STEP, CYCLE, SWING Fundraiser

SUMMARY REPORT

Community Pharmacist and Family Medicine Physician Pre-Visit Collaboration for Patients Receiving Chronic Care Management Services

Jim Hoehns, PharmD, BCPS, FCCP, Northeast Iowa Family Practice Center 2020 Outcomes Innovative Pharmacy Grant Recipient

Pre-visit planning includes anticipating tasks necessary to support a patient’s clinic visit and proactively completing them in advance (e.g. medication review). Pre-visit preparation is a key component of the Patient-Centered Medical Home (PCMH) guidelines. This project entailed having pharmacists at Greenwood Pharmacy (GPh) perform pre-visit medication reviews for a group of Medicare patients at Northeast Iowa Family Practice Center (NEIFPC). These patients were enrolled in the Chronic Care Management (CCM) program at NEIFPC and received their prescriptions from GPh. A business agreement was created between NEIFPC and GPh. Pharmacists at GPh were granted access to the NEIFPC electronic health record (EHR) for enrolled subjects. NEIFPC submitted CCM claims to insurers for reimbursement. Net CCM funds were prorated and distributed between each party according to the number of billable minutes for each submitted claim.

Each week NEIFPC provided GPh a list of enrolled subjects who had a physician visit at NEIFPC the following week. Pharmacists at GPh would review their pharmacy records and the clinic EHR and document drug therapy recommendations (DTRs) in the EHR “Prep Note” section for the scheduled patient encounter. NEIFPC physicians would review the DTRs at the beginning of the patient encounter. Time tracking software in the EHR captured GPh and clinic staff time performing CCM services.

During the 8-month project, 95 of 145 eligible patients received at least one pre-visit medication review by GPh. Overall, GPh completed 129 pre-visit reviews. This resulted in 169 DTRs from GwPh and 76.3% were accepted by NEIFPC physicians. Time requirements were met to submit 92 CCM claims. Total net CCM revenue was $3306 (as of 4/28/21). Prorated distributions were: $1632 (NEIFPC) and $1674 (GwPh).

This project was successful in leveraging the community pharmacist’s expertise to make drug therapy recommendations for patients in advance of the physician-patient encounter. It also provided a mechanism for the community pharmacist to receive revenue for the service provided.

STEP, CYCLE, SWING

August 1-31, 2021

IPA will host a STEP, CYCLE, SWING for Student Scholarships fundraiser in 2021! Get active however you enjoy – whether running, biking, golfing, or performing any other activity – to raise money for student scholarships!

JUNE 15

LATE JULY

AUGUST 1-31

AUGUST 21

SEPTEMBER 1

Registration Opens • Sign up to participate with a $50 donation to the IPA Foundation. ($10 for students!) T-Shirts Mailed • Receive a newly-designed (and SUPER soft) t-shirt for this year’s fundraiser. STEP, CYCLE, SWING • Wearing your t-shirt, get active and post a picture on social media with the event hashtags. Each post is an entry in a drawing for a $100 Visa giftcard! Step Up for Students • An additional one-day fundraising event! Pharmacists are paired with a student pharmacist and pledge to donate $0.01 for each step taken by the student during the 24-hour period. Impact & Winners Announced