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CPF FUNDED GRANT DETAILS

Texas Pharmacy Association Pharmacist Network
Principal Investigator Kim Roberson, RPh
Project Title Texas Pharmacy Association Pharmacist Network
Grants Awarded Number 175
Status In Study
Organization Texas Pharmacy Association
Location Austin, Texas
Grant Category Pharmacy Management & Ownership
Keyword Pharmacist Network, Care Transitions
Grant Docs Press Release
Objectives The objective of this project is to create a provider network in which pharmacists provide services to reduce the 30 day hospital readmission rates in high risk patients through medication reconciliation and coordination of prescription information at time of discharge combined with weekly follow-up for 30 days. If funding is obtained to pay pharmacists for services, Texas Pharmacy Association will develop a network of community based Texas pharmacists which will provide patient care service to ambulatory patients. Network pharmacists will coordinate medication therapies between hospital discharge and the patients local community pharmacy to optimize their drug therapy and halt preventable hospital admissions. Grant funds will be used to pay pharmacists for their services during the implementation phase. Thereafter, pharmacist fees and network administrative costs will be funded by revenues from service agreements. Pharmacist payment structures currently in discussion involve a combination of Fee For Service Phase I and Fee For Value Phase II. Phase I payment is for basic cost of labor based on estimated time minutes to provide professional services while Phase II payment incentive payment will be paid only if the patient is not readmitted to the hospital within 30 days. During this development phase of the project TPA will provide in-kind services including:Creation of a work-group comprised of Texas Colleges of Pharmacy to create standardized care protocols, work flows and guidelines, focusing initially on two areas: 1 Adherence and 2 Hospital discharge medication reconciliation. Develop and distribute web-based training for pharmacists covering network practice guidelines and protocols. Development of technology in conjunction with various partners including 1 app download to connect pharmacists with patients, 2 development of a Web-based case notification and patient referral system and 3 development of a platform for claims submission and payment. Provide legal support for the development of pharmacist network provider agreements, vendor partnerships and client service agreements. Development of state level policy and regulatory actions to support pharmacist patient care services. Provide marketing and sales support of the pharmacist network to various payers. Texas Pharmacy Association has had very general, preliminary discussions with a hospital system, a self-insured employer and two Texas Medical Association staff to determine potential interest, should pharmacist payment funding be obtained. All discussions were positive.
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