Integrating Healthcare
Integrating pharmacy services in a patient-centered medical home community health center Melodie Gee, Director of Quality, Lower Lights Christian Health Center Allan Zaenger, Executive Director/Pharmacist, Charitable Pharmacy of Central Ohio
Integrating behavioral and physical healthcare Julie Erwin Rinaldi, CEO, Syntero Beth Whitted, Regional Director of Clinical Operations, Columbus Neighborhood Health Center
www.hcgc.org
Integrating Healthcare
Integrating pharmacy services in a patient-centered medical home community health center Melodie Gee, Director of Quality, Lower Lights Christian Health Center Allan Zaenger, Executive Director/Pharmacist, Charitable Pharmacy of Central Ohio
Integrating behavioral and physical healthcare Julie Erwin Rinaldi, CEO, Syntero Beth Whitted, Regional Director of Clinical Operations, Columbus Neighborhood Health Center
www.hcgc.org
Lower Lights Christian Health Center Columbus, Ohio A Faith based, Non Profit Community Health Center MISSION OF LLCHC
LLCHC ministers the love of Christ as a model full service medical home, focused on whole person wellness, available to all in Central Ohio who need it regardless of ability to pay VISION STATEMENT
LLCHC transforms the overall health of Central Ohio, serving one individual and family at a time
Vision Statement
All people have affordable and sustainable prescription medications and pharmacy services that optimize health in our community. Mission Statement
To provide affordable and appropriate pharmacy services* and coordinate access to health care for people who are vulnerable** in our community *Pharmacy Services – medicines and necessary services to ensure optimum clinical outcomes ** Vulnerable – those living at or below 200% of the federal poverty level who are uninsured or underinsured for prescription medications.
Facts • 5 Sites • 2 Counties • 9,774 Users/Patients • 45,000 Annual Visits • 25% of Patients with a depression diagnosis receive counseling at LLCHC • >70% of Patients at LLCHC have a Comorbid Mental Health or Substance Abuse diagnosis
Services • • • • • • • • •
Primary Care Prenatal Care Behavioral Health Enabling Dental Vision Pharmacy Spiritual Care Nutrition
Vision Statement
All people have affordable and sustainable prescription medications and pharmacy services that optimize health in our community. Mission Statement
To provide affordable and appropriate pharmacy services* and coordinate access to health care for people who are vulnerable** in our community *Pharmacy Services – medicines and necessary services to ensure optimum clinical outcomes ** Vulnerable – those living at or below 200% of the federal poverty level who are uninsured or underinsured for prescription medications.
Vision Statement
All people have affordable and sustainable prescription medications and pharmacy services that optimize health in our community. Mission Statement
To provide affordable and appropriate pharmacy services* and coordinate access to health care for people who are vulnerable** in our community *Pharmacy Services – medicines and necessary services to ensure optimum clinical outcomes ** Vulnerable – those living at or below 200% of the federal poverty level who are uninsured or underinsured for prescription medications.
Why Partner? • Lower Lights and Charitable Pharmacy have commonalities – Both Non-Profit – Both Support Underserved Populations – Both have primary locations near downtown – Both want comprehensive, whole person care for their patients – Both wanted to utilize the 340B Pharmacy program to further care for the uninsured
Desired Impact Integrating Pharmacy Services with the Health Center • Increased medication access to LLCHC patients • Revenue stream for both LLCHC and CPCO to help offset the cost of uninsured patients • Improved care coordination and quality with the Pharmacists as part of the Care Team • Efficiency in Drug Selection • Additional, convenient access to services by current/new patients
Lessons Learned • 340B pharmacy program is complex – especially with a non-traditional model • Change in organizational structure/ issues take time. We phased in the integration. • We improved Provider and Patient satisfaction through the integration – even through our phased approach
Next Steps • • • • • •
Finish the 340B implementation Improve our capture rate on prescriptions Finalize our audit and compliance process Enhance our reporting capabilities Further integrate our teams to improve care Expanded services