From 1996 to 2012, the Wisconsin Medicaid Pharmaceutical Care Program WMPCP operated as the first state funded program encouraging pharmacists to resolve Medicaid recipients drug problems by providing pharmaceutical care services using enhanced dispensing fees as financial incentives. Still unknown about this long-standing program is how the 10 to 15 pharmacies with the most paid claims, denoted as the most innovative pharmacies participated in the program. The first aim of this study is to determine the breadth and depth of services provided by the top 10 to 15 pharmacies by studying trends and patterns in paid claims. The second aim is to determine how pharmacy work systems were created or changed in order to participate in WMPCP. A mixed methods research design, including claims analysis and face-to-face interviews will be used to collect and analyze data. To advance pharmacy practice beyond the dispensing role, it is critical we understand why some pharmacies were successful with WMPCP, what characteristics in their work systems fostered their successful participation, and, how these characteristics are related to pharmacists abilities to provide patient-focused, cognitive services to a relatively high degree.
Division of Social and Administrative Sciences in Pharmacy, University of Wisconsin Madison School of Pharmacy