1. ARKANSAS COMMUNITY PHARMACY ENHANCED SERVICES NETWORK
Anne Pace, Pharm.D.

2. Pharmacist Objectives
1. Define a community pharmacy enhanced service network
2. Describe the mission of Arkansas CPESN as it applies to patient care outcomes and the health system
3. Review the Arkansas CPESN required and optional enhanced services provided in community pharmacy settings
4. Demonstrate how a clinically integrated network of community pharmacies can collaborate with health systems to improve patient care

3. Technician Objectives
1. Define a community pharmacy enhanced service network (CPSEN)
2. Outline the mission of Arkansas CPESN
3. Discuss which enhanced services are required and optional per Arkansas CPESN
4. Explore how a clinically integrated network of community pharmacies can work with health systems to improve patient care.

4. What are the top 3 needs in managing complex patients?
identifying target patients
avoid readmission
control costs

5. Formation of Community Pharmacy enhanced services network
In 2014, Community Care of North Carolina (CCNC) created the initial Community Pharmacy Enhanced Services Network (CPESN)
A network of 262 North Carolina pharmacies committed to broadening the availability of medication management resources to the highest-needs population
$15 million grant by Center for Medicare and Medicaid Innovation (CMMI) Round 2 Health Care Innovations Award
Determine payment models for enhanced services
Determine workflow, communication, task sharing between community pharmacies and PCMH
Determine health information technology required
Support for growth and adoption by other states

6. WHAT IS Arkansas CPESN?
A network of high performance community pharmacies striving to…
optimize patient health outcomes through appropriate medication management, and
integrate enhanced patient care services with other providers, health systems, and accountable care organizations (ACOs)

7. Arkansas CPESN Mission Statement
Arkansas CPESN serves to coordinate care in community-based pharmacies through collaboration with other health care providers to optimize medication therapy to ensure patients are achieving positive therapeutic outcomes and reducing overall healthcare costs

8. ARKANSAS CPESN DEVELOPMENT TIMELINE
August 2016
Sept – Oct 2016
Dec – Jan 2017
Informational webinar
Identified luminaries and workgroup volunteers
Determined minimum required pharmacy services and participation agreement
March 2017
Launch
Sept 2016
Nov 2016
Feb 2017
Informational webinar
Live kick-off meeting
Pharmacy recruitment and distributed participation agreement

9. AR CPESN REGIONAL DIRECTORS
Max Caldwell – CEO – Wynne
Brandon Cooper – Jonesboro
Michelle Crouse – Lake Village
Bobby Glaze– Camden
Duane Jones – Springdale
Keith Larkin – Fort Smith
Brenna Neumann – Bentonville
Anne Pace – Little Rock

10. Current AR CPESN Network

11. REQUISITE ENHANCED Services
Medication Synchronization with personal medication record
Adherence Packaging
Comprehensive Medication Review with follow-up
Transitions of Care
with 24-hour availability
Immunizations

12. Transition of care
Medication reconciliation, medication therapy management, and patient education
Service provided on referral or targeted toward patient populations at increased risk for readmission, such as patients with heart failure, chronic obstructive pulmonary disease, asthma, advanced age, low health literacy, and frequent hospitalizations.
Non-dispensing 24-hour on call to assist in these transitions.
Home delivery

13. Other available enhanced Services
Delivery
Compounding
Durable Medical Equipment
Participation in REMS programs
Specialty Pharmacy Dispensing
Home Visits
Nutrition Counseling
Smoking Cessation Programs
Therapeutic Substitution
Point of Care Testing

14. Quality Assurance and improvement

15. AR CPESN is open to community pharmacies who agree to:
Provide five key requisite services;
Share their data and be subject to audit in order to measure and assess quality control; and
Be subject to remediation or termination if performance falls below network standards.
To date, 162 community pharmacies have signed participation agreements, including chains and independents.

16. AR CPESN PHARMACIES OFFER:
focused interventions that change patient behavior and lead to improved patient health outcomes
the experience necessary to provide medication optimization and other enhanced services
scores that are 5% higher than other pharmacies on multiple measures of medication adherence
a collaborative approach with other health care team members who are held jointly accountable

17. Pharmacy locator

18. Potential

19. CPESN networks Across the Country

20. Value based model
Ref: 2010 performance analysis of Community Care of North Carolina primary care practices with integrated community-based pharmacy

21. Did You Know?
Community pharmacies see their complex patients 35 times per year compared to 3.5 times per year for physicians.

22.
Thank You