999-20-247-L04-P
Contact Hours of Credit: 0.5
SPEAKERS
Cameron Deml
Director of Insurance Programs, National Rural Letter Carriers’ Association
Donna Dugan, PhD, MS
Vice President, Discern Health
