Pharmacist Involvement in Population Health Management for a Pediatric Managed Medicaid Accountable Care Organization

Autor: Olivia Valenti, Sonya Sebastian, Brigid K. Groves, Chester Kaczor, Joshua Nowack, Catherine Kuhn, Charitha Gowda, Christina Toth, Ujjwal Ramtekkar
Rok vydání: 2019
Předmět:
Zdroj: Children
Children, Vol 6, Iss 7, p 82 (2019)
ISSN: 2227-9067
DOI: 10.3390/children6070082
Popis: Accountable care organizations (ACOs) have emerged as an effective healthcare delivery model for managing quality and cost at a population level. Within ACOs, pharmacists are critical for the delivery of high-value health care, offering patients and health care providers medication-related training, resources, and guidance that can improve quality of care at lower costs. Partners For Kids (PFK), one of the oldest and largest pediatric ACOs in the country, has successfully leveraged pharmacists to provide population health management and medication management to promote health outcomes for individual patients and the overall population it serves. This review explores how the inclusion of pharmacists in the development and execution of various quality improvement initiatives within PFK has positively impacted outcomes for patients while also lowering overall spend. A catalog of interventions is provided to offer various ways that pharmacists can intersect as providers in the triad of patient/family, payor, and provider. By providing enhanced training and education, on-site guidance, medication management, and population-level data analysis, pharmacists are able to identify and improve inefficiencies in care. Moving forward, ongoing engagement of pharmacists in health care operations will be a necessary feature to maximize health care value.
Databáze: OpenAIRE