Community pharmacists' perceptions of acceptability, appropriateness, and feasibility of a value-based care model for comprehensive medication management

被引:4
作者
Pestka, Deborah L. [1 ]
Stoa, Morgan K. [1 ]
Sorensen, Todd D. [1 ]
Blanchard, Carrie M. [2 ]
机构
[1] Univ Minnesota, Coll Pharm, Dept Pharmaceut Care & Hlth Syst, Minneapolis, MN 55455 USA
[2] Univ North Carolina Chapel Hill, UNC Eshelman Sch Pharm, Ctr Medicat Optimizat, Chapel Hill, NC USA
关键词
IMPLEMENTATION; OUTCOMES;
D O I
10.18553/jmcp.2021.27.7.865
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BACKGROUND: HealthPartners is an integrated health plan offering comprehensive medication management (CMM) under a value-based care model called Partners in Excellence (PIE). In PIE, participating organizations are incentivized to conduct CMM visits and are eligible for bonus payments if they achieve quality and engagement metrics. Engagement in PIE from community pharmacies has been lacking. Implementation science, specifically the assessment of implementation outcomes, provides key insights into the uptake of patient care services, such as CMM, into practice. OBJECTIVE: To evaluate the acceptability, appropriateness, and feasibility of the PIE program from the perspective of community pharmacists and pharmacy managers. METHODS: Semi-structured, one-on-one qualitative interviews were conducted with a group of 14 pharmacists and pharmacy managers participating in the PIE program. Interviews were coded inductively, and then codes were mapped to the implementation outcomes of acceptability, appropriateness, and feasibility. RESULTS: Twelve codes emerged from the interviews. Four codes (targeted conditions of PIE, achieving PIE metrics, comprehensiveness of PIE, and confusion and barriers) were mapped to acceptability; 3 codes (CMM documentation and billing, fitting CMM into limited time with patients, and community pharmacy's role in patient care) were mapped to appropriateness; and 1 code (collecting clinical patient information) was mapped to feasibility. Four codes (CMM payment model, targeting patients for CMM, personnel for CMM, and patient/provider buy-in of CMM) were considered a combination of more than 1 outcome. CONCLUSIONS: Although the acceptability, appropriateness, and feasibility of the PIE program was generally positive, participants cited a number of implementation challenges related to documentation and billing and producing a sustainable CMM model. The results shed light on how a value-based care model for CMM is perceived within community pharmacies and could inform the development and implementation of similar quality-based CMM programs.
引用
收藏
页码:865 / 872
页数:8
相关论文
共 18 条
  • [1] American Pharmacists Association, MED THER MAN SERV DE
  • [2] An introduction to implementation science for the non-specialist
    Mark S. Bauer
    Laura Damschroder
    Hildi Hagedorn
    Jeffrey Smith
    Amy M. Kilbourne
    [J]. BMC Psychology, 3 (1)
  • [3] Best Practices: Improving Patient Outcomes and Costs in an ACO Through Comprehensive Medication Therapy Management
    Brummel, Amanda
    Lustig, Adam
    Westrich, Kimberly
    Evans, Michael A.
    Plank, Gary S.
    Penso, Jerry
    Dubois, Robert W.
    [J]. JOURNAL OF MANAGED CARE & SPECIALTY PHARMACY, 2014, 20 (12) : 1152 - 1158
  • [4] Optimal Diabetes Care Outcomes Following Face-to-Face Medication Therapy Management Services
    Brummel, Amanda R.
    Soliman, Ahmed M.
    Carlson, Angeline M.
    de Oliveira, Djenane Ramalho
    [J]. POPULATION HEALTH MANAGEMENT, 2013, 16 (01) : 28 - 34
  • [5] Impact of Comprehensive Medication Management on Hospital Readmission Rates
    Budlong, Holly
    Brummel, Amanda
    Rhodes, Adam
    Nici, Hannah
    [J]. POPULATION HEALTH MANAGEMENT, 2018, 21 (05) : 395 - 400
  • [6] Deal HJ, 2017, J POPUL THER CLIN PH, V24, DOI 10.22374/17106222.24.1.6
  • [7] Welcome to Implementation Science
    Eccles, Martin P.
    Mittman, Brian S.
    [J]. IMPLEMENTATION SCIENCE, 2006, 1 (1)
  • [8] Gazda Nicholas P, 2017, J Pharm Pract, V30, P282, DOI 10.1177/0897190016628962
  • [9] Kliethermes MA, 2017, Pharm Today, V23, P57
  • [10] Ready, willing, and able to provide MTM services?: A survey of community pharmacists in the USA
    Law, Anandi V.
    Okamoto, Mark P.
    Brock, Kelly
    [J]. RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY, 2009, 5 (04) : 376 - 381