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  Therapeutics, Diseases & Populations
  Pharmacy Management & Ownership
  Profession, Academics & Economics
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CPF Grants Toolkit

Pursuant to our Vision and Mission to advance community pharmacy practice and patient care delivery through grant funding and resource sharing, this toolkit page consolidates the numerous grantee materials that can be utilized for education and training or applied in direct patient care services to enhance CPF grant-funded project replicability and transferability.

Medication Management, Safety & Quality
Grant Title & Link to Grant Details Page Resource(s) Description

Integrating Pharmacist Support for Thriving in Place Home Health Program Tool - Falls AHRQ tool that can be used to identify medication-related risk factors for falls in hospitalized patients and implemented in a community setting for this study. A pharmacist would perform this assessment.
Tool – MTM MAR Patient Medication Administration Record - "MEDS ON A CLOCK" (7-Day)
Tool – MTM Self-Monitoring Patient Medication Administration Record - "MEDS ON A CLOCK" for Self-Monitoring (Monthly)

Evaluation of Community Pharmacist-Managed Transitions of Care on Hospital Readmission Rates Tool - TOC  Developing Interventions - Project BOOST Implementation Toolkit (Transitions of Care – TOC)
Tool - Risk Assm Risk Assessment - 8P Project BOOST Implementation Toolkit

Physician Referrals for Pharmacist MTM Services Toolkit Compiled MTM referrals project overview and form templates
Toolkit Overview Project overview and description of the toolkit contents.
Referral Form - Service Pharmacist Referral Form from Physician or Provider.
Referral Form -  Priority Pharmacist referral form with service priority ranked.
Referral Form - EMR Example of referral form generated in Electronic Medical Record System
Referral Form - Patient Patient handout describing pharmacist services for physicians to give to patients when making a referral to the pharmacist.
Form – Visit Log This form to keep track of attempts to schedule a patient visit to provide the medication management service(s).
Form – MTM Report MTM report form for documenting the medication management service(s) provided by the pharmacist. (sample template)
Form – MTM Report Custom MTM report form for documenting the medication management service(s) provided by the pharmacist. (custom template)

Comprehensive analysis of Error-prone Medications in Electronic Prescribing PEER Portal  Provider e-Prescribing Experience Reporting



Therapeutics, Diseases & Populations
Grant Title & Link to Grant Details Page Resource(s) Description

Integrating Pharmacist Support for Thriving in Place Home Health Program Tool – Pain Assm Overview Key to using Pain Assessment Tool
Tool – Pain Assm Background Pain Assessment Tool

Advancing a Community Pharmacy Enhanced Service Network Webinar Recordings Bimonthly ChargeUP webinar calls for CPESN to keep pharmacies informed of key clinical and practice-related topics to assist in participation in these networks. Free registration is required to hear audio.  Free dissemination possible via CPF grant.

Point-of-Care Screening for Hepatitis C in Community Pharmacies Presentation  Pharmacist education training slides about HCV
Quiz Pharmacist HCV knowledge quiz

Pharmacist Provision of Preconception Care Through Medication Therapy Management Education (CPE) Delivering Preconception Medication Therapy Management Services in the Community Pharmacy

Impact of Depression Screenings in Community Pharmacies Tool Depression Screenings in Pharmacies (DSIP) Toolkit

Clinical Community Pharmacist Protocol Website Clinical Community Pharmacist (CCP) is a patient care development for pharmacists practicing in community pharmacies



Pharmacy Management, Ownership & Business Models
Grant Title & Link to Grant Details Page Resource(s) Description

Development of a New Community Pharmacy Practice Model Tool NPM Site Evaluation Criteria
Resource Tech-check-tech Workflow Process Map
Resource New Practice Model Policies & Procedures
Infographic Advanced Pharmacy Technician Training
Resource Sample Site-Specific Board (BOP) of Pharmacy Application

Advancing a Community Pharmacy Enhanced Service Network Webinar Recordings Bimonthly ChargeUP webinar calls for CPESN to keep pharmacies informed of key clinical and practice-related topics to assist in participation in these networks. Free registration is required to hear audio.  Free dissemination possible via CPF grant.

Integrating MTM Provided by Community Pharmacists into a Community-based ACO Form - BAA (Word) Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement
Form - BAA (PDF) Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement
Form - HIE Agreement (PDF) Healthcare Information Exchange (HIE) - Participation Agreement

Pharmacy Center of Excellence - Interprofessional Approach to Increase Billable Care-Events in a Rural Community Form - Referral Patient Referral Cover Sheet
Form - Intake Apple Drugs - Core Clinical Care Intake Sheet
Form - Ordering Services Diabetes Self-Management Education/Training and Medical Nutrition Therapy Services Order Form
Form - Sign-in Class Sign-In Sheet
Form - Invoice Invoice for Educational Services

Developing Strategies for Community-Based Medication Management Services in Value-based Health Plan Design Poster Strategies for Comprehensive Medication Management Services (CMMS) within Value-based Health Plans (AACP 2015 - San Diego, CA)

Expanding a Successful Program to Increase the Number and Quality of Services in Community Pharmacy Website Partner for Promotion aims to expand quality patient care services in community-based pharmacy practices.



Profession, Academics & Economics
Grant Title & Link to Grant Details Page Resource(s) Description

Establishing Pharmacists as Credentialed Patient
Care Providers
Project Guide Billing and technology reference flowcharts and grids.
ESSB 5557 Workgroup Report Final deliverable from the Collaborative Work Group on Health Plan Reimbursement of Pharmacist Provided Medical Services prepared at the direction of the legislature in ESSB 5557.
Overview video Coming soon

Update of State Fact Sheets 2016 State Fact Sheets Bimonthly ChargeUP webinar calls for CPESN to keep pharmacies informed of key clinical and practice-related topics to assist in participation in these networks. Free registration is required to hear audio.  Free dissemination possible via CPF grant.

Development of Model Statewide Protocols for Pharmacist-Delivered Care Infographic Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement

Development of a Pharmacy Star Rating System Education of Community Pharmacists on Star Ratings EPIQ Education Resource Educating Pharmacists In Quality online education sessions.

PGY1 Community Pharmacy Residency Program Resource Manual

Guide

Postgraduate Year 1 Community Pharmacy Residency Program Implementation Guide.
Website Residency resources on the APhA website.



 
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