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Clinical Pharmacist Services in North Carolina Communities: Improving Medication Adherence

The Carolina's Leading Destination for Community-Based Clinical Pharmacy Services. KDI Health Solutions (KHS) is a healthcare provider organization specializing in preventive and chronic care management.The mission of KHS is to optimize healthcare outcomes related to cost, quality, and access

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Clinical Pharmacist Services in North Carolina Communities: Improving Medication Adherence

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    1. Clinical Pharmacist Services in North Carolina Communities: Improving Medication Adherence Gretchen Jenkins, PharmD October 2, 2008

    2. The Carolinas Leading Destination for Community-Based Clinical Pharmacy Services To provide you with a little background on who we are.To provide you with a little background on who we are.

    3. What are Clinical Pharmacy Services? DEFINITION: patient-centered services that promote the appropriate selection and utilization of medications. Its objective is to optimize individual therapeutic outcomes. Clinical pharmacy services are provided by an inter-professional healthcare team through individualized patient assessment and management. These services are best provided by a pharmacist or by another healthcare professional in collaboration with a pharmacist. Health Resources and Services Administration, U.S. Department of Health and Human Services

    4. Clinical Pharmacy Locations

    5. We currently have 9 ADA recognized sites and are in the process of growing this recognition. Kerr Drug currently has the only community based ADA recognized diabetes education program. The ADA Program consists of 7 classes provided by clinical pharmacists and dieticians. We focus on optimizing diabetes related outcomes through one on one and group classes. Our focus on working with these patients is adherence to ADA guidelines as well as optimizing both pharmacologic and non pharmacologic treatments. We currently have 9 ADA recognized sites and are in the process of growing this recognition. Kerr Drug currently has the only community based ADA recognized diabetes education program. The ADA Program consists of 7 classes provided by clinical pharmacists and dieticians. We focus on optimizing diabetes related outcomes through one on one and group classes. Our focus on working with these patients is adherence to ADA guidelines as well as optimizing both pharmacologic and non pharmacologic treatments.

    6. 2008 NC Diabetes Provider of the Year

    7. The Asheville ProjectTM

    8. Kerr Drug Associate Diabetes Program

    9. All of these programs allow for the clinical pharmacist to meet with the patient face to face or via phone appointments to review their medication regimen and discuss solutions to optimize adherence to medication therapy.All of these programs allow for the clinical pharmacist to meet with the patient face to face or via phone appointments to review their medication regimen and discuss solutions to optimize adherence to medication therapy.

    10. CheckMedsNC Developed by Lt. Gov. and candidate for Governor, the Honorable Beverly Perdue Announced launch of program at Kerr Drug pharmacy Any NC resident 65 or older Medicare Part D plan 55% of all activity to date performed by KDI Health Solutions

    11. Comprehensive Medication Review Compliance Patient consultation MD consultation Cost-Efficacy management Drug Therapy Problems Payment for pharmacist services have grown considerably over the past several years and continue to grow BCBS-AL example Cannot execute these programs as part of todays pharmacy workflow But revenue streams are big enough and important enough to dedicate resources At this point, letting our inability to fit clinical services into the existing dispensing model would be an irreversible misstep in readying for pharmacys future The only thing that has changed in this scenario is that instead of more revenue for services is flowing by the day and whereas before we were a lone voice, there are a multitude of others sharing our vision. Managed Care (show magazine), state of North Carolina, the federal government, and the private sector. Project Destiny reads like our business plan. Payment for pharmacist services have grown considerably over the past several years and continue to grow BCBS-AL example Cannot execute these programs as part of todays pharmacy workflow But revenue streams are big enough and important enough to dedicate resources At this point, letting our inability to fit clinical services into the existing dispensing model would be an irreversible misstep in readying for pharmacys future The only thing that has changed in this scenario is that instead of more revenue for services is flowing by the day and whereas before we were a lone voice, there are a multitude of others sharing our vision. Managed Care (show magazine), state of North Carolina, the federal government, and the private sector. Project Destiny reads like our business plan.

    13. 2007 National MTM Provider of the Year

    14. Chart reviews Assisted Living Facilities (ALFs) Group Homes Quarterly Medication Review by Pharmacist Required In-services Educational Programs

    15. Improving adherence to ACIP guidelines in the area of adult immunization services.Improving adherence to ACIP guidelines in the area of adult immunization services.

    16. Academic Partnerships KDI Health Solutions Clinical Coordinators are either shared or adjunct faculty 7 Accreditted Community Pharmacy Residency positions residents serve as guest lecturers and laboratory assistants at SOPs Faculty Practitioners have practices at KHCC All clinical practices serve as Advanced Practice Clerkship sites One year post-PharmD experience 40 Residency Program graduates over past 10 years Residency Program key to strength of Clinical Team Based at Clinical Hub with Clinical Coordinator as Primary Preceptor One year post-PharmD experience 40 Residency Program graduates over past 10 years Residency Program key to strength of Clinical Team Based at Clinical Hub with Clinical Coordinator as Primary Preceptor

    17. Explain Practice-based Research. Each of our Community Pharmacy residents conduct a research project. Explain Practice-based Research. Each of our Community Pharmacy residents conduct a research project.

    18. National Pinnacle Award Winner 2006 American Pharmacists Association Foundation Pinnacle Award for Demonstrating Quality in the Medication Use Process Group Practice Category We have been highlighted in seveal news outlets including the USA Today, Wall Street Journal, NBC Nightly News, New York TimesWe have been highlighted in seveal news outlets including the USA Today, Wall Street Journal, NBC Nightly News, New York Times

    19. NC Pharmacist Adherence Survey NCAHC & KDI Health Solutions Partnership Survey provided to: ~9100 pharmacists Survey completed by: 1420 (~16%) pharmacists Are you interested in being an active participant on a committee that will focus on medication adherence? 13.1% said Yes

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