340b implementation: an opportunity for improved health outcomes in communities todd d. sorensen,...
TRANSCRIPT
![Page 1: 340B Implementation: An Opportunity for Improved Health Outcomes in Communities Todd D. Sorensen, Pharm.D. Associate Professor University of Minnesota](https://reader036.vdocuments.site/reader036/viewer/2022082817/56649dbd5503460f94aafe51/html5/thumbnails/1.jpg)
340B Implementation: An Opportunity for Improved Health Outcomes in Communities
Todd D. Sorensen, Pharm.D.Associate Professor
University of Minnesota
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Medication Access - Required Component of Primary Care?
Access to diagnosis
Access to treatment
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Required Component ofPrimary Care?
Economic Disparity• 49 million Americans lacked health coverage in 2002• 23% of American under 65 have no Rx coverage• Drug prices paid by those w/o drug insurance are 15% higher
than those with insurance• UI, non elderly spent an average of $30. 76 for Rxs compared to
$9.96 (insured) and $5.53 (generic) for insured.Clinical Disparity
• 27% UI said needed a Rx drug but did not get it compared to 10% of insured
• 42% of UI with HTN not taking medication compared to 25% of UI
• 43% of UI with elevated cholesterol not taking medication compared to 29% of insured.
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The FOUR CORNERSTONES of Medication Management
Access
Outcomes
Efficiency
Quality
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340B Meds
Samples
MAPs
QualityAssurance
Formulary
MedicationMonitoring
Expenses/Revenues
Patient Safety
Adverse Rxns
Patient Education
Medication Use vs. Cheap Drugs
ProviderEducation
HealthCollaboratives
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Westside Community Health Services - St. Paul
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Four Cornerstones at Westside Medication Access
In-house pharmacy Samples in pharmacy Considering expansion to other
sites Pharmaceutical Care
3 FTE pharmacists, 2 FTE technicians
Collaborative Practice Agreements
Dedicated exam room for pharmacy
Efficient Business Practices Medicaid negotiation Bilingual technicians Separation of clinical and
dispensing time of pharmacists
Seeking $ for robotics/telepharmacy
Quality Assurance DUE
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Community-University Health Care Center - Minneapolis
Medication Access Contract Pharmacy
Pharmaceutical Care 1 FTE Clinical Pharmacist, 1 resident CPAs, pain contracts
Efficient Business Practices Formulary management Oversight of contract pharmacy
Quality Assurance Sample meds/MAPs Availability of languages
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Medication Therapy Management Services (MTM)
Recognizes the role pharmacists can play in improving the health outcomes of patients Example: Clinical Pharmacy Demonstration Projects –
Demonstrated value of pharmacists actively managing diabetes patients
Component of Medicare Part D (Jan. 1, 2006) Established in Minnesota Medicaid by legislation passed July
2005 Compensation for collaborating with prescribers and patients to
manage medication use…compensation is independent of medication dispensing
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Commit to more than affordable access Strive for high quality, comprehensive pharmacy
services as the standard of care The most expensive medication is one that
doesn’t work 340B program can be leveraged to increase access
to medications AND improve health in a community Expertise and experience is critical to create a
comprehensive program
Take Home Messages…