DHA Clinical Pharmacy Service Line

Kevin W. Roberts, COL, MSPharmacy Consultant to the USA Surgeon General

Director, USA Pharmacy Service Line

The American Pharmacist Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Kevin W. Roberts declares no conflicts of interest, real or apparent, and no financial interests in any company, product, or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria.

CPE Information and Disclosures

Target Audience: Pharmacists and Pharmacy Technicians

ACPE#: 0202-0000-18-207-L04-P/T

Activity Type: Knowledge-based

CPE Information

Learning Objectives

1. Define the strategic pillars associated with the Army Pharmacy strategic plan.

2. Discuss the ways your MTF has implemented practices to achieve strategic objectives and actions to date.

3. Describe new specific strategic plan objectives and actions that impact your pharmacy practice as a staff member/pharmacy leader.

4. Discuss measures of performance and effect that are related to your pharmacy practice.

Self-Assessment Questions

1. Which of the following is a measure of performance that supports the DHA Clinical Pharmacy Service Line: a. Wait time b. National Contract Compliance c. RVU's/FTE d. B2G d. All the above e. None of the above

OUTLINE

BACKGROUND CPSL AREAS OF INTEREST CPSL FOCUS MILESTONES MEASURES OF PERFORMANCE/EFFECT DHA CPSL WORK GROUP CLOSING REMARKS

BACKGROUND--MHS Operating Model Purpose Statement

To enable front line clinicians to drive Enterprise-wide performance improvements in readiness and health; empower Enterprise-level Clinical Communities to create conditions for high reliability at the point of care (processes, standards, metrics); and hold ourselves

accountable to MHS standards and clinical outcomes.

BACKGROUND

BACKGROUND

The Clinical Pharmacy Service Line (CPSL) is one of three lines of effort utilized by the DHA Pharmacy Operations Division to improve provision of healthcare within the MHS.

Purpose: The Clinical Pharmacy Service Line will enhance readiness, improve health, and lower costs of care through optimized provision of pharmaceutical care.

Established multi-service workgroup in May 2018

Goals

Standardize manning, processes and accounting of clinical pharmacy services.

Collaborative development with best practices (to include Services, VA and Public Health)

Guide/develop DHA foundational publications

CPSL Areas of Interest

Coding

Reporting

Staffing

Civilian PD’s

Credentialing and Privileging

Metrics (performance/effectiveness)

Training and Competency Assessment

Ready Medical Force/Medically Ready Force

Analytics Team

CPSL FOCUS

Coding: Identified significant variance among services

Engaged DHA coding work group

Ultimate goal: DHA instruction manual

Resources

Personnel

Clinical Pharmacists (1:6,500 Prime Enrollees)

Clinical Technicians

Interventional Software

Position Standardization

Various position descriptions being consolidated

Position/Pay parity

CPSL FOCUS

Measures of Performance

RVU’s/FTE

% patient care time/RVU

Measures of Effect

Disease specific

Quality

Readiness

Polypharmacy

Potentially deployment limiting medication

CPSL FY19 MILESTONES

Provide resource requirements to Director, DHA POD by 1 October 2018.

Establish a Service Member readiness metric by 1 October 2018 (Army Lead)

Establish DHA CPSL PI by 31 March 2019 (Air Force Lead)

Submit standard PD’s by 31 March 2019 (Navy Lead)

Establish standard credentialing/privileging process by 31 March 2019

DHA’s Clinical Pharmacy Service Line Work Group

1. Which of the following is a measure of performance reflected in the DHA Clinical Pharmacy Service Line: a. Wait time b. National Contract Compliance c. RVU's/FTE d. B2G d. All the above e. None of the above

DHA’s CPSL Work Group

COL Kevin Roberts, (co-chair/consultant champion), USA

Col Melissa Howard (co-chair/consultant champion), USAF

Dr. David Meade (co-chair), DHA COL Jeff Neigh, USA

Dr. Jennifer Evans, DAC, USA

LtCol Heather Fenzl, USAF

LtCol Julie Meek, USAF

Maj Sokunthea Peou, USAF

CDR Janel Rossetto, USN

LCDR Reina Gomez, USN

Dr. Alexandra Vance, DAC, USN

LTC(P) Mark Maneval, USA, DHA

CDR Thien Nguyen, USPHS, DHA

Dr. Ingrid Svihla, DAC, DHA

Closing RemarksKevin W. Roberts, COL, MS

Pharmacy Consultant to The USA Surgeon GeneralDirector, USA Pharmacy Service Line

(kevin.w.roberts18.mil@mail.mil/703-681-5959)

“One Team – One Purpose, Conserving the Fighting Strength”