1. CareTriage: Recognizing Pharmacists as Valuable Members of the Healthcare Team
Troy Trygstad PharmD MBA PhD – CCNC VP Pharmacy Programs
Joe Moose PharmD – CCNC CPESN Coordinator

2. Improving care through shared knowledge
Learning Objectives (for CE)
Be able to identify various "actor-setting" combinations that contribute to patient-centered medication optimization within the Medical Neighborhood.
Understand the role of community pharmacy as an advantageous point of capture in a population management strategy.
Identify strategies to match interventionists to patients based on patient specific medication management needs.

3. The Challenge

4. The Opportunity

5. “Create a Pharmacy Home, virtual or otherwise, where drug use information from multiple sources* is gathered to better inform prescribing and intervention strategies”

6. Medication Optimization is a Team Sport

7. What does the Medical Neighborhood look like?
PCP & Clinic Team
Quality Improvement Teams
Care Management Team
Prospective and Retrospective Quality Data
Patient Panel
HH/Rehab/SNF
Hospital
Community Resources
Specialty Providers
Pharmacy

8. “It Takes a Village”

9. Diversity of Participants in Medication Management
PHARMACeHOME Participation
patient count (in past 30 days):

10. What’s the role of community pharmacy?

11. CCNC Focus Population(s)

12. Value Added Services

13. Required Services
Standard Services Included within TECCA Participation Agreement Exhibit C
Proactive waste management program
Patient counseling and adherence coaching
Assist with medication reconciliation
**Although not required, all current pharmacies have also indicated availability of comprehensive medication review services

14. Incremental Benefit of a Multi-Credential, Multi-Setting Pharmacy Care Team to Transitional Care Process

15. How can all of this activity be done efficiency and with a high level of coordination? (who, what, when, where, and how)

16. Product Overview Population Population To Touch How To Touch Them
Need Generalized Med Management
Some Have More Specific Needs
Patient Needs
Adherence/Coaching
Intervention Selection
Therapeutic Discrepancies
Actors-Settings
Therapeutic Considerations
Interventions
Prioritize Patients with most need
Identify best intervention based on data
Deliver intervention guidance
Logistics Engine

17. CareTriage and Prescriptive Analytics
CareTriage identifies patients at risk for negative outcomes, and provides intervention guidance for the right providers in the appropriate setting and time.
Motivational Interviewing to Improve Adherence
Nurse Care Manager
Pharmacy
General Medication Education
Social Worker
Home
TEAM MEMBER
RIGHT CARE
RIGHT INTERVENTION
RIGHT TIMING/PRIORITY
RIGHT PATIENT
RIGHT SETTING
Comprehensive Medication Therapy Management
Pharmacy Technician
HH/Rehab
/SNF
Medication Reconciliation Post Hospital Discharge
Pharmacist
Hospital
Telephone
CareTriage can be used to guide a wide array of interventions including transitional care services, critical follow-up appointment prioritization, and medication reconciliation services.

18. Conventional Approach Next Generation Approach
Data
Engine
Alert
Claims
Clinical
Any Problems?
Yes/No
Next Generation Approach
Data
Engine
Guidance
Claims
Clinical
Program Lists
Model Outputs
User Imputation
Workforce Status
Intervention Status
Any Problems?
How Important?
What Should be Done?
Who Should do It?
Where Should it be Done?
When Should it be Done?
Should there be Follow-Up?
Answer:
Credential: Pharmacist
Setting: Community Dwelling
Task: Help Afford Meds
Rec: Pt. Assistance Program

19. High Positive Predictive Value

20. Population View

24. The Value Proposition at the End of the Day
What are patients, employers, taxpayers paying for?
Some expenditures are investments, others are the result of lack of investment

25. Visit us on the web at communitycarenc.org
For more information contact Troy Trygstad at or
Visit us on the web at communitycarenc.org