Quality Forum Review: Statewide Collaboration Across Practice Settings to Improve Value-Based Care Outcomes

The PQA Quality Forum Webinar is a regular, recurring series on healthcare quality topics with a focus on medication use and medication services. It is a forum for educating and engaging with PQA members and quality-focused healthcare professionals. 

PQA’s December 9, 2021, Quality Forum welcomed Sharrel Pinto, BSPharm, PhD, FAPhAdepartment head and the Hoch Endowed Professor for Community Pharmacy Practice at South Dakota State University and Director of the Community Practice Innovation Center. Pinto was the 2021 CPIQ Award recipient in the individual category.  

Pinto explained that to maximize the impact of value-based care models, improve key performance indicators and improve patient health outcomes, patients must comply with therapy and remain adherent. As individuals or entities approach creating value-based programs and services it is critical to engage patients in every step of the process to improve both patient buy-in and health outcomes. 

Next, Pinto outlined methods to identify care gaps, stakeholders and their desired goals to explain strategies to work with Integrated Delivery Networks (IDNs) and community partners. 

Pinto lays out the process to identify care gaps within a community. While thinking outside the boxshe explained that it is helpful to review current partnerships and programs for opportunities to advance strategies and initiatives. After identifying gaps in care, Pinto discussed the importance of outlining the needs of all stakeholders such as patients, practitioners and payersAfter completing those two steps, entities can discuss strategies to improve patient health outcomes that meet the specific needs of all stakeholders. 

Identifying care gaps coincided with a federal opportunity, CDC 1815, to improve the health of Americans with diabetes, heart disease and stroke, which aligned with South Dakota Department of Health’s goals 

The two objectives of the CDC 1815 initiative are to: 

  1. Increase engagement of pharmacists in the provision of medication management.   
  2. Promote the adoption of MTM between pharmacists and physicians.  

Through reviewing the landscape, engaging patients, payers and practitioners, and collaborating with South Dakota’s Department of Health, the gaps in care identified were medication therapy management (MTM), diabetes prevalence, blood pressure medication non-adherence and pharmacy access 

After outlining gaps in care, Pinto engaged patientto determine their needs which included:  

  • Understanding when to consult their doctor 
  • Education about medications  
  • Cost of medications  
  • Reduced stigma around diabetes and hypertension diagnoses 
  • Ability to regularly see their doctors 

Pinto also highlighted practitioner and payer challenges to build strategies and solutions that addressed all stakeholder needs and challenges. Pinto shared the advice that strategy and initiatives developed in any program have to be customized to the specific partners and stakeholders for programs to be successful.  

Pinto provided an overview of the 5-year, grassroots plan she and colleagues have embarked upon, highlighting how they centered programs around patients and engaged the various stakeholders. 

In year one, Pinto conducted a landscape analysis and identified key stakeholders in the state and communityShe focused on engagement and developing programming for community partners and stakeholders during year two. 

Quality Forum Slide

These programs were implemented, marketed, and enrolled patients through year three. Year four and five will focus on evaluating the sustainability, financial viability and impact on patient outcomes of the current programs. This project is currently in year four, with a reported decrease in staff turnover, improved patient health outcomes and increased job satisfaction.  

Pinto shared specific programs throughout the presentation highlighting the needs, key stakeholders and results. One such program was initiated after it was discovered that a community pharmacy wanted to provide MTM services but lacked square footage in their pharmacyConcurrently, a health system needed assistance to improve outcomes via MTM or pharmacist counseling but lacked sufficient number of ambulatory care pharmacistsThis program integrated community pharmacists into multiple clinics within the health system to provide MTM services, diabetes education and assistance on prescription costs to physicians
Pinto concluded with best practices when working with IDNs and community partners as well as building and developing new programs and initiatives to address community-specific needs

Pinto encouraged individuals who wish to learn more to email her at [email protected]. 

You can listen to the full recording of this Quality Forum Webinar, a one-hour presentation with audience Q&A, on PQA’s YouTube channel. PQA members can access the presentation slides in theMember Resources Library. 

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