Patient Safety and Clinical Pharmacy Services

Collaborative (PSPC)!

Karen C. Williams, MBA, PharmDOffice of Pharmacy Affairs

Health Resources and Services AdministrationJune 24, 2011

Questions to run on

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What is the PSPC? What is the future of PSPC? How can participants enroll in PSPC?

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What we’re seeing everyday…3

Complex, high-cost patients with chronic conditions receive many, often high-risk, medications from an array of unconnected sources.

This often does not result in health improvement, and in many cases, creates unsafe and sometimes deadly situations.

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Call for action

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The Solution in a Nutshell

Providing an additional modest level of clinical pharmacy services necessary to properly manage these complex, high-risk patients and their medication processes through an interdisciplinary care team…

…is key to rapidly improving patients’ health and providing better, safer, patient-centered care.

Why Clinical Pharmacy Services?

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Medications play an integral role in managing chronic conditions

Clinical pharmacy services improve health outcomes and patient safety across a range of conditions

Published research on the economic benefit of CPS suggests cost effectiveness

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Overview of PSPC7

WHAT: Improve patient safety and health outcomes, through integration of medication management/clinical pharmacy services into the care and management of high-risk, high-cost, complex patients

HOW: Rapid improvement method with demonstrated success - adapted

from the Institute for Healthcare Improvement Breakthrough Series Model

Collaborative Learning about “What Works” (led by expert national faculty and national leaders )

Best practices compiled from high performing patient care settings Target high risk patients

WHO: Now in its 3rd year - Over 120 community based teams are driving this work

WHY: Growing burden of chronic disease, polypharmacy, highly fragmented, uncoordinated care delivery

128 community-based, inter-professional teams in 43 states comprised of 300+ organizations, which include :

92 Community Health Centers 57 Schools of Pharmacy 26 Hospitals (Community, DSH, & Critical Access) 11 Ryan White Grantees / HIV Organizations21 Community Pharmacies 9 Primary Care Associations 7 State Government / Health Departments 3 Rural Health Clinics 3 Quality Improvement Organizations 3 Schools of Medicine

Visit http://www.hrsa.gov/patientsafety to see an updated PSPC 3.0 roster

Now in its 3rd year, PSPC Networks In Action:Community Partnerships Nationwide

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Key Benefits PSPC Participation

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Exposure to Cutting Edge People and Methods on Quality Improvement, Leadership & Change Management

Opportunity to Be A Part of a Major National Movement in a Rewarding All Teach, All Learn Environment

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PSPC Model

Improvement Assistance Supports

ListServ Site Visits & Filming

Conference Calls Team sharing

Healthcare Communities.org

Leadership Coordinating Council

PDSA=Plan, Do, Study, Act

LS= Learning Session

AP=Action Period

Select Topic

Planning Group

Faculty

Identify Change

Concepts

Enroll Participants

Prework

LS 1

P

S

A DP

S

A D

LS 3LS 2AP1 AP2

The Collaborative is…

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Helping its teams to transform their local healthcare delivery systems by identifying and spreading the leading practices of high performing safety net providers that have used clinical pharmacy services to achieve improved health and safety for their patients.

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PSPC is being nationally recognized

2010 - Received the “Healthcare Transformation Award” from Communities Joined in Action which recognizes a replicable and transferable idea, tool, project, or learning that has value in community safety net care

2009 – Received the “Promising Practice Award of Excellence” from the American Diabetes Association 3rd Annual Disparities Forum

PSPC 2.0 Teams’ Populations of Focus13

15%

8%

5%

54%

13%5%

Distribution of Teams by PoF

AnticoagAsthmaBPDiabetesHIV/AIDSLDL

Patient Safety and Clinical Pharmacy Services Collaborative Aim

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To save and enhance thousands of lives a year by:1. Achieving optimal health care outcomes

2. Eliminating adverse drug events

3. Increasing clinical pharmacy services

Vision: By 2015 – 3,000 communities have an integrated delivery system that assure optimal health outcomes and patient safety

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What does open enrollment mean?15

Join any time!

Join the collaborative cycle and participate with current PSPC teams

Participate in monthly All Team Calls, learning events and other collaborative activities

Learn from the 120+ teams that are already doing this work!!

Why participate now? 16

HRSA recognizes the value in opening up this effort to any organization/partner who is ready to join others to improve patient safety and health outcomes

Some organizations weren’t ready to join in the Fall but are ready to participate now!

Provide an opportunity to introduce you, our partners, to the PSPC work

Charge to the AANP Community

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It’s the Right Thing to Do for the Patients We Serve Safer Increased and Better Pharmacy Services Improved Health Outcomes Not new work! Aligned with national standards of care,

integrates into performance improvement plan

Reduces/Manages Risk – and Risk is Increasing

Reduces Inappropriate Use of Polypharmacy – Better Medication Management

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For more information:18

HRSA PSPC Website (http://www.hrsa.gov/patientsafety