3 Population Health Drivers Pharmacists Should Know Summarize the article https://www.pharmacytimes.com/news/3-population-he…Relate what you read in the
3 Population Health Drivers Pharmacists Should Know Summarize the article https://www.pharmacytimes.com/news/3-population-he…Relate what you read in the article to what is discussed in the powerpoint. YOU MUST DO THIS!MUST BE AT LEAST ONE PAGE! CITE YOUR SOURCE USING APA FORMAT! z
M. Tyler Hemsley PharmD
Population
Health
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Introduction and Objectives
▪ Define population health and related concepts
▪ Describe outcome metrics usually associated with
population health
▪ Understand components of the health home and
health neighborhood
▪ Describe various roles and opportunities for
pharmacists and how they can align with goals of
population health
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Background
▪ ISU College of Pharmacy
▪ St. Luke’s Magic Valley for PGY1
▪ Inpatient Hospital pharmacy
▪ St. Luke’s Health Partners – Pharmacy Program
Coordinator
▪ St. Luke’s Health System – Director of Specialty and
Ambulatory Pharmacy
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Introduction and Objectives
▪ Define population health and related concepts
▪ Describe outcome metrics usually associated with
population health
▪ Understand components of the health home and
health neighborhood
▪ Describe various roles and opportunities for
pharmacists and how they can align with goals of
population health
z
Population Health
▪ Population Health – “the health outcomes of a group
of individuals, including the distribution of such
outcomes within the group” – American Journal of
Public Health 2003
▪ Quadruple aim
▪ Better outcomes
▪ Lower costs
▪ Improved patient experience
▪ Improved clinician experience
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• Population Health
• Community Health
• Social
Determinants
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Defining the population
▪ Depends on the perspective
▪ Payer
▪ Health System
▪ Independent/Rural Clinic
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Introduction and Objectives
▪ Define population health and related concepts
▪ Describe outcome metrics usually associated
with population health
▪ Understand components of the health home and
health neighborhood
▪ Describe various roles and opportunities for
pharmacists and how they can align with goals of
population health
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Outcomes
▪ “Health” of a population is difficult to define
▪ Normalized Surrogate markers
▪ Total Cost of Care → Per Member Per Month (PMPM)
▪ Rates of screenings/immunizations etc.
▪ Population adjusted utilization metrics
▪
ED visits and Hospitalizations per 1000
▪ Risk Scores
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Introduction and Objectives
▪ Define population health and related concepts
▪ Describe outcome metrics usually associated with
population health
▪ Understand components of the health home and
health neighborhood
▪ Describe various roles and opportunities for
pharmacists and how they can align with goals of
population health
z
Changing Delivery Models
▪ Volume → Value
▪ Patient-Centered, Team-Based Care
▪ Health Home
▪ Health Neighborhood
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Introduction and Objectives
▪
Define population health and related concepts
▪
Describe outcome metrics usually associated with population
health
▪
Understand components of the health home and health
neighborhood
▪
Describe various roles and opportunities for pharmacists
and how they can align with goals of population health
▪
Dr. Wadsworth has an excellent presentation with much
greater detail about various roles for pharmacists
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Pharmacist Roles – Discussion
▪ Experiences
▪ Thoughts
▪ Perceptions
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Clinical Practice
▪ Inpatient
▪ Clinical Integration Models
▪ Telephonic/Virtual Intervention Models
▪ Community
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Data/Informatics/Optimization
▪ Pharmacy IT
▪
Hospital Operations – bar codes, pumps, compounders etc
▪
EHR
▪ Pharmacy Utilization/Claims Data
▪
Health System – What do we use?
▪
Payer/PBM – What do we pay for?
▪ Formulary Development/Management
▪
Health System – How do we optimize what we use?
▪
Payer/PBM – How do we optimize what we pay for?
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Quality Measures
▪ Outcomes
▪ HEDIS/NCQA/CMS Stars Measures
▪ Organizational Surveys (HCAHPS/CAHPS)
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Review and Wrap-up
▪ Define population health and related concepts
▪ Describe outcome metrics usually associated with
population health
▪ Understand components of the health home and
health neighborhood
▪ Describe various roles and opportunities for
pharmacists and how they can align with goals of
population health
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Discussion?
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