Herbert Sophia M C, Herbert Brandon M, Hake Kelsey L, McGrath Stephanie Harriman
J Am Pharm Assoc (2003). 2023 Jul-Aug;63(4):1070-1076. doi: 10.1016/j.japh.2023.04.006. Epub 2023 Apr 12.
Clinically integrated networks of community pharmacies are expanding partnerships with health care payers for sustainable provision of patient care services. The Pennsylvania Pharmacists Care Network (PPCN), a part of CPESN USA, launched its first payer program in 2017 with a Medicaid managed care organization for comprehensive medication management (CMM). Some PPCN pharmacy teams have participated in Flip the Pharmacy, a national practice transformation initiative.
This study aimed to determine whether pharmacy participation in Flip the Pharmacy was associated with a greater rate of CMM encounters than in nonparticipating pharmacies within a statewide clinically integrated network.
This project was a retrospective quantitative study. CMM encounter data including total number of encounters and total number of eligible members were extracted from monthly reports. Generalized estimating equations were used to assess the association between Flip the Pharmacy participation and CMM encounter rates.
Of 103 pharmacies that participated in the CMM program in 2019 and 2020, 77.7% of pharmacies (n = 80) were included in analyses. Of these, 31.3% (n = 25) participated in Flip the Pharmacy. Overall, 80 pharmacies documented 8460 patient encounters through the CMM program. On average, pharmacies participating in Flip the Pharmacy recorded 1.67 times the rate of encounters compared with non-Flip the Pharmacy pharmacies (95% CI 1.10-2.54), controlling for single versus multiple pharmacy sites and weekend hours. On average, pharmacies participating in Flip the Pharmacy recorded 1.18 times the rate of initial encounters (95% CI 0.84-1.59) and 2.06 times the rate of follow-up encounters (95% CI 1.22-3.48) compared with non-Flip the Pharmacy pharmacies.
Participation in Flip the Pharmacy in Pennsylvania was associated with greater engagement and completion of encounters within a payer program for CMM. Continued practice transformation efforts are needed to ensure the sustainability of community pharmacy practice as it continues to expand into payment for patient care services.
社区药房的临床整合网络正在扩大与医疗保健支付方的合作关系，以可持续地提供患者护理服务。宾夕法尼亚药剂师关怀网络（PPCN）是美国社区药房增强服务网络（CPESN USA）的一部分，于2017年与一家医疗补助管理式医疗组织启动了首个支付方项目，提供全面药物管理（CMM）服务。一些PPCN药房团队参与了“翻转药房”这一全国性的实践转型倡议。
本研究旨在确定在全州临床整合网络中，参与“翻转药房”的药房与未参与的药房相比，其CMM服务接触率是否更高。
本项目为回顾性定量研究。从月度报告中提取CMM服务接触数据，包括接触总数和符合条件的成员总数。使用广义估计方程评估参与“翻转药房”与CMM服务接触率之间的关联。
在2019年和2020年参与CMM项目的103家药房中，77.7%（n = 80）的药房纳入分析。其中，31.3%（n = 25）参与了“翻转药房”。总体而言，80家药房通过CMM项目记录了8460次患者接触。在控制单店与多店以及周末营业时间的情况下，参与“翻转药房”的药房平均记录的接触率是未参与“翻转药房”的药房的1.67倍（95%置信区间1.10 - 2.54）。与未参与“翻转药房”的药房相比，参与“翻转药房”的药房平均记录的初始接触率是其1.18倍（95%置信区间0.84 - 1.59），随访接触率是其2.06倍（95%置信区间1.22 - 3.48）。
在宾夕法尼亚州，参与“翻转药房”与在CMM支付方项目中更高的服务接触参与度和完成率相关。随着社区药房实践不断扩展到患者护理服务付费领域，需要持续的实践转型努力来确保其可持续性。
