Journal article
An evaluation of community pharmacies' actions under value-based payment
Journal of the American Pharmacists Association, Vol.60(6), pp.899-905.e2
11/01/2020
DOI: 10.1016/j.japh.2020.06.014
PMID: 32819876
Abstract
Objective: To determine actions taken by community pharmacies to be successful under a value-based pharmacy program (VBPP).
Method: An exploratory sequential mixed methods approach was used to evaluate pharmacies participating in the VBPP, with qualitative data collected and analyzed in the first phase, followed by quantitative measurement through a 30-item survey instrument in the second phase.
Results: The qualitative data showed that participating pharmacies were more involved with adherence and cardiovascular and diabetes metrics than with other metrics. Depression metrics received the lowest overall involvement. For total cost of care, different approaches were used; 5 pharmacies used the dashboard to identify likely high-cost patients they could try to manage, and 4 pharmacies monitored adherence to avoid complications that could contribute to increased cost. For the survey response ratewas 72.6% (n = 53). The meanperception of level of success was 53.06 +/- 20.15 (mean +/- SD). Activities with the highest priority were adherence (1.98 +/- 0.97) and diabetes care (2.04 +/- 0.83), and the activity with the lowest priority was depression care (3.60 +/- 1.10). The most frequently mentioned challenge was time availability, and the most common improvement suggestion was better communication between the insurer and providers.
Conclusion: In conclusion, this study found that community pharmacies were transforming their practices to be successful under a commercial value-based payment program. The pharmacies tended to build on care processes already established (e.g., medication adherence, patients with diabetes or cardiovascular conditions) and developed new processes to address emerging metrics and associated patient needs (e.g., collecting and documenting blood pressure and hemoglobin A1c levels). Future research is needed to identify best practices for patient care and pharmacy success under broad VBPPs such as the one studied here. (C) 2020 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- An evaluation of community pharmacies' actions under value-based payment
- Creators
- Arwa Al-Khatib - University of IowaMichael Andreski - Drake UniversityAnthony Pudlo - Iowa Pharm Assoc, Profess Affairs, Des Moines, IA USAWilliam R. Doucette - Univ Iowa, 180 S Grand Ave,339 CPB, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Journal of the American Pharmacists Association, Vol.60(6), pp.899-905.e2
- Publisher
- Elsevier
- DOI
- 10.1016/j.japh.2020.06.014
- PMID
- 32819876
- ISSN
- 1544-3191
- eISSN
- 1544-3450
- Number of pages
- 9
- Grant note
- Deborah K. Veale Professorship in Healthcare Policy at the University of Iowa Community Pharmacy Foundation
- Language
- English
- Date published
- 11/01/2020
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984366034802771
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