Patient Safety and Clinical Pharmacy Services Collaborative (PSPC)!

1. Patient Safety and Clinical Pharmacy Services Collaborative (PSPC)! Karen C. Williams, MBA, PharmD Office of Pharmacy Affairs Health Resources and Services Administration June 24, 2011

2. Questions to run on 2 • What is the PSPC? • What is the future of PSPC? • How can participants enroll in PSPC?

3. What we’re seeing everyday… • Complex, high-cost patients with chronic conditions receive many, often high-risk, medications from an array of unconnected sources. • This often does not result in health improvement, and in many cases, creates unsafe and sometimes deadly situations.

4. Call for action

5. The Solution in a Nutshell • Providing an additional modest level of clinical pharmacy services necessary to properly managethese complex, high-risk patients and their medication processes through an interdisciplinary care team… …is key to rapidly improving patients’ health and providing better, safer, patient-centered care.

6. Why Clinical Pharmacy Services? 6 • Medications play an integral role in managing chronic conditions • Clinical pharmacy services improve health outcomes and patient safety across a range of conditions • Published research on the economic benefit of CPS suggests cost effectiveness

7. Overview of PSPC WHAT:Improve patient safety and health outcomes, through integration of medication management/clinical pharmacy services into the care and management of high-risk, high-cost, complex patients HOW: • Rapid improvement method with demonstrated success - adapted from the Institute for Healthcare Improvement Breakthrough Series Model • Collaborative Learning about “What Works” (led by expert national faculty and national leaders ) • Best practices compiled from high performing patient care settings • Target high risk patients WHO:Now in its 3rd year - Over 120 community based teams are driving this work WHY: Growing burden of chronic disease, polypharmacy, highly fragmented, uncoordinated care delivery

8. Now in its 3rd year, PSPC Networks In Action:Community Partnerships Nationwide • 128 community-based, inter-professional teams in 43 states comprised of 300+ organizations, which include : • 92 Community Health Centers • 57 Schools of Pharmacy 26 Hospitals (Community, DSH, & Critical Access) • 11 Ryan White Grantees / HIV Organizations • 21 Community Pharmacies • 9 Primary Care Associations 7 State Government / Health Departments • 3 Rural Health Clinics • 3 Quality Improvement Organizations • 3 Schools of Medicine • Visit http://www.hrsa.gov/patientsafety to see an updated PSPC 3.0 roster

9. Key Benefits PSPC Participation 9 • Exposure to Cutting Edge People and Methods on Quality Improvement, Leadership & Change Management • Opportunity to Be A Part of a Major National Movement in a Rewarding All Teach, All Learn Environment

10. PSPC Model Enroll Participants Select Topic Prework P P Identify ChangeConcepts D A A D Planning Group Faculty S S AP1 LS 1 LS 2 AP2 LS 3 Improvement Assistance Supports ListServSite Visits & Filming Conference Calls Team sharing Healthcare Communities.org Leadership Coordinating Council PDSA=Plan, Do, Study, Act LS= Learning Session AP=Action Period

11. The Collaborative is… 11 Helping its teams to transform their local healthcare delivery systems by identifying and spreading the leading practices of high performing safety net providers that have used clinical pharmacy services to achieve improved health and safety for their patients.

12. PSPC is being nationally recognized • 2010 - Received the “Healthcare Transformation Award” from Communities Joined in Action which recognizes a replicable and transferable idea, tool, project, or learning that has value in community safety net care • 2009 – Received the “Promising Practice Award of Excellence” from the American Diabetes Association 3rd Annual Disparities Forum

13. PSPC 2.0 Teams’ Populations of Focus

14. Patient Safety and Clinical Pharmacy Services Collaborative Aim 14 To save and enhance thousands of lives a year by: 1. Achieving optimal health care outcomes 2. Eliminating adverse drug events 3. Increasing clinical pharmacy services Vision: By 2015 – 3,000 communities have an integrated delivery system that assure optimal health outcomes and patient safety

15. What does open enrollment mean? • Join any time! • Join the collaborative cycle and participate with current PSPC teams • Participate in monthly All Team Calls, learning events and other collaborative activities • Learn from the 120+ teams that are already doing this work!!

16. Why participate now? • HRSA recognizes the value in opening up this effort to any organization/partner who is ready to join others to improve patient safety and health outcomes • Some organizations weren’t ready to join in the Fall but are ready to participate now! • Provide an opportunity to introduce you, our partners, to the PSPC work

17. Charge to the AANP Community 17 • It’s the Right Thing to Do for the Patients We Serve • Safer • Increased and Better Pharmacy Services • Improved Health Outcomes • Not new work! Aligned with national standards of care, integrates into performance improvement plan • Reduces/Manages Risk – and Risk is Increasing • Reduces Inappropriate Use of Polypharmacy – Better Medication Management

18. For more information: • HRSA PSPC Website (http://www.hrsa.gov/patientsafety