Analysis of provider-generated revenue and impact on medication reconciliation from a pharmacist-led chronic care management service

Sotelo, Emily; Nunemacher, Christina; Holland, Christy R.; Rhodes, Laura A.; Marciniak, Macary Weck

doi:10.1016/j.japh.2021.01.017

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Several other reports of pharmacist successful provision of CCM have been reported. [10][11][12][13][14] In this paper we provide an implementation focused evaluation of a telehealth-based pharmacist led CCM program outlining facilitators and barriers for initiation and sustainment with a disease-state focus on diabetes and hypertension outcomes.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Telehealth-Based Pharmacist Led Chronic Care Management Program

Dohrn,

Hoskins,

Collier

et al. 2023

Journal of Pharmacy Practice

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Background: Clinical pharmacy services improve several patient chronic disease outcomes. This review evaluates a pharmacist-led chronic care management (CCM) program partnered with a health system for patient outcomes and sustainability. Methods: A mixed methods evaluation based on the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework was completed. Patient A1c and blood pressure readings were retrospectively collected from the electronic health record from August 2018-April 2022. Patients that completed >4 CCM visits with a diagnosis of diabetes and/or hypertension were included. Results: 557 patients enrolled, 53 had uncontrolled systolic blood pressure (SBP), SBP >130 mmHg. Average SBP at baseline was 141.0 mmHg and average SBP at 6 months was 130.2 mmHg, ( P < .001). 76 patients had uncontrolled diabetes, A1c > 7%. Average A1c at baseline = 9.1% and average A1c at 6 months = 8.3%, ( P < .001). 4464 CCM visits with 247 disease-state targeted patients were completed over 44-month with a 100% adoption rate across clinic locations. Implementation facilitators included patient medication cost concerns, disease burden, provider revenue generation, CCM dedicated software, streamlined call process, and remote EMR access. Implementation barriers included provider discomfort “selling the program,” potential patient costs, unclear need from patient, pharmacists not considered providers, pharmacist cost, multi-platform software, reprioritized stakeholder support, and lack of partner site diversification. Program maintenance showed revenue generation was $5925.31-$8879.89 from August 2021-May 2022 and profitability was $3385.61-$1614.23. Conclusion: This study provides lessons learned, strategies for implementation, and ideas for process efficiencies leading to maintenance of a telehealth pharmacist-led CCM service.

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Section: Introductionmentioning

confidence: 99%

Evaluation of a Telehealth-Based Pharmacist Led Chronic Care Management Program

Dohrn,

Hoskins,

Collier

et al. 2023

Journal of Pharmacy Practice

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“…In particular, pharmacists have been identified as ideal participants in CCM, with many pharmacists providing positive contributions to CCM, integrating into a variety of practice models, and having positive impacts on both patient care and reimbursement. 5,[7][8][9][10] Pharmacists are also commonly involved in CCM program initiation, including initial decision making regarding participant and patient eligibility and enrollment.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Efficacy of 3 Recruitment Methods for Enrolling Patients in Chronic Care Management Services: A Pilot Study

et al. 2022

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Chronic Care Management (CCM) is a billable service that pharmacists can provide either in person or via telephone in ambulatory clinics or community pharmacies. Pharmacists may use this service to expand current roles in patient care and add billable services to an ambulatory care practice. The number of clinics employing CCM is steadily increasing, and to date, there has been limited information published to aid pharmacists who are considering implementing these services. The purpose of this study is to compare enrollment success in a clinic-based, pharmacist-led CCM service using three recruitment strategies to enroll patients: in person, telephone, and provider referred recruitment. This pilot study examined the success of three recruitment strategies using 94 patients eligible for CCM services in a rural health clinic. The primary outcome was successful enrollment in the CCM program with differences in recruitment strategy enrollment success examined using a Chi-square test. Overall, 42 of 94 patients (45%) were successfully enrolled in the CCM program with no statistical difference appreciated between telephone, in person, and provider referred recruitment. Nearly 33% (14/42) of patients enrolled in person, 40% (17/42) enrolled via telephone, and 26% (11/42) enrolled when referred from a provider. Ten patients (11%) declined enrollment outright. The remaining 42 patients were hesitant to enroll and requested follow up. In conclusion, there was no statistical difference in CCM enrollment success with in person, telephone, or provider referred recruitment, although more patients were enrolled via telephone than with the other two strategies. Pharmacists implementing new CCM programs may tailor their recruitment and enrollment strategy to suit their specific needs.

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