Medication reconciliation is one of the biggest challenges facing health care teams. E3 Learning Collaborative team, Minnesota Hospital Association (MHA) developed a tool to help guide hospitals in a medication reconciliation improvement projects. The three things needed to get stared, include: a multidisciplinary improvement team, leadership support, and the MHA road map.
Establishing both internal and external partnerships is critical to sustaining and scaling successful pharmacy medication management services. When there are limited resources, developing partnerships can be an effective strategy for sustainability and scale. AIMM explores insights from A3 Collaborative participating teams, and how their 12-month learning experience helped them establish and develop critical partnerships to advance medication management services.
Leveraging Learning Collaboratives to Build a Value Proposition for Comprehensive Medication Management
A3 Collaborative participating organization, Penobscot Community Health Care is sharing some impressive initial results from its pharmacy department, and in partnership across organizational departments. Using the collaborative learning structure deployed by AIMM, Penobscot pharmacy department wasted no time in strategically planning to meet its goal with support from leaders within, and strong relations across the organization.
This past March marked the end of the initial A3 Collaborative, culminating in a celebration of organizations’ advancements and showcasing results from the 12-month learning experience. Teams shared a broad range of performance outcomes ranging from internal structure and process improvements, to clinical outcomes improvements, to reductions in hospital readmissions. Results such as: reducing 90-day readmissions by 59%; in another example: a net Return on Investment (ROI) of $486,304 (141%); and a third: total cost avoided of $870,000. As AIMM readies to launch the 2018/2019 A3 Collaborative, we are hearing from participating individuals: “the collaborative creates a learning experience that optimizes the potential to learn from other pharmacists and systems who may be on the same path of improvement but at different stages. This sharing of knowledge has been key to my progress…”
AIMM’s E3 Collaborative Develops Special Considerations for Medication Reconciliation Across Care Transitions
AIMM leads the multi-year learning collaborative for the Cardinal Health Foundation’s E3 (Effectiveness, Efficiency and Excellence in Healthcare) Patient Safety 2016 Grant Program recipients. After its initial collaborative year, E3 Collaborative participants identified that improving medication reconciliation is a significant opportunity to improve the success of their care transition programs and thus, improve patient care. Additionally, as organizations and payers move toward value-based payment reforms and population health management, the perspective on medication reconciliation needs to become more patient-centric and expand its reach into the community and home.
The A3 Collaborative has provided an excellent structure for the IHOPE project, with deliverables to keep the team on task. The learning coach sets up monthly appointments and listens to the ideas you have and then offers recommendations for approaching or improvement on those ideas. The value gained from A3 is the connection with and sharing of ideas across the network of pharmacists, nationwide, who become your colleagues and extended team. We are all working on projects that are relevant to pharmacy, but we may be at different points along the journey.
Maximizing Pharmacist Delivered Services to Demonstrate Cost Efficiencies and Improved Outcomes in the Healthcare System
As AIMM President, my efforts are focused on continuing the mission to support wide-spread adoption of team-based medication management services into the care of high-risk patients suffering from multiple chronic health conditions and to demonstrate the value of these services. Care coordination requires the integration of medication management with care management and provider teams to facilitate treatment goals, while creating system-wide efficiencies. As we move to implement value-based models of care and reimbursement, it becomes critical to optimally utilize every member of the health care team.
As our health care system is making a monumental shift from fee for service to a value-based business model, provider organizations are now responsible for quality of care and have financial risk. Delivery systems are expected to offer integrated services and coordinated care. Prioritizing clinical pharmacy services through integrated comprehensive medication management across the continuum of care is fundamental and critical for providers and health care organizations to achieve not only the patient quality goals, but to substantially increase access for primary care and other specialty areas by decreasing the workload of these providers.
AIMM brings more than eight years of experience administering learning collaboratives and technical assistance in the quality improvement process and transformational leadership experience. AIMM began with the Patient Safety and Clinical Pharmacy Services Collaborative, a national movement created in 2008 that promoted the integration of enhanced medication management activities into the work of inter-professional health…
Team performance results from AIMM this year are phenomenal! Participating organizations demonstrated impressive growth in service delivery and improvements in population health management. Applying the principles AIMM supports, teams achieved clinical goals in diabetes and blood pressure management, identified and resolved medication-related problems across diverse patient groups and conditions and expanded and integrated medication management services with existing services, such as behavioral health. Teams are building relationships with physicians and integrating clinical pharmacy services with primary care and quality improvement departments. As AIMM prepares for the 2017 Year, we reflect on 2016 successes and thank our partners.