1. HRSA Patient Safety and Clinical Pharmacy Services Collaborative CDR Krista M. Pedley, PharmD, MS Director U.S. Department of Health and Human Services Health Resources and Services Administration Healthcare Systems Bureau Office of Pharmacy Affairs

2. 22 Overview What is the Patient Safety and Clinical Pharmacy Services Collaborative (PSPC)? How will PSPC function over the collaborative year? How will teams/partners build the defining relationships to success in PSPC 4.0? What are some of the success stories? How to participate in PSPC 4.0?

3. 33 HRSA Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) WHAT: Quality Improvement Collaborative aimed at improving health outcomes and patient safety for high- risk patients (Adapted IHI Breakthrough Series Collaborative Model) Improve the delivery system where there are gaps by: –Enhancing care coordination among the providers and partners involved –Fostering multidisciplinary, team based care approach –Strengthening patient centered medical home –Integrating medication management and other services to minimize harm related to adverse drug events and maximize optimal health outcomes

4. 44 HRSA Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) WHO: Community based teams across the country –Organizations include safety net provider and hospitals, public health departments, and HIV clinics –Partners include colleges of pharmacy, primary care associations, and Quality Improvement Organizations, –Multidisciplinary care teams delivering patient centered services to improve medication safety and health outcomes

5. 55 PSPC Goal Integrate the healthcare delivery system, across multiple healthcare partners, to create a service delivery system for high-risk patients that will produce breakthroughs in the following three areas: –1) Improved patient health outcomes –2) Improved patient safety –3) Increase cost-effective clinical pharmacy services

6. 66 The nation’s communities have high medication risk patient populations that are in crisis. Better care, better health: PSPC community partners offer their high risk patients an innovation in service delivery design that can bring health status and safety under control. Lower costs: They offer a business case innovation where health plans can manage a reduction in health care costs by shifting patients from high cost uncoordinated care to lower cost coordinated care. PSPC Value Proposition

7. 77 PSPC Model (Adapted from IHI Breakthrough Collaborative Series) Resources ListServ Tools/Guides Conference CallsFaculty Expertise Healthcare Communities.org PDSA=Plan, Do, Study, Act LS= Learning Session AP=Action Period Enroll Teams Prework LS 1 P S A D P S AD LS 3 LS 2 AP1 AP2

8. 88 PSPC Timetable PSPC 1.0: August 2008 – Sept. 2009 with 68 community based teams PSPC 2.0: Sept. 2009 – Oct. 2010 with 110 community based teams PSPC 3.0: Oct. 2010 – Fall 2011 with 128 community based teams –Learning Session #1 – Oct. 2010 –Learning Session #2 – May – June 2011 –Learning Session #3 – Nov/Dec. 2011 (anticipated) PSPC 4.0: Fall 2011 – –Learning Session #1 – January 2012 (face to face) –Learning Session #2 – Spring 2012 (anticipated, virtual) –Learning Session #3 – Fall 2012 (anticipated, face to face)

9. 99 Key Attributes of the PSPC Patient-Centered Interdisciplinary Care Team Cross-Organizational with Health Homes at the Center Systematically Addresses Medication Management, Safety and Risk -- Huge Issues for Ambulatory Care Patients All Teach, All Learn Align with national efforts – Partnership for Patients It Is Truly the Next Generation of Collaboratives! 9

10. 10 PSPC 4.0 What we look like today: 210 Teams – Greatest Number of Teams yet! 48 states, District of Columbia, Puerto Rico and Virgin Islands 550+ Partnering Organizations associations, clinics, community organizations, colleges & universities, hospital-related, pharmacies, state/local government Schools of Pharmacy –54 participating –Teams have partnered with a school of pharmacy

11. 11 PSPC 4.0 New for 4.0 Partnership with CMS and Quality Improvement Organizations (QIOs) –CMS 10 th Scope of Work Contract –Partner with existing teams –Create new PSPC teams –Provide support and data analysis to teams –Create partnering opportunities for teams within the state 47 QIOs participating 95 Teams (and still counting!) partnering with QIO

12. 12 PSPC 4.05.0 PSPC 4.0 5.0 What does PSPC 5.0 look like: –PSPC Alliance support –Grants –Outside funding –CMS Funding: QIOs only with management from the NCC More spread and national awareness

13. 13 PSPC 4.0 Measures Traditional PSPC TeamsQIO-Partnered Teams Anticoagulation Asthma Depression Diabetes Dyslipidemia HIV/AIDS Hypertension Adverse Drug Events Potential Adverse Drug Events Anticoagulation Antipsychotic Diabetes Adverse Drug Events Potential Adverse Drug Events

14. 14 PSPC 4.0 Participation Process 1. Step 1 – Read PSPC Info Packet 2. Step 2 – Complete PSPC Participation Package (online) –Share contact information for team/partners 3. Step 3 – HRSA will review information and send a “welcome” email to the team lead Website: http://www.hrsa.gov/patientsafety http:/www.healthcarecommunities.org Open Enrollment !!

15. Contact Information Office of Pharmacy Affairs (OPA) Phone: 301-594-4353 Web: http://www.hrsa.gov/opa and www.hrsa.gov/patientsafetyhttp://www.hrsa.gov/opa www.hrsa.gov/patientsafety Apexus Answers™ Call Center Phone: 1-888-340-2787 (340B PVP) ApexusAnswers@340bpvp.com www.340bpvp.com Pharmacy Services Support Center (PSSC) Phone: 1-800-628-6297 Web http://pssc.aphanet.org/http://pssc.aphanet.org/