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Implementing WPQC - Pharmacy Perspectives

Congratulations to those top performing pharmacies that have submitted the most L1 and L2 service claims during the last six months.

The top 3 pharmacies include:

  • Health Mart Pulaski Pharmacy
  • Hayat Pharmacy #6
  • UW Health Pharmacy Services – Park Street

See below how these pharmacies have been successful in implementing and maintaining WPQC in their workflows.  PSW Thanks these and all WPQC pharmacies for your continued participation in WPQC.

Hayat Pharmacy #6

Why WPQC is great for your pharmacy and patients?
WPQC has helped in creating an organized process for identifying patients who will benefit from an intervention with a pharmacist. 

What are things you have changed in your pharmacy workflow to make the program more sustainable?
Our WPQC interventions are performed in our pharmacies and at patient homes so we can offer it to patients who have limitations.  This has helped us offer the program without barriers and also accomplish a better completion rate of services. We also perform billing of WPQC services centrally which helps ease the burden in the pharmacy and improves efficiency. We have technicians trained to schedule home visits for patients to either complete level 1 or level 2 interventions.  Once the visit is scheduled, based on MTM pharmacists' availability, the pharmacist is notified about the appointment.  A PA is done by calling DAPO center for FH patients and a folder with all the printed materials to perform the MTM is prepared for the pharmacist. After completion of the MTM the pharmacist completes the documentation, which is faxed to the patient’s PCP and billing is completed. The patient's handout is also mailed to the patient. 

What are other tips that you believe have made you successful with WPQC?
We always have tried to maintain good relations with the prescribers who encourage their patients to meet with the pharmacists.  Also, our adherence programs help in offering personalized care to our patients.  For example, one of the prescriber's patients who was recently discharged completed a home MTM visit with a pharmacist and the prescriber realized how the pharmacist can find barriers to adherence and perform a complete medication reconciliation.  Multiple medications for the patient were lost in transition of care and since this experience the referrals from that prescriber have increased.

Health Mart Pulaski Pharmacy

Why WPQC is great for your pharmacy and patients?
WPQC is great for our community as it provides the bridge between pharmacy staff, prescribers, payers, and patients to provide high quality medication use. The WPQC program outlines the best practice guidelines to ensure our pharmacy is equipped and trained to provide quality services.  The program supplies training and tools we utilize when communicating our interventions with prescribers and patients to increase our efficiency in completing interventions. WPQC secured the financial avenue to bill for patient care interventions. WPQC was essential for helping our pharmacy establish an MTM program that benefits the health of the Pulaski community.

What are things you have changed in your pharmacy workflow to make the program more sustainable?
Our WPQC program is truly a staff wide program. Many of our interventions were services we were already providing, but not billing for. We outlined our workflow so that each member of our staff participates in WPQC. Our data entry technicians flag WPQC opportunities while filling prescriptions. After the pharmacist reviews the intervention, they perform the intervention with the patient or prescriber using the technician to help with making phone calls and sending fax requests. The technicians keep track of the paperwork throughout the intervention and fill out all necessary information for the pharmacist's review. Our cashiers assist in making phone calls and keeping WPQC paperwork together. Our program is sustainable because the pharmacist performs the clinical aspects of the intervention and delegates all technical aspects of completing an intervention with the technicians or cashiers.

What are other tips that you believe have made you successful with WPQC?
You need to build a culture of trust with your patients and prescribers. You have to start small by building those pharmacist-patient relationships during consultation and having the patients understand your role within the health care team. Before we started the program, the pharmacist visited the clinics in town to explain the program and meet the nurses and prescribers. Once a trusting relationship is built with patients and prescribers, interventions are more likely to be accepted.

UW Health Pharmacy Services – Park Street

Why WPQC is great for your pharmacy and patients?
The ability to get reimbursed for doing these valuable interventions allows us to dedicate additional pharmacist hours, which in turn helps us to be able to help more patients that could potentially benefit from our services.

What things have you changed in your pharmacy workflow to make your great work with Focused Patient Adherence sustainable?
Recognizing what to look for has allowed us to utilize our excellent technician staff, engaging them in the process of identifying and managing the billing for the interventions.

What are any other tips that have helped contribute to your success with WPQC?
We try to partner with clinics and other referral sources to notify them of the focused adherence program to encourage increased patient involvement.
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