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Pharmacists and Healthcare

Our healthcare system is undergoing drastic changes. Pharmacists are the most underutilized healthcare provider. Rethinking the way pharmacists are utilized and aligning quality based compensation incentives is the way to improve management of chronic disease and reduce costly ER visits and hospitalizations.

What do pharmacists and pharmacy technicians do? 

Scope of Contemporary Pharmacy Practice: Roles, Responsibilities, and Functions of Pharmacists and Pharmacy Technicians 2009 
This paper provides an introduction to the education and training pharmacist and pharmacy technicians receive as well as mandatory and voluntary credentials available to pharmacists. Also provided, is a spectrum of profession roles, responsibilities and services in regards to the scope of pharmacy practice and patient care. Summary

What is the value of the care provided by pharmacists?

Exploring Pharmacists’ Role in a Changing Healthcare Environment 
May 2014, Prepared by Avalere Health. 
Pharmacists’ focused training in drug therapy positions them well for unique contributions to the management of patient health, especially within evolving payment and delivery models that explicitly focus on quality and efficiency. This analysis by Avalere Health set out to investigate the ways that pharmacist services are improving care, and how these services are aligned with the changing healthcare environment.

Forbes Magazine recognized the unmet need that pharmacists can address in an article published June 2014. The article stated that, “MTM has the potential to alleviate some glaring problems in America’s health care system.” CMS estimates hospital re-admissions cost the program $17.5 billion a year, many due to the adverse effects of medication therapies. One study, referenced in the Forbes article, showed that people who received MTM services from a pharmacist were three times more likely to remain out of the hospital after 60 days. The Forbes article demonstrates the ever growing support for pharmacists as a valued member of the healthcare team.

Improving Patient and Health System Outcomes through Advanced Pharmacy Practice, A Report to the U.S. Surgeon General 2011 
From the Office of the Chief Pharmacist for the U.S. Public Health Service
An evidence-based report demonstrating improved patient and health system outcomes through pharmacist delivered patient care services. This report summarizes a substantial amount of published literature from peer-reviewed journals validating the need for pharmacists to be recognized as healthcare providers and be compensated. Report Summary Letter of Support from the Surgeon General Letters of Support from Physicians 

Pharmacist as Providers: Medical Billing
With the passage of WA SB 5557, pharmacists in Washington have a tremendous opportunity – we can bill for services. It’s a law we have fought for decades to achieve and requires health plans to include pharmacists in their provider networks. By treating pharmacists equal to other healthcare providers, the law opens the door for pharmacists to provide and bill for patient care services within their scope of practice. This is the first provider-status victory of its kind in the country!

At first WA SB 5557 was limited to pharmacists in certain hospitals and clinics. Then along come January 2017’s exciting roll-out when thousands of pharmacist-provided covered services were billed and paid by health plans. Pharmacists in all practice settings can enroll in health plan provider networks and bill for covered patient care services.

Hot Links to Get Started

Medical Billing and CE Modules http://www.wsparx.org/?page=MedicalBilling

Contract and Credentialing Resource Center http://www.wsparx.org/?page=ContractCredentialin (must be a WSPA member to view)

 

more Calendar

4/28/2017
Ambulatory Academy Meeting

4/29/2017
CLINICAL TRIAL VOLUNTEER CHEER!

5/5/2017 » 5/6/2017
NCPA’s ‘Re-Engineering Your Pharmacy’ Boot Camp

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