Narrowing Cardiovascular Disease Health Disparities by Advancing the Role of Pharmacists Through a Multisector Consortium.
Noel C BarraganSteven ChenJessica AbrahamMichelle ChuTony KuoPublished in: Journal of public health management and practice : JPHMP (2024)
Demand for scaling and sustaining clinical services to improve health outcomes while minimizing costs is rising, particularly for patients dealing with major cardiovascular disease and stroke risk factors such as hypertension. Consequently, there is growing national and local interest in engaging pharmacists as part of the solution through the implementation of comprehensive medication management. To capitalize on this momentum, a team from the University of Southern California led the establishment of the California Right Meds Collaborative (CRMC) in 2019. CRMC aims to reduce the burden of uncontrolled chronic disease by advancing the role of pharmacists as team members in the health care system. This case study describes CRMC's structure and approach to developing value-based payment models and advancing the competency of pharmacists through training, continuous quality improvement, and technical assistance. In addition, this case study provides an overview of a CRMC pilot project wherein a local health plan tested a value-based payment model to deliver comprehensive medication management. The pilot underwent many iterative changes throughout its duration but ultimately was considered a success and adopted as part of standard practice. Lessons learned from this effort can help others leverage the availability of pharmacists to assist vulnerable populations in their communities.
Keyphrases
- quality improvement
- healthcare
- cardiovascular disease
- patient safety
- risk factors
- public health
- mental health
- general practice
- end stage renal disease
- primary care
- affordable care act
- chronic kidney disease
- blood pressure
- atrial fibrillation
- newly diagnosed
- type diabetes
- ejection fraction
- health insurance
- study protocol
- prognostic factors
- emergency department
- cardiovascular risk factors
- health information
- adverse drug
- computed tomography
- image quality
- palliative care
- metabolic syndrome
- randomized controlled trial
- human health
- patient reported outcomes
- virtual reality
- medical education
- double blind
- subarachnoid hemorrhage
- climate change