1 / 11

Trinity Pioneer ACO MTM Program Results

Trinity Pioneer ACO MTM Program Results. MTM Referral Process – Trinity ACO. High Risk Chronic Care Patients. High Risk Transition of Care Patients.

amos-good
Télécharger la présentation

Trinity Pioneer ACO MTM Program Results

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Trinity Pioneer ACO MTM Program Results

  2. MTM Referral Process – Trinity ACO High Risk Chronic Care Patients High Risk Transition of Care Patients Population Management Pharmacist High risk patients identified by review of claims data (high risk medications, multiple prescribers, not achieving quality measures; nonadherence). Trinity Pharmacists Identify patients on high-risk medications or fit criteria for needing post-discharge follow-up. Primary Activities • Create linkages with case management & analytics • Identify and triage high risk MTM patients • Solve medication issues telephonically, if able • Send referrals to MTM-Trained community pharmacists via OutcomesMTM platform Iowa Health ACO Pharmacists (Triage High-risk Patients) Referral Primary Activities Communication • Complete MTM activities for all referred patients • Assist with medication reconciliation • Assist with monitoring for pts started on high risk med (ex: insulin, steroids, antiplatelets, warfarin) • Assist with improving medication adherence • Document activities in OutcomesMTMplatform • Communicate with providers as needed OutcomesMTM MTM-Trained Community Pharmacist Providers

  3. Unique Patients Served per Month (including referrals) • 10.01.2013-06.30.2014 3

  4. Unique Patients Served per Month 80/267 = 30.0% 269/543 = 49.5% • 10.01.2013-06.30.2014 4

  5. MTM Claims per Month (including referrals) • 10.01.2013-06.30.2014 5

  6. MTM Claims per Month • 10.01.2013-06.30.2014 6

  7. MTM Claims Summary Average 2.4 MTM claims per patient • 10.01.2013-06.30.2014 7

  8. Top Reasons for MTM Services • 10.01.2013-06.30.2014 8

  9. Top Results for MTM Services • 10.01.2013-06.30.2014 9

  10. Top Pharmacy Performers 10

  11. DISCUSSION • Feedback or topics from pharmacists • Prioritizing patients in cue • Discharge patients vs. others • Communication from leadership team • 1-on-1 visits • Live group meetings • Expected project timeline

More Related