Role Of The Pharmacist ELearning Series: The Missing Link

Role of the Pharmacist eLearning Series: The Missing Link

This eLearning series addresses the changing health care environment, the importance of technology as a tool to achieve improved care and efficiency, and the opportunities for pharmacists to play new strategic roles.

We’ve examined the challenges, gaps and missing factors in our traditional health care model. We’ve looked at new care models that aim to address those issues and how pharmacists’ roles are changing.

Today, we’ll tackle the last portion of our eBook: technology as the missing link.

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Role Of The Pharmacist ELearning Series: The Emerging Role Of The Pharmacist

Role of the Pharmacist eLearning series: The Emerging Role of the Pharmacist

This eLearning series addresses the changing health care environment, the importance of technology as a tool to achieve improved care and efficiency, and the opportunities for pharmacists to play new strategic roles.

So, we’ve covered the challenges, gaps and missing factors in our traditional health care model. Last week, we looked at new care models that aim to address those issues.

Today, we’ll discuss how pharmacists’ roles are changing.

Part 5: The Emerging Role of the Pharmacist

Pharmacists are starting to get the attention they deserve, from players who matter. Legislators, industry leaders, insurers, providers and patients are recognizing that pharmacists have a critical role to play on an integrated health care team.

With their qualifications and experience, pharmacists can play a great role in patient care and help bridge gaps in our health care system.

Emerging Role Pharmacist Healthcare Ecosystem - Part 6 - Pharmacist Role

In 2005, 133 million Americans — almost half the adult population — suffered from at least one chronic disease. By 2025, this number is expected to reach 164 million.

As chronic diseases continue to increase in prevalence, they will put more demand on the nation’s health care system. And primary care physicians’ availability to provide effective preventative care is already shrinking.

Pharmacists are positioned to help.

One of our system’s biggest challenges is gaps in care. Many patients have no contact from a health care provider after a visit to the hospital or between doctors’ visits. Often, these times are critical to keeping patients healthy.

Pharmacists are equipped to provide this follow-up care. Their expertise in medication management is especially helpful to the growing population of patients managing chronic diseases.

Pharmacists already partner with patients and other clinicians to improve care in these areas:

  • Medication therapy management
  • Medication reconciliation
  • Disease management
  • Patient education

In our rapidly changing health care environment, pharmacists can become much more than medication processers. Now is the time for pharmacists to define their roles, expand their businesses and increase their revenue streams.

Next, we’ll look at how pharmacists can incorporate technology to elevate their role. Check back next week for Part 6: The Missing Link.

And, be sure to download our complete related eBook, “The Emerging Role of the Pharmacist in the Healthcare Ecosystem,” and its accompanying infographic.

Role Of The Pharmacist ELearning Series: The Changing Model Of Care

Role of the Pharmacist eLearning series: The Changing Model of Care

This eLearning series addresses the changing healthcare environment, the importance of technology as a tool to achieve improved care and efficiency, and the opportunities for pharmacists to play new strategic roles.

So far, we’ve discussed the challenges, gaps and missing factors in our traditional healthcare model. Last week, we stated that we have the resources and expertise to provide great patient care. We just need to address the gaps in the system.

Today, we’ll look at some emerging care models that aim to do just that.

Part 4: The Changing Model of Care

Spurred by the Affordable Care Act (ACA), the healthcare system is working towards coordinated, patient-centered care with a focus on value — not volume. Healthcare providers are creating models that bridge gaps in patient care, improve care coordination and use resources more appropriately.

Emerging Role Pharmacist Healthcare Ecosystem - Part 4 - Changing Model

In new models, care is centered around the patient. Patients are engaged, involved in decision making and have a say in their own care. And members of their care teams work together to improve their patients’ experience and outcomes.

The primary care physician, who develops a patient’s care plan, acts as the hub of the medical team. The physician shares information with other team members and should be easily accessible.

Information isn’t the only thing the team shares. In new models, team members also share risk. Every provider on the healthcare team has a gain or cost share. If the team, as a whole, meets established quality and cost goals, the team members share the savings. If the group falls short of those goals, the team members split the loss.

Many of these emerging “team” models are based on one of two strategies:

Consolidated Networks
In a consolidated network, a single system “owns” patient care. For example, Kaiser Permanente employs all members on a patient’s healthcare team — from doctors to surgeons to pharmacists. Patients stay in the same system for all their healthcare needs.

About 70 percent of hospitals are consolidated networks.

Collaborative Networks
This system involves smaller players who create informal, flexible relationships with other healthcare providers. They do not own other entities in their network, but they do share information with one another.

These powerful collaborations generally do not have contracts or risk and reward systems. They are community-based, tied to a local neighborhood, and founded on personal relationships and trust.

Consolidated and collaborative networks are different in structure but similar in concept. Both are about improving patient care and outcomes while lowering costs.

Next, we’ll look at why pharmacists are a critical part of an integrated patient care team. Check back next week for Part 5: The Emerging Role of the Pharmacist.

And, be sure to download our complete related eBook, “The Emerging Role of the Pharmacist in the Healthcare Ecosystem,” and its accompanying infographic.

Role Of The Pharmacist ELearning Series, Part 3: What’s Missing In The Current Healthcare Ecosystem?

Role of the Pharmacist eLearning series, Part 3: What’s Missing in the Current Healthcare Ecosystem?

This eLearning series, which we will release over six weeks, addresses the changing healthcare environment, the importance of technology as a tool to achieve improved care and efficiency, and the opportunities for pharmacists to play new strategic roles.

In the first parts of this eLearning series, we discussed what’s ailing our traditional healthcare model and the gaps it creates in patient care. In this third part, we’ll take a look at some of the critical factors missing in our current healthcare ecosystem.

Part 3: What’s missing in the current healthcare system?

Our healthcare system does have the resources and expertise needed to deliver high-quality care. But in order to optimize efficiency, improve patient outcomes and cut healthcare spending, the players in the system need to be better coordinated and connected.

Some of the greatest gaps in the patient care continuum include: follow-up care after hospital discharge and outpatient procedures, monitoring adherence to prescribed treatments and comprehensive care management of chronically ill patients.

Recurrent hospitalizations represent a substantial and often preventable human and financial burden, with 19% of Medicare fee-for-service patients rehospitalized within 30 days of discharge. Half of these patients never see an outpatient doctor before they are readmitted to the hospital.

Gaps like this highlight the need for a whole-system approach to care delivery, where performance is measured and providers are be held accountable — and rewarded — for performance across the continuum of care.

 

Emerging Role Pharmacist Healthcare Ecosystem - Part 3 - What's MissingWhat’s missing in our current healthcare system?

Technology. The system needs technology to integrate all patient information in a single database, so that medical records are quickly accessible by all care team members, helping them avoid duplicate paperwork, tests and treatment.

Incentives. As we move from a fee-for-service to a fee-for value system, we need to establish an incentive model for each care team player that rewards efficiency and a positive impact on patient outcomes.

Risk sharing. As we work toward improved outcomes and lower costs, all care team members have the potential to share in savings. They also take on risk. The system needs a mechanism for providers and payers to share the total cost-of-care risk.

Next, we’ll dive into some of the new models of patient care that work to fill these gaps. Check back next week for Part Four: The Changing Model of Care.

And, be sure to download our complete related eBook, “The Emerging Role of the Pharmacist in the Healthcare Ecosystem,” and its accompanying infographic.

Role Of The Pharmacist ELearning Series, Part 2: Just How Big Are The Gaps?

Role of the Pharmacist eLearning series, Part 2: Just How Big are the Gaps?

This eLearning series, which we will release over the next few weeks, addresses the changing healthcare environment, the importance of technology as a tool to achieve improved care and efficiency, and the opportunities for pharmacists to play new strategic roles.

In the long-standing traditional model of healthcare, providers and payers act in silos, without communicating with the patient or with each other. To provide more efficient, effective patient care, our system must change. In this second part of our eLearning series, we’ll look at some of the gaps in our current healthcare system.

Part 2: Just how big are the gaps?

While healthcare in the U.S. is considered among the highest in quality, it is also among the most costly with inefficiencies and significant gaps in care. The 2011 National Scorecard on U.S. Health System Performance found that care coordination is rare and almost half of Americans reported communication problems with their primary care physician.

 

Emerging Role Pharmacist Healthcare Ecosystem - Part 2 - Big Gaps Say a patient interacts with a primary care doctor, then a specialist, a pharmacist, a hospital and an insurer. In many cases, the patient’s health information is left behind while that patient moves through the system, leaving the various providers to work without full awareness of the patient’s history, health and care plan.

Only 43% of adults with health problems could rapidly get an appointment when they were sick, 19% of U.S. patients reported undergoing duplicate tests, and only half received all recommended screening and preventive care.

— National Scorecard on U.S. Health System Performance, 2008

This lack of coordination leads to duplicate processes and care, such as the patient filling out separate forms for each care team player and providers authorizing duplicate tests or prescribing conflicting drugs — driving the cost of care up and the quality of care down.

Later in the series, we will identify opportunities to bridge these gaps in patient care. Check back soon for Part Three: What’s Missing in the Current Healthcare Ecosystem?

And, be sure to download our complete related eBook, “The Emerging Role of the Pharmacist in the Healthcare Ecosystem,” and its accompanying infographic.

 

NEW! ELearning Series: The Emerging Role Of The Pharmacist In The Healthcare Ecosystem

NEW! eLearning Series: The Emerging Role of the Pharmacist in the Healthcare Ecosystem

This eLearning series, which we will release over the next few weeks, addresses the changing healthcare environment, the importance of technology as a tool to achieve improved care and efficiency, and the opportunities for pharmacists to play new strategic roles.

In developing this six-part series, we worked with a team of industry experts to provide perspectives from a variety of healthcare team members, including pharmacists, technology providers, regulatory experts, accountable care organizations and collaborative care networks.

Part 1: What’s ailing the traditional model?

While healthcare in the U.S. is considered among the highest in quality, it is also among the most costly with inefficiencies and significant gaps in care. Payments are based on volume, not value or outcomes.

Emerging Role Pharmacist Healthcare Ecosystem - Part 1 - The Ailing Traditional Model

Such gaps and fragmented care highlight the need for a whole-system approach to care delivery, where performance is measured and providers are held accountable across the continuum of care. As initiatives under the Affordable Care Act (ACA) are advanced, patient care is becoming more integrated and coordinated, focusing on the value and quality of care rather than on volume of services provided.

Increasingly, pharmacists are being recognized as strategic members of a patient’s integrated healthcare team. They have the qualifications and experience to play an even greater role in patient care, expand their businesses and increase their revenue streams.

For the 11th consecutive year, pharmacists have ranked among
the top three most trusted professionals in the U.S.
— December 2013 Gallup poll

Later in the series, we will identify opportunities for pharmacists to make a big impact. Check back soon for Part Two: Just How Big are the Gaps?

And, be sure to download our complete related eBook, “The Emerging Role of the Pharmacist in the Healthcare Ecosystem,” and its accompanying infographic.

 

Webinar on March 17: Pharmacist + Technology = Momentum

The changing healthcare landscape presents its challenges, but it also creates big opportunities for pharmacists. Now is the time for pharmacists to take a more strategic role on the healthcare team — to improve outcomes for your patients and your pharmacy.

We’ve teamed up with two experts in the changing healthcare industry to present a webinar on the topic.

Pharmacist + Technology = Momentum
Promising Players on the Healthcare Team

Join us Monday, March 17 at 3 p.m. EST to learn how pharmacists can:

  • Navigate the changing healthcare system
  • Form partnerships with key stakeholders to improve adherence and patient care
  • Leverage new business models and technology to create business opportunities

This webinar is geared towards pharmacists of all types and to other players on the integrated healthcare team looking to partner with pharmacists who can impact outcomes and bottom lines. Register for the webinar today.

Register Now

About the Presenters

Nancy Blough, Executive Vice President at American Health Data Institute, works with ACO teams across the country. She’ll tell you that right now, most pharmacists aren’t at the table. Nancy will share how you can define your role on the healthcare team and your involvement in ACOs.

Ryan Moore is a Clinical Pharmacy Specialist with Cornerstone Health Care, one of the largest ACOs in the Southeast. Ryan will discuss strategies for community pharmacists to get their foot in the door with ACOs and provide examples from Cornerstone’s experience.

Questions for the presenters?

If there are specific questions you’d like Nancy and Ryan to address, please let us know in the comments below, or in an email to success@parata.com.

Parata CEO Tom Rhoads to Speak at World Congress Summit

We’re excited to announce that our very own CEO Tom Rhoads will be speaking at the 2nd Annual World Congress Summit to Improve Adherence and Enhance Patient Engagement.

He’ll join Jon Easter of GlaxoSmithKline and Troy Trygstadt of Community Care North Carolina on March 10 at 9:30 a.m. for the presentation, “Interesting Times, Interesting Partners.”
They’ll discuss how the healthcare system is shifting towards a value-based model and how predictive analytics can help identify opportunities for adherence counseling and medical therapy management in a way that impacts outcomes before patients are sick with multiple chronic conditions.

Tom will specifically discuss the “touch gap” and how community pharmacists can take a proactive approach to fill this role. He’ll explain how implementing high-tech, high-touch technology, systems and processes can empower pharmacists as critical members of the interdisciplinary team.

The World Congress Summit to Improve Adherence & Enhance Patient Engagement will convene leaders across the healthcare industry to share innovations and strategies that address the challenges of achieving better adherence. It will be held at the Hyatt at the Bellevue in Philadelphia on March 10-11, 2014. Learn more about the event.

Good luck, Tom!

Parata’s Director of Sales Operations, Andrea Overfield, wins 2014 Stevie Award

Andrea Overfield - Stevie AwardWe’re thrilled to announce that Andrea Overfield, our director of sales operations, was recently awarded a Silver Stevie Award for Sales Operations Professional of the Year!

Andrea has spent more than 10 years playing a key role in building the infrastructure, processes, and procedures to support our team of sales professionals.  During Andrea’s tenure, the company earned a 25% reduction in velocity (number of days from opportunity creation to close) for Closed/Won opportunities and a 19% average annual rise in opportunity creation. With support from our HR and training teams, Andrea has also been instrumental in the customization of The Brooks Group’s IMPACT Selling® and Sales Management Workshop™ training and reinforcement programs for our sales force. In 2013, she was named one of the Top Sales Operations Leaders to Watch by sales and marketing consulting services leader, Sales Benchmark Index.

Our executive vice president of sales and business development, Jay Blandford, commented: “Andrea has the unique ability to think about sales operations with a comprehensive past-present-future mentality. This trait, combined with her deep understanding of the importance of a supportive, unified sales force, is what makes her such an incredible asset to the team.”

To read more about today’s announcement, see the full release.

Please join us in congratulating Andrea!

How Does the Affordable Care Act Impact Independent Pharmacists?

It’s no secret that health care reform and the Affordable Care Act are changing the game for all the players on the healthcare team — including pharmacists.

As we look for ways to support patient wellness and combat our climbing healthcare costs, everyone is going to have to play differently. We’re on the fast track to a collaborative, integrated approach to caring for patients.

How did we get here, and what does it mean for independent pharmacists?

Let’s talk business in the new healthcare system.

Over the next few weeks, we’re going to dive deeper into these issues. What is the pharmacist’s role on the new healthcare team? How do independent pharmacists stay relevant in this new, value-based system? How do you become a critical part of new care models and show your impact? How do you use this time of uncertainty as a huge opportunity to drive business growth?

Stay tuned. We’re working with industry experts to gather answers and insights, and we’ll share them with you soon.

Video Transcript

“The healthcare crisis.”

We’ve all heard that phrase tossed around lately. Health care reform and the Affordable Care Act are changing the rules — significantly and rapidly. Let’s look at how we got here in the first place.

To put it simply, our healthcare costs have been climbing since 1990. Despite the spending, we’re not getting any healthier. Patient outcomes continue to decline.

A few things are contributing to this. We have a large aging population and higher life expectancy. And, a significant portion of our population is managing one or more chronic illnesses. Heart disease, diabetes, and cancer account for 80 percent of America’s health care spending.

So we have more people — sicker people — living longer, and requiring treatment over a longer period of time.

This led to a volume-driven healthcare system. Physicians, hospitals, and pharmacists were paid for each transaction. More transactions meant a bigger paycheck.

Well, healthcare reform is changing all of that — Obamacare or not. The shift has started, and there’s no going back.

We’re moving towards a value-based healthcare system, focused on a triple aim:
Parata’s pharmacy technology solution
1) better care
2) healthy people
3) and reduced costs

This means providers have to follow new rules. They must focus on the quality of care and impacting patient outcomes.

For independent pharmacists, this raises a big question: Will you be relevant in this new system?

We think you can be.

To pull it off, you’ll need a new approach. You’ll have to forge new partnerships to create the volume you need to stay in business. You’ll have to leverage technology to keep up with that demand and reduce your costs. And you’ll have to put the patient’s wellness first.

We’re here to help. Learn how Parata’s Pharmacy Technology Solutions put you out in front.

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