Document

Report
HRSA Patient Safety and Clinical
Pharmacy Services Collaborative
CDR Krista M. Pedley, PharmD, MS
Director
U.S. Department of Health and Human Services
Health Resources and Services Administration
Healthcare Systems Bureau
Office of Pharmacy Affairs
Overview
• What is the Patient Safety and Clinical Pharmacy
Services Collaborative (PSPC)?
• How will PSPC function over the collaborative year?
• How will teams/partners build the defining relationships
to success in PSPC 4.0?
• What are some of the success stories?
• How to participate in PSPC 4.0?
2
HRSA Patient Safety and Clinical
Pharmacy Services Collaborative (PSPC)
WHAT: Quality Improvement Collaborative aimed at
improving health outcomes and patient safety for highrisk patients (Adapted IHI Breakthrough Series
Collaborative Model)
Improve the delivery system where there are gaps by:
– Enhancing care coordination among the providers and
partners involved
– Fostering multidisciplinary, team based care approach
– Strengthening patient centered medical home
– Integrating medication management and other services to
minimize harm related to adverse drug events and maximize
optimal health outcomes
3
HRSA Patient Safety and Clinical Pharmacy
Services Collaborative (PSPC)
WHO: Community based teams across the country
– Organizations include safety net provider and hospitals, public
health departments, and HIV clinics
– Partners include colleges of pharmacy, primary care
associations, and Quality Improvement Organizations,
– Multidisciplinary care teams delivering patient centered services
to improve medication safety and health outcomes
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PSPC Goal
• Integrate the healthcare delivery system, across
multiple healthcare partners, to create a service
delivery system for high-risk patients that will
produce breakthroughs in the following three areas:
– 1) Improved patient health outcomes
– 2) Improved patient safety
– 3) Increase cost-effective clinical pharmacy services
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PSPC Value Proposition
The nation’s communities have high medication risk
patient populations that are in crisis.
Better care, better health: PSPC community partners
offer their high risk patients an innovation in service
delivery design that can bring health status and safety
under control.
Lower costs: They offer a business case innovation
where health plans can manage a reduction in health
care costs by shifting patients from high cost
uncoordinated care to lower cost coordinated care.
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PSPC Model (Adapted from IHI Breakthrough
Collaborative Series)
PDSA=Plan, Do, Study, Act
Enroll Teams
LS= Learning Session
AP=Action Period
Prework
P
D
A
LS 1
P
S
AP1
A
D
S
LS 2
AP2
LS 3
Resources
ListServ
Tools/Guides
Conference Calls
Faculty Expertise
Healthcare Communities.org
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PSPC Timetable
• PSPC 1.0: August 2008 – Sept. 2009 with 68
community based teams
• PSPC 2.0: Sept. 2009 – Oct. 2010 with 110
community based teams
• PSPC 3.0: Oct. 2010 – Fall 2011 with 128 community
based teams
– Learning Session #1 – Oct. 2010
– Learning Session #2 – May – June 2011
– Learning Session #3 – Nov/Dec. 2011 (anticipated)
• PSPC 4.0: Fall 2011 –
– Learning Session #1 – January 2012 (face to face)
– Learning Session #2 – Spring 2012 (anticipated, virtual)
– Learning Session #3 – Fall 2012 (anticipated, face to face)
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Key Attributes of the PSPC
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• Patient-Centered
• Interdisciplinary Care Team
• Cross-Organizational with Health Homes at
•
•
•
the Center
Systematically Addresses Medication
Management, Safety and Risk -- Huge
Issues for Ambulatory Care Patients
All Teach, All Learn
Align with national efforts – Partnership for
Patients
It Is Truly the
Next Generation of Collaboratives!
9
PSPC 4.0
What we look like today:
• 210 Teams – Greatest Number of Teams yet!
• 48 states, District of Columbia, Puerto Rico and Virgin
Islands
• 550+ Partnering Organizations
• associations, clinics, community organizations,
colleges & universities, hospital-related, pharmacies,
state/local government
• Schools of Pharmacy
– 54 participating
– Teams have partnered with a school of pharmacy
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PSPC 4.0
New for 4.0
• Partnership with CMS and Quality Improvement
Organizations (QIOs)
–
–
–
–
–
CMS 10th Scope of Work Contract
Partner with existing teams
Create new PSPC teams
Provide support and data analysis to teams
Create partnering opportunities for teams within the
state
• 47 QIOs participating
• 95 Teams (and still counting!) partnering with QIO
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PSPC 4.0
5.0
What does PSPC 5.0 look like:
– PSPC Alliance support
– Grants
– Outside funding
– CMS Funding: QIOs only with
management from the NCC
• More spread and national awareness
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PSPC 4.0 Measures
Traditional PSPC Teams
QIO-Partnered Teams
Anticoagulation
Asthma
Depression
Diabetes
Dyslipidemia
HIV/AIDS
Hypertension
Adverse Drug Events
Potential Adverse Drug
Events
Anticoagulation
Antipsychotic
Diabetes
Adverse Drug Events
Potential Adverse Drug
Events
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PSPC 4.0 Participation
Process
1. Step 1 – Read PSPC Info Packet
2. Step 2 – Complete PSPC Participation Package
(online)
–
Share contact information for team/partners
3. Step 3 – HRSA will review information and send a
“welcome” email to the team lead
Website:
http://www.hrsa.gov/patientsafety
http:/www.healthcarecommunities.org
Open Enrollment !!
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Contact Information
Office of Pharmacy Affairs (OPA)
Phone: 301-594-4353
Web: http://www.hrsa.gov/opa and
www.hrsa.gov/patientsafety
Apexus Answers™ Call Center
Phone: 1-888-340-2787 (340B PVP)
[email protected]
www.340bpvp.com
Pharmacy Services Support Center (PSSC)
Phone: 1-800-628-6297
Web http://pssc.aphanet.org/

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