MAY 28, 2020 - 1:00 PM to 2:00 PM

SESSION DESCRIPTION

On behalf of MAPD plans, analytics company RxAnte partners with Mosaic Pharmacy Service to deliver long-term care pharmacy services to medically complex and vulnerable Medicare members – and so far, the results have been meaningful.

Join us for an evidence-driven review of current Mosaic programs and discussion on how a long-term care pharmacy service backed by analytics can improve safety, manage cost, optimize complex regimens, and even provide opportunity to address social determinants of health for at-risk populations.

Session Code: IT-1

This Innovation Theater is sponsored and developed and presented by the sponsor.  The content of this Innovation Theater and opinions expressed by the presenters are those of the sponsor or presenter and not of PQA.

SESSION DESCRIPTION

This session will begin with a review of the call for the NQF Opioid TEP through the SUPPORT Act of 2018, and provide an overview of the work of the TEP. Emphasis will be placed on the identification of healthcare setting specific problems related to pain management and opioid use disorder, quality measure gaps identified by the TEP to address those problems, and potential measure ideas for measure developers to explore to provide the solutions recommended by the TEP. The TEP made a series of recommendations for measures for the Hospital Inpatient Quality Reporting Program, the Hospital Value-based Payment Program, MIPS, APMs and the Medicare Shared Savings Program. Each recommendation will be discussed, focused on measurement gaps and opportunities to develop new measures.

LEARNING OBJECTIVES

1. Recognize and review the findings of the NQF Opioid Task Force's environmental scan of measures for opioids and opioid use disorder.
2. Describe the current use of opioid measures in the federal quality and performance programs.
3. Identify gaps in measurement for opioids and discuss potential opportunities for PQA to fill those gaps.

Session Code: IT-Q1A

ACPE UAN: 0221-9999-20-253-L04-P
Contact Hours of Credit: 0.65

SPEAKERS

Samuel Stolpe, PharmD, MPH
Senior Director, National Quality Forum

JUNE 4, 2020 - 1:00 PM to 2:00 PM

SESSION DESCRIPTION

Although Artificial Intelligence (AI) has become more prevalent in healthcare in the last few years, there are few direct applications to supporting positive patient behavior change. At AllazoHealth, we are leveraging AI to improve patient engagement programs by predicting adherence risk and responsiveness to interventions. We can then match the right set of interventions to the patient to efficiently help the patient achieve or remain adherent to their medications. In this session, you'll hear how a program that used our AI engine to predict which patients should get select interventions improved the performance of those interventions by 2.3 times and how you can achieve similar results.

Session Code: IT-2

William Grambley, MBA
Chief Operating Officer, AllazoHealth

This Innovation Theater is sponsored and developed and presented by the sponsor.  The content of this Innovation Theater and opinions expressed by the presenters are those of the sponsor or presenter and not of PQA. 

SESSION DESCRIPTION

Real-time prescription benefit advancements in the EMR can enhance the patient-centric care paradigm by providing at the point of ordering the patient-specific medication costs and potentially suggest lower cost alternatives. Pulling this information up front at the point of prescribing allows providers to choose medications more wisely, involves the patient in the medication selection process and minimizes script re-work after the patient visit. A win-win-win for patients, providers, and pharmacists.

This session will discuss the importance of understanding medication costs and its relationship to medication adherence and will share an early analysis of the impact of the real time prescription benefit tool when implemented at our institution. Outcomes evaluated include switch rates to lower cost medications, the reduction in the number of prior authorizations required, the accuracy of the pricing estimate, and prescription procurement rate at the pharmacy.

LEARNING OBJECTIVES

1. Describe the relationship of medication cost to medication adherence and abandonment rates at the pharmacy.
2. Explain the potential benefits of price transparency tools at the point of prescribing for patients.
3. Assess the impact of a real-time prescription benefit tool on workflows at the community pharmacy.

Session Code: IT-Q2G

ACPE UAN: 0221-9999-20-254-L04-P
Contact Hours of Credit: 0.65

SPEAKERS

Jessie Merrey, PharmD, MBA
Clinical Pharmacy Specialist, The Johns Hopkins Hospital
Akintunde Akinseye, MSPH
Student, Johns Hopkins School of Medicine Division of Health Science Informatics

JUNE 11, 2020 - 1:00 PM to 2:00 PM

SESSION DESCRIPTION

AssureCare is enabling the pharmacist to practice at the top of their license. The AssureCare platform bring medical billing, pharmacogenetics, daily dose packaging, the gamut of MTM capabilities, eHealth-Medicare, HealthWise educational materials, vaccine registry, and eCare plan capabilities all together with in one platform that integrates with care management and utilization management.

By enabling the pharmacist at a retail setting, a health plan can leverage these capabilities to drive HEDIS measures, utilize the pharmacist for medical services where there is a shortage of PCPs, have MTM billed on the medical side, use the pharmacist to help educate their members, and have a complete MTM program. Most importantly by extending the reach of the pharmacist the health plan now as a provider who is now more accessible.

Join us on June 11th at the Innovation Theater to learn more or contact jgartner@Assurecare.com to schedule some time to chat.

Session Code: IT-3

Jim Gartner, RPh, MBA
EVP Clinical and Product Strategy, AssureCare

This Innovation Theater is sponsored and developed and presented by the sponsor.  The content of this Innovation Theater and opinions expressed by the presenters are those of the sponsor or presenter and not of PQA. 

SESSION DESCRIPTION

The Virginia Center for Health Innovation is a public-private partnership founded to accelerate the adoption of value-driven models of wellness and healthcare. Learn from Beth Bortz how VCHI is tracking and improving quality throughout the state.

Session Code: IT-Q8

SPEAKERS

Beth Bortz, MPP
President, CEO, Virginia Center for Health Innovation

JUNE 18, 2020 - 1:00 PM to 2:00 PM

SESSION DESCRIPTION

Are you looking for ways to create a value-based payment model for pharmacies that care for your plan members? Join Omnicell and Enhanced Medication Services (EMS) as we discuss innovation leveraging an integrated pharmacy system technology to deliver a value-based pharmacy intervention model. By integrating clinical alerts into everyday workflow via the pharmacy dispensing platform, pharmacists are made aware of opportunities to deliver clinical interventions to patients at risk for medication non-adherence and other medication related problems. The pharmacies are supported by a clinical call center to help manage the delivery and success of clinical interventions. Intervention sponsors are able to deliver a value-based payment model and reduce avoidable costs for patients with chronic conditions. The Omnicell-EMS intervention model has resulted in improved medication adherence and significant medical savings via lower rates of hospitalization and ED visits.

Session Code: IT-4

Mark Gregory, RPh
Director, Pharmacy Consultant, Population Health Services, Omnicell, Inc.
Anna Hall, PharmD, BCAP
Director of Quality Services, Enhanced Medication Services

This Innovation Theater is sponsored and developed and presented by the sponsor.  The content of this Innovation Theater and opinions expressed by the presenters are those of the sponsor or presenter and not of PQA. 

SESSION DESCRIPTION

Genoa Pharmacy: “How a value-based model for optimal pharmacy delivery in community pharmacy practice.” Dr. Sundararaman will discuss all aspects of his Genoa Pharmacy’s integration with Oakstreet Health clinic and aspects of their shared value-based delivery.

Session Code: IT-CPIQ-1

SPEAKERS

Vikram Sundararaman, PharmD, MBA
Clinical Pharmacy Site Manager, Genoa Healthcare

JUNE 25, 2020 - 1:00 PM to 2:00 PM

SESSION DESCRIPTION

DocStation is a technology company that helps health plans & pharmacists facilitate value-based care models. Our network includes over 700 pharmacy providers participating in programs sponsored by health plans in the Medicare, Medicaid, and commercial sectors. We believe the future of pharmacy is value-based. Equipping pharmacists with the right tools aligns goals for all stakeholders, leading to better outcomes at a lower cost.

Session Code: IT-5

Samm Anderegg, PharmD, MS
CEO, DocStation

This Innovation Theater is sponsored and developed and presented by the sponsor.  The content of this Innovation Theater and opinions expressed by the presenters are those of the sponsor or presenter and not of PQA. 

SESSION DESCRIPTION

The Kroger Company takes an innovative approach to community-based pharmacy practice by promoting improvement in quality of care, medication optimization, and patient outcomes. Driven by their vision to help people live healthier lives, the Kroger Co. was honored with the 2020 CPIQ Award. Join this session to learn more about their contributions to community pharmacy, including work related to adherence, gaps in care, opioid initiatives, health coaching, medication synchronization, transitions of care, and immunizations.

Session Code: IT-CPIQ-2

SPEAKERS

Andrea Brookhart, PharmD, BCACP
Director of Clinical Programs, Kroger Health