Pharmacy Society of Wisconsin, Madison, WI 53717, USA.
J Am Pharm Assoc (2003). 2009 Sep-Oct;49(5):642-51. doi: 10.1331/JAPhA.2009.08158.
To describe the Wisconsin Pharmacy Quality Collaborative (WPQC), a quality-based network of pharmacies and payers with the common goals of improving medication use and safety, reducing health care costs for payers and patients, and increasing professional recognition and compensation for pharmacist-provided services.
Wisconsin between 2006 and 2009.
Community (independent, chain, and health-system) pharmacies and private and public health care payers/purchasers with support from the McKesson Corporation.
This initiative aligns incentives for pharmacies and payers through implementation of 12 quality-based pharmacy requirements as conditions of pharmacy participation in a practice-advancement pilot. Payers compensate network pharmacies that meet the quality-based requirements for two levels of pharmacy professional services (level 1, intervention-based services; level 2, comprehensive medication review and assessment services).
The pilot project is designed to measure the following outcomes: medication-use quality improvements, frequency and types of services provided, drug therapy problems, patient safety, cost savings, identification of factors that facilitate pharmacist participation, and patient satisfaction.
The Pharmacy Society of Wisconsin created the WPQC network, which consists of 53 pharmacies, 106 trained pharmacists, 45 student pharmacists, 6 pharmacy technicians, and 2 initial payers. A quality assurance process is followed approximately quarterly to audit the 12 network quality requirements. An evaluation of this collaboration is being conducted.
This program demonstrates that collaboration among payers and pharmacists is possible and can result in the development of an incentive-aligned program that stresses quality patient care, standardized services, and professional service compensation for pharmacists. This combination of a quality-based credentialing process with a professional services reimbursement schedule is unique and has the promise to enhance the ambulatory pharmacy practice model.
描述威斯康星州药房质量合作组织（WPQC），这是一个由药房和支付方组成的基于质量的网络，其共同目标是改善用药和安全性，降低支付方和患者的医疗成本，提高药师提供服务的专业认可和补偿。
2006 年至 2009 年期间的威斯康星州。
社区（独立、连锁和医院系统）药房，私人和公共医疗保健支付方/购买方，得到 McKesson 公司的支持。
该倡议通过实施 12 项基于质量的药房要求，作为药房参与实践推进试点的条件，为药房和支付方调整激励机制。支付方为符合基于质量要求的网络药房提供两级药房专业服务的补偿（一级，干预性服务；二级，全面药物审查和评估服务）。
试点项目旨在衡量以下结果：用药质量改进、服务提供的频率和类型、药物治疗问题、患者安全、成本节约、确定促进药师参与的因素以及患者满意度。
威斯康星州药房协会创建了 WPQC 网络，该网络由 53 家药房、106 名经过培训的药剂师、45 名实习药剂师、6 名药剂技术员和 2 家初始支付方组成。大约每季度进行一次质量保证过程，以审核 12 项网络质量要求。目前正在对此次合作进行评估。
该计划表明，支付方和药剂师之间的合作是可行的，可以制定一个激励机制一致的计划，强调高质量的患者护理、标准化服务和对药剂师的专业服务补偿。这种基于质量的认证过程与专业服务报销计划的结合是独特的，有望增强门诊药房实践模式。
