1. ASPIRE: A Continuous Quality Improvement Model for the Improvement of Patient Population Health MedBiquitous Annual Conference 2013 April 8-9, 2013 Johns Hopkins University School of Medicine

2. Collaborative Scalable Model Improving Patient adherence & Medicare Star Ratings Adherence measure: Sustained over time CECity’s case study: Pennsylvania Collaborative Role Platform, connector and converter Role Interventions Role Measure provider Role HCP learner Role Organization Continuous monthly Reporting & incentive programs CPI & incentives Health Plan Role Performance program Health Plan Role Data provider

3. 3 ASPIRE Performance Benchmarking & Assessment

4. How do I Improve ? 4 Universal Screening: Identify patients at high or moderate risk of non-adherence Motivational Interviewing (MI) Techniques: Pharmacists trained in MI techniques to facilitate positive relationships with at-risk patients and affect behavior change Targeted Resources: Links to online evidence based tools/education targeted at the PQA measures Screening Brief Intervention (SBI) University of Pittsburgh Aimed at improving professional practice to engage patients in medication adherence

5. Adoption Pharmacist (Professionalism) Organization (Leadership) Fostered Culture of Improvement Process Scaled Performance Improvement via Cloud/Web Platform (n=117 ) Integrated Interventions at Point of Care & Process Redesign Outcomes Improved Patient Adherence as Evidenced by improvement of PQA Measures…Across Sites and Systems Financial Scaled PI with Minimal Field Support / Related Expenses Streamlined Data Integration Impact ($) of Health Costs – Reduced Scaling Performance Improvement via Cloud Platform ASPIRE..Key Value Points and Success Demonstrated 5

6. Questions & Discussion Thank you Annette D.Boyer,RPh CECity.com aboyer@cecity.com Jan Pringle, PhD PERU, University of Pittsburgh jlp127@pitt.edu