Part 1 of 5 – PSPC Overview

1. Health Resources and Services Administration (HRSA)Patient Safety and Clinical Pharmacy Services Collaborative (PSPC)Informational webinar Part 1 of 5 – PSPC Overview Website: http://www.hrsa.gov/publichealth/clinical/patientsafety/index.html

2. PSPC informational presentations • Each webinar focuses on a different topic. Topics include: • PSPC Overview • How to Form a PSPC Team for our 5th year (aka PSPC 5.0) • How to Enroll in PSPC 5.0 • Collaborative Expectations • A PSPC team success story • Presentations are located at www.healthcarecommunities.org • Look under the “PSPC Tab” PSPC Overview

3. Becoming familiar with Adobe Connect Download slides Helpful websites PSPC Overview

4. What is HRSA? • US Department of Health and Human Services • Health Resources and Services Administration (HRSA) • Improving access to health care services for people who are uninsured, isolated or medically vulnerable. • Healthcare Systems Bureau - Office of Pharmacy Affairs provides leadership and oversees the 340B program as well as PSPC PSPC Overview

5. What’s the issue? • More than 133 million Americans live with chronic illnesses1 • 91% of all prescriptions filled for a chronic condition2 • 1.5 million people are injured each year as a result of medication3 • Uncoordinated care costs an estimated $240Billion/year 4 1. CDC National Center for Chronic Disease Prevention and Health Promotion: Chronic Disease Prevention http://www.cdc.gov/nccdphp/overview.htm 2.American Heart Association. Heart Disease and Stroke Statistics–2008 Update. Dallas, Texas: American Heart Association; 2008.http://www.americanheart.org 3. Institute of Medicine (IOM), To Err Is Human: Building a Safer Health System, Washington, DC: National Academy Press; 2000 4. Owens, MK “The Health Care imperative: Lowering Costs and Improving Outcomes”, The Institute of Medicine, 2010 PSPC Overview

6. What is PSPC? An opportunity for impact WHAT: Quality Improvement Collaborative aimed at improving health outcomes and patient safety for high-risk patients (Adapted IHI Breakthrough Series Collaborative Model) Improve the delivery system where there are gaps by: • Enhancing care coordination among the providers and partners involved • Fostering multidisciplinary, team based care approach • Strengthening patient centered medical home • Integrating medication management and other services to minimize harm related to adverse drug events and maximize optimal health outcomes PSPC Overview

7. Staying focused…our PSPC aim PSPC 5.0 AIM: Inter-professional teams that improve the health outcomes and safety for high medication risk populations through patient-centered, cost-effective medication management services aligned with quality national standards.   PSPC’s vision: To engage 3,000 communities in the US who will have integrated care teams that will ensure optimal health outcomes and safety for every patient. PSPC Overview

8. What do we want to achieve? The transformational goal of the PSPC: • Integrate the healthcare delivery system, across multiple healthcare partners, to create a service delivery system for high-risk patients that will produce breakthroughs in the following three areas: • 1) Improved patient health outcomes • 2) Improved patient safety • 3) Increase utilization of cost-effective and integrated medication management services PSPC Overview

9. Who is driving PSPC? WHO: Community based teams across the country • Organizations include safety net provider and hospitals, public health departments, and HIV clinics • Partners include colleges of pharmacy, primary care associations, and Quality Improvement Organizations • Multidisciplinary care teams delivering patient centered services to improve medication safety and health outcomes This is about saving patient lives! In our 4th year (2011-2012), we had over 200+ community based teams from 48 states + DC, PR and VI participate! PSPC Overview

10. PSPC Model (Adapted from IHI Breakthrough Collaborative Series) PDSA=Plan, Do, Study, Act LS= Learning Session AP=Action Period Enroll Teams Prework P P D A A D S S AP1 LS 1 LS 2 AP2 LS 3 Resources ListServ Tools/Guides Conference Calls Faculty Expertise Healthcare Communities.org PSPC Change Package PSPC Overview

11. What is PSPC seeing so far… • In our 3rd year (2010-2011)* some of the accomplishments include: • The 39 Teams tracking improvement for the Diabetes PoF reported an average improvement in the health status marker of 35% • The 12 Teams tracking improvement for the Hypertension PoFreported an average improvement in the health status marker of 40% • Teams also reported a decrease in the average number adverse drug events (ADE) from 0.7 to 0.5 ADEs per patient. • The average number of potential errors per patient decreased from 1.5 per patient encounter at start up to 0.8. • In 2011, APhA Foundation honored PSPC with the Pinnacle Award for being able to demonstrate approaches that assist patients and their caregivers in achieving better outcomes from their medications *4th year accomplishments still being compiled PSPC Overview

12. Key Attributes of the PSPC • Patient-Centered • Interdisciplinary Care Team • Cross-Organizational with Health Homes at the Center • Systematically Addresses Medication Management, Safety and Risk -- Huge Issues for Ambulatory Care Patients • All Teach, All Learn • Align with national efforts (ex: Partnership for Patients) It Is Truly the Next Generation of Collaboratives! PSPC Overview

13. PSPC informational presentations • Each webinar focuses on a different topic. Topics include: • PSPC Overview • How to Form a PSPC Team for our 5th year (aka PSPC 5.0) • How to Enroll in PSPC 5.0 • Collaborative Expectations • A PSPC team success story • Presentations are located at www.healthcarecommunities.org • Look under the “PSPC Tab” PSPC Overview

14. Thank you from all of us at HRSA! For questions and/or more information: Email: patientsafety@hrsa.gov Website: http://www.hrsa.gov/publichealth/clinical/patientsafety/index.html PSPC Overview