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ACO/PCMH Resources

The face of healthcare and its delivery is dramatically changing and pharmacists need to be aware of these changes and ways to figure out their position and potential opportunities within the developing framework.  Two particular aspects where pharmacists may find unique opportunities to position themselves and/or their pharmacy include Accountable Care Organizations or ACOs and Patient Centered Medical Homes (PCMH).

 

 

PPA's Information on the Patient Centered Medical Home

 

From the Centers for Medicare/Medicaid Services - CMS:

General Information

 

Clinical Quality Measures Basics

 

CMS's Priority Measures for Monitoring and Evaluation


CY 2015 Medication Therapy Management Program Guidance and Submission Instructions

 

From the American Pharmacists Association (APhA):

Explore eight APhA-produced issue briefs on the accountable care organization (ACO), a new delivery model of health care.  Please note: Issue Brief One is available to all and this link takes you to that one.  However to access the other issues, you MUST be an APhA member.

 

Owning Medication use:  How pharmacists can engage with ACOs - Susan Winckler, Senior Advisor at Leavitt Partners, Pharmacy Today, April1, 2014.

 

Other Resources: 

National Governors Association Report on the Expanding Role of Pharmacists

 

National Committee for Quality Assurance (NCQA).  PCMH 2014 Standards and Guidelines


Health Affairs: A National Strategy To Put Accountable Care Into Practice

 

Role of Pharmaceuticals in Value-Based Healthcare: A Framework for Success


Patient-Centered Primary Care Collaborative. The PCPCC is dedicated to advancing an effective and efficient health system built on a strong foundation of primary care and the patient-centered medical home. The PCPCC achieves its mission through the work of its five Stakeholder Centers, led by experts and thought leaders dedicated to transforming the U.S. health care system through delivery reform, payment reform, patient engagement, and benefit redesign. Today, PCPCC’s membership has grown to over 1,200 diverse stakeholder organizations who represent health care providers across the care continuum, payers and purchasers, and patients and their families.

 

Pharmacy Quality AlliancePharmacy Quality Alliance (PQA, Inc.) is a consensus-based, multi-stakeholder membership organization committed to improving health care quality and patient safety with a focus on the appropriate use of medications.

 

Subscriptions:

AIS Health publishes ACO News - for information on subscribing, click here.


ACO Accrediting Organizations

The National Committee for Quality Assurance (NCQA)

 

URAC - Accountable Care Organization Accreditation

 

Electronic Healthcare Network Accreditation Commission

 

PA Spread

Health care today must be accountable for outcomes, costs, and patient experiences—commonly called the Triple Aim. A promising new model of care that addresses the Triple Aim is the Patient Centered Medical Home.  In an effort to spread the model and better support primary care practices in making these changes, the federal Agency for Healthcare Research and Quality (AHRQ) has chosen 4 states (PA, NC, NM, OK) to lay the groundwork for a Primary Care Extension Service. The model for the Primary Care Extension Service is the highly successful agricultural Cooperative Extension. The work in Pennsylvania is called PA SPREAD: Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure. Learn more at http://paspread.com/

 

 

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