Care Transformation Center Blog

The insights, tools, and resources you need to take on population health management

5 insights for expanding the role of pharmacists in ambulatory care

Rebecca Tyrrell September 21, 2017

As the shift from volume to value increasingly drives care into the ambulatory setting, engaging individuals and populations in self-care and preventive care will become even more important. As we've previously noted, clinical pharmacists are often an underutilized asset in achieving these aims.

Based on conversations with Carilion Clinic around lessons learned from the IHARP model, which embedded pharmacists in patient-centered medical homes, here are five key insights to keep in mind if you're considering expanding the role of clinical pharmacists outside of the inpatient setting:

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Why smoking cessation programs don't have to kill your bottom line

by Tomi Ogundimu and Abby Burns September 19, 2017

According to the FDA, smoking is the leading cause of preventable heart disease, cancer, and death in the United States. The many patients who suffer from smoking-related conditions are more expensive to treat because of their longer lengths-of-stay, greater inpatient and post-acute complications, and higher rates of readmissions.

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How Carilion Clinic saved $1.7M by expanding the role of pharmacists

Rebecca Tyrrell September 15, 2017

Historically, there has been minimal to no coordination between the hospital, physician office, and community pharmacy settings around medication management. This failure to coordinate may lead to fragmented patient care, discrepancies in medication documentation, medication misuse, adverse drug events (ADEs), and unnecessary hospitalizations and emergency department visits.

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5 key considerations for measuring the ROI of your care management interventions

Tomi Ogundimu September 12, 2017

Of the hundreds of conversations I've had this year about population health management, there is perhaps no question I get more than how to calculate the ROI of the incredible work many of you are doing to better manage patients and bend the cost curve. Since the impact of care management efforts is often articulated in terms of cost savings, the question you are asking is just how to determine those cost savings.

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Gaining control of the OPPE process: A Q&A with OSF HealthCare

by Sandra Schrauf and Ashley Blessing September 8, 2017

OSF HealthCare—an 11-hospital system based in Peoria, Illinois—started out like many other health care organizations when it came to meeting the Joint Commission's Ongoing Professional Practice Evaluation (OPPE) mandate. It was difficult for each of its facilities to come together as a system, since they had different OPPE labor-intensive processes in place—most of which focused on "checking the box," rather than the real intent of OPPE: engaging physicians in their performance. 

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Your next population health vehicle (with a 12:1 ROI)

by Rebecca Tyrrell and Clare Wirth September 5, 2017

One of the core principles of population health is reducing unnecessary utilization by trading high-cost care for lower-cost services. For this shift to occur, patients must have access to a consistent source of care in the first place—but data show that many already-vulnerable populations do not.

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The critical care team member you're not engaging

Rebecca Tyrrell August 31, 2017

Pharmacists are often included on lists of the best jobs in health care and are becoming increasingly integral to efforts focused on improving quality and reducing costs. However, organizational value and job attractiveness do not necessarily correlate with pharmacist engagement and satisfaction. Given the growing importance of pharmacy services across the continuum, addressing the concerns of this constituency is paramount.

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Why advertising ED wait times shouldn't be an EMTALA violation

by Tomi Ogundimu and Clare Wirth August 29, 2017

A few months ago, we published a blog post about a Spanish hospital that cut inappropriate ED utilization in half by advertising the wait times at different care sites to sway individuals to seek care at sites other than the ED. The Spanish hospital also follows up with inappropriate utilizers about the potential time saved if they had visited an alternative site of care. 

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