safety, quality, and the pharmacy practice model initiative: aligning for success scott knoer, m.s.,...
TRANSCRIPT
![Page 1: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/1.jpg)
Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success
Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success
Scott Knoer, M.S., Pharm.D.
Chief Pharmacy Officer
Cleveland Clinic
![Page 2: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/2.jpg)
ObjectivesObjectives
• Describe metrics and a process that can be used to measure the quality of change that occurred and ensure that a positive change has taken place
• Describe how organizations have implemented safety and quality principles in daily practice
![Page 3: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/3.jpg)
A Case Study at the Cleveland Clinic
A Case Study at the Cleveland Clinic
• Impacting metrics that count
- HCAHPS medication scores
- HF readmission reduction
![Page 4: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/4.jpg)
Insured Payor MixInsured Payor Mix
53.2 53.1 52.8 52.5 52.6
68.271.2
74.2
46.8 46.9 47.5 47.4
31.828.8
25.8
47.2
52.547.5
0
10
20
30
40
50
60
70
80
2010 YTDJune
FC11 FC12 FC13 FC14 FC15 FC16
Governmental CommercialGovt. No Huron Coml. No Huron
Note: Based on gross charges. Excludes strategic projects in forecasted period.Detail
%
Exchange
![Page 5: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/5.jpg)
-$96
-$118-$129
-160
-120
-80
-40
0
2014 2015 2016
Detail
$Millions
Projected Impact of Healthcare Reform
![Page 6: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/6.jpg)
HCAHPS ScoresHCAHPS Scores
• Hospital Consumer Assessment of Healthcare Providers & Systems
• Measures patients’ perceptions of their hospital experience
• Tied to hospital reimbursement
![Page 7: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/7.jpg)
Why Do HCAHPS Scores Count?
Why Do HCAHPS Scores Count?
• Publically reported measures • Beginning this year, government
reimbursement is directly tied into HCAHPS Scores
• Underperformers will get less money
![Page 8: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/8.jpg)
Medication Domain Questions
Medication Domain Questions
• Purpose of new medications explained • Side effects described • Medication Communication
- Composite score based on the percent of patients responding ‘Always’
![Page 9: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/9.jpg)
HF ReadmissionsHF Readmissions
• Unplanned readmissions cost Medicare $17.4 billion a year, and HF is the most frequent reason for rehospitalizations (Jencks et al., 2009).
• Reducing readmission rates has the potential to lead to significant cost savings
• You get paid less if you have high readmissions
http://www.medscape.com/viewarticle/722234
![Page 10: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/10.jpg)
Ask 3, Teach 3Ask 3, Teach 3
• Ask 3• Patients will be encouraged to "Ask 3"
so they understand the name, purpose and possible side effects of their medications
![Page 11: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/11.jpg)
Ask 3, Teach 3Ask 3, Teach 3
• Teach 3: System wide pharmacy competency
- The name of the medication
- Describe the purpose of the medication
- Explain possible side effects (Note: It’s important to use the words possible side effects in the conversation)
![Page 12: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/12.jpg)
Pharmacy HF EducationPharmacy HF Education
• Every Cleveland Clinic patient discharges with a primary diagnosis for HF receives discharge education from a pharmacist
• System competency
![Page 13: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/13.jpg)
Bedside Delivery of Medications
Bedside Delivery of Medications
• Bedside delivery option for discharge Rx for all HF patients
- Tech driven literacy survey
- iPad education pilots
![Page 14: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/14.jpg)
Summary of ProjectsSummary of Projects
• Patient Experience
- Bedside discharge delivery
- HF education
- Ask 3, teach 3 education
![Page 15: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/15.jpg)
Enterprise Medication HCAHPS Scores
![Page 16: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/16.jpg)
Enterprise 30-Day HF Readmissions
![Page 17: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/17.jpg)
FutureFuture
• Expand discharge delivery option to all patients
- Leverage technology• iPads•Portable credit card readers
• Expand RPh education to selected groups
• Manage the continuum
![Page 18: Safety, Quality, and the Pharmacy Practice Model Initiative: Aligning for Success Scott Knoer, M.S., Pharm.D. Chief Pharmacy Officer Cleveland Clinic](https://reader035.vdocuments.us/reader035/viewer/2022070400/56649e565503460f94b4ee94/html5/thumbnails/18.jpg)
`̀
Every Life Deserves World Class Care