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https://www.readbyqxmd.com/read/27829859/evaluation-of-a-continuous-quality-improvement-program-in-anticoagulant-therapy-feasibility-satisfaction-and-perception
#1
Ariane Cantin, Alexandre Lahaie, Bojan Odobasic, Marie-Philip Tremblay, Dana Wazzan, Stéphanie Caron, Caroline Leblanc, Josée Martineau, Lyne Lalonde
BACKGROUND: The ACO Program (Programme ACO), a continuous quality improvement program (CQIP) in anticoagulation therapy, was offered in community pharmacies as a pilot project. OBJECTIVE: To evaluate the participants' appreciation for the various activities of the program. METHODS: Participants had access to training activities, including an audit with feedback, online training activities (OTA), clinical tools and support from facilitators...
November 2016: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/26836892/comorbidome-pattern-and-impact-of-asthma-copd-overlap-syndrome-in-real-life
#2
Job F M van Boven, Miguel Román-Rodríguez, Josep F Palmer, Núria Toledo-Pons, Borja G Cosío, Joan B Soriano
BACKGROUND: Asthma-COPD overlap syndrome (ACOS) has been described and acknowledged as a distinct clinical entity; however, its characteristics in daily clinical practice are largely unknown. The aim of this study was to identify the prevalence of ACOS in the real-life population, its pattern of comorbidities, and its impact on hospitalization risk. METHODS: Data for this retrospective cohort study were extracted from the Majorca Real-Life Investigation in COPD and Asthma cohort, including primary care, hospitalization, and pharmacy data from the Balearic Islands, Spain...
April 2016: Chest
https://www.readbyqxmd.com/read/26409602/asthma-and-chronic-obstructive-pulmonary-disease-overlap-syndrome-doubled-costs-compared-with-patients-with-asthma-alone
#3
COMPARATIVE STUDY
Maria Gerhardsson de Verdier, Maria Andersson, David M Kern, Siting Zhou, Ozgur Tunceli
BACKGROUND: Patients with asthma and chronic obstructive pulmonary disease (COPD) overlap syndrome (ACOS) have more rapid disease progression and more exacerbations than do those with either condition alone. Little research has been performed, however, in these patients. OBJECTIVE: The objective was to summarize the health care utilization, costs, and comorbidities of patients with uncontrolled asthma and patients with ACOS. METHODS: This retrospective analysis used medical and pharmacy claims from large commercial health plans...
September 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/25803767/role-of-pharmacy-services-in-accountable-care-organizations
#4
Carrie H Colla, Valerie A Lewis, Brendin R Beaulieu-Jones, Nancy E Morden
BACKGROUND: The accountable care organization (ACO) model being adopted across the United States aims to improve patient care and reduce costs. Little is known about whether commercial ACO contracts include accountability for prescription drug spending or how ACOs are engaging outpatient pharmacies and managing prescription drug use. OBJECTIVE: To explore how ACOs are addressing drug spending and pharmacy services-a potentially important determinant of quality and total spending...
April 2015: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/25803766/best-practices-an-electronic-drug-alert-program-to-improve-safety-in-an-accountable-care-environment
#5
Sara Griesbach, Adam Lustig, Luanne Malsin, Blake Carley, Kimberly D Westrich, Robert W Dubois
BACKGROUND: The accountable care organization (ACO), one of the most promising and talked about new models of care, focuses on improving communication and care transitions by tying potential shared savings to specific clinical and financial benchmarks. An important factor in meeting these benchmarks is an ACO's ability to manage medications in an environment where medical and pharmacy care has been integrated. The program described in this article highlights the critical components of Marshfield Clinic's Drug Safety Alert Program (DSAP), which focuses on prioritizing and communicating safety issues related to medications with the goal of reducing potential adverse drug events...
April 2015: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/25773458/impact-of-aca-on-the-dinner-for-three-dynamic
#6
Ed Schoonveld, Bill Coyle, Jennifer Markham
The Patient Protection and Affordable Care Act (ACA) aims to expand coverage to the previously uninsured, improve the quality of coverage, and help eliminate inefficiencies in the health care market. We evaluated the implications of ACA on the drug industry by examining the impact on the "Dinner-for-Three" dynamic in our health care system. We can think of our system as an odd dinner party in which one person pays (the insurer), one orders the meal (the physician), and yet another eats the meal (the patient)...
April 1, 2015: Clinical Therapeutics
https://www.readbyqxmd.com/read/25597053/best-practices-improving-patient-outcomes-and-costs-in-an-aco-through-comprehensive-medication-therapy-management
#7
Amanda Brummel, Adam Lustig, Kimberly Westrich, Michael A Evans, Gary S Plank, Jerry Penso, Robert W Dubois
BACKGROUND: One of the most important and often overlooked challenges for accountable care organizations (ACOs) is ensuring the optimal use of pharmaceuticals, which can be accomplished by utilizing pharmacists' skillsets and leveraging their full clinical expertise. Developing capabilities that support, monitor, and ensure appropriate medication use, efficacy, and safety is critical to achieving optimal patient outcomes and, ultimately, to an ACO's success. The program described in this article highlights the best practices of Fairview Pharmacy Services' Medication Therapy Management (MTM) program with additional thoughts and considerations on this and similar MTM programs provided by The Working Group on Optimizing Medication Therapy in Value-Based Healthcare...
December 2014: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/25491911/best-practices-improving-patient-outcomes-and-costs-in-an-aco-through-comprehensive-medication-therapy-management
#8
Amanda Brummel, Adam Lustig, Kimberly Westrich, Michael A Evans, Gary S Plank, Jerry Penso, Robert W Dubois
BACKGROUND: One of the most important and often overlooked challenges for accountable care organizations (ACOs) is ensuring the optimal use of pharmaceuticals, which can be accomplished by utilizing pharmacists' skillsets and leveraging their full clinical expertise. Developing capabilities that support, monitor, and ensure appropriate medication use, efficacy, and safety is critical to achieving optimal patient outcomes and, ultimately, to an ACO's success. The program described in this article highlights the best practices of Fairview Pharmacy Services' Medication Therapy Management (MTM) program with additional thoughts and considerations on this and similar MTM programs provided by The Working Group on Optimizing Medication Therapy in Value-Based Healthcare...
December 2014: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/25166293/report-of-the-2013-amcp-partnership-forum-on-electronic-solutions-to-medication-reconciliation-and-improving-transitions-of-care
#9
(no author information available yet)
BACKGROUND: The Affordable Care Act (ACA) is driving the evolution of reimbursement from a fee-for-service model to an outcomes-based system. Accountable care organizations (ACOs) are 1 component of this evolution, and 1 of their charges is to reduce hospital readmission rates for key diagnoses such as congestive heart failure (CHF) and other cardiovascular comorbidities. Lack of patient follow-up and adherence are 2 major causes of readmission. Providing strong medication management is 1 of the common factors in successful readmission programs...
September 2014: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/24991361/rapid-expansion-of-new-oncology-care-delivery-payment-models-results-from-a-payer-survey
#10
Rhonda Greenapple
BACKGROUND: Oncology practices are seeking to adapt to new care delivery models, including accountable care organizations (ACOs), patient-centered medical homes (PCMHs) in oncology, and oncology pathways, as well as new payment models, such as bundled payments or pay-for-performance contracts. OBJECTIVE: Our survey sought to determine which payment models and care delivery models payers view as the most viable and the most potentially impactful in managing and reducing the cost of cancer care...
July 2013: American Health & Drug Benefits
https://www.readbyqxmd.com/read/24991323/emerging-trends-in-cancer-care-health-plans-and-pharmacy-benefit-managers-perspectives-on-changing-care-models
#11
Rhonda Greenapple
BACKGROUND: Cancer care in the United States is being transformed by a number of medical and economic trends, including rising drug costs, increasing availability of targeted therapies and oral oncolytic agents, healthcare reform legislation, changing reimbursement practices, a growing emphasis on comparative effectiveness research (CER), the emerging role of accountable care organizations (ACOs), and the increased role of personalization of cancer care. OBJECTIVE: To examine the attitudes of health plan payers and pharmacy benefit managers (PBMs) toward recent changes in cancer care, current cost-management strategies, and anticipated changes in oncology practice during the next 5 years...
July 2012: American Health & Drug Benefits
https://www.readbyqxmd.com/read/24868601/pharmacy-benefit-management-in-the-new-world-of-acos
#12
Peter Wehrwein
No abstract text is available yet for this article.
April 2014: Managed Care
https://www.readbyqxmd.com/read/24830998/implementation-and-first-year-results-of-an-antimicrobial-stewardship-program-at-a-community-hospital
#13
James M Bartlett, Patricia L Siola
PURPOSE: The implementation of an antimicrobial stewardship program (ASP) at a small community hospital affiliated with an accountable care organization (ACO) is described, including a report on first-year program outcomes. SUMMARY: With no infectious diseases (ID)-trained pharmacists on staff, a 155-bed hospital formed an ASP by restructuring its clinical pharmacy services. One full-time pharmacist led the program; nine full- or part-time pharmacists-none of whom had residency training-shared ASP responsibilities on a weekly rotation...
June 1, 2014: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/24715745/accountable-care-organizations-impact-on-pharmacy
#14
Shilpa Amara, Robert T Adamson, Indu Lew, Anthony Slonim
The Patient Protection and Affordable Care Act (PPACA) has considerably transformed the approaches being used to deliver health care in the United States. It was enacted to expand health insurance access, improve funding for health professions education, and reform patient care delivery. The traditional fee-for-service payment system has been criticized for overspending and providing substandard quality of care. The Accountable Care Organization (ACO) was developed as a payment reform mechanism to slow rising health care costs and improve quality...
March 2014: Hospital Pharmacy
https://www.readbyqxmd.com/read/24372456/are-acos-ready-to-be-accountable-for-medication-use
#15
Robert W Dubois, Marv Feldman, Adam Lustig, Greg Kotzbauer, Jerry Penso, Scott D Pope, Kimberly D Westrich
BACKGROUND: Accountable care organizations (ACOs) have the potential to lower costs and improve quality through incentives and coordinated care. However, the design brings with it many new challenges. One such challenge is the optimal use of pharmaceuticals. Most ACOs have not yet focused on this integral facet of care, even though medications are a critical component to achieving the lower costs and improved quality that are anticipated with this new model. OBJECTIVE: To evaluate whether ACOs are prepared to maximize the value of medications for achieving quality benchmarks and cost offsets...
January 2014: Journal of Managed Care Pharmacy: JMCP
https://www.readbyqxmd.com/read/24055137/consumer-physician-and-payer-perspectives-on-primary-care-medication-management-services-with-a-shared-resource-pharmacists-network
#16
Marie Smith, Michelle L Cannon-Breland, Susan Spiggle
BACKGROUND: Health care reform initiatives are examining new care delivery models and payment reform alternatives such as medical homes, health homes, community-based care transitions teams, medical neighborhoods and accountable care organizations (ACOs). Of particular interest is the extent to which pharmacists are integrated in team-based health care reform initiatives and the related perspectives of consumers, physicians, and payers. OBJECTIVES: To assess the current knowledge of consumers and physicians about pharmacist training/expertise and capacity to provide primary care medication management services in a shared resource network; determine factors that will facilitate/limit consumer interest in having pharmacists as a member of a community-based "health care team;" determine factors that will facilitate/limit physician utilization of pharmacists for medication management services; and determine factors that will facilitate/limit payer reimbursement models for medication management services using a shared resource pharmacist network model...
May 2014: Research in Social & Administrative Pharmacy: RSAP
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