Advancing Quality Outcomes and Innovations: Preparing pharmacy for the future

8:00 am - 8:15 am
Conference Welcome and Overview
James M. Hoffman, , Pharm.D., M.S., BCPS, FASHP, Moderator, Chair, Section of Pharmacy Practice Managers
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John Armitstead, M.S., R.Ph., FASHP, ASHP President
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8:15 am – 9:45 am
Plenary 1: Healthcare in 2020 – Predictions and Realities for Executives
ACPE Activity: 0204-0000-15-431-L04-P
Contact Hours:  1.5 / Knowledge-based
Handout [PDF]

This session will explore implications of rapid changes in the U.S. healthcare market place including continued mergers and acquisitions, strategic regional organizations, and continued drive to improve quality at the most efficient cost.

Learning Objectives

• Discuss evolving models of care.
• Identify current trends in the healthcare marketplace.
• Predict healthcare and societal trends based on history.
• Identify disruptive forces impacting health-systems success.
• Describe the senior executive’s perspective in addressing the impact of healthcare trends.

R. Edward Howell, B.S, MHSA, Professor of Public Health Sciences and Professor of Health Management, University of Virginia School of Medicine, Charlottesville
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9:45 am - 10:05 am
Networking Break

10:05 am - 11:35 am
Ambulatory Care Revolution – Value Based Purchasing across the Continuum
ACPE Activity: 0204-0000-15-432-L04-P
Contact Hours: 1.5 / Knowledge-based
Handout [PDF]

Ambulatory care has become a strategic priority for all health systems, including the need to assess health systems readiness to move to at-risk reimbursement for patient populations. Investment in work force and new or expanded ambulatory care service lines is predicted to demand a disproportionate amount of attention for healthcare executives.

Learning Objectives:

• Discuss the revolution occurring with acquisitions and new businesses established to meet payer demands for performance and shared risk in healthcare costs.
• Discuss the perspectives of the C-suite on ambulatory care needs in infrastructure, management of work force, and revenue management to ensure sustainability and success.
• Describe implications of technology and personalized medicine for health systems.
• Identify areas of opportunity for pharmacy leaders preparing for success in the changing healthcare environment.

Jonathon D. Truwit, M.D., M.B.A., Enterprise Chief Medical Officer, Senior Administrative Dean, Professor of Medicine, Froedtert & Medical College of Wisconsin, Milwaukee
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11:35 am – 12:20 pm
2015 John W. Webb Lecture Award

The John W. Webb Lecture Award honors pharmacy practitioners or educators who stand apart from others because of their extraordinary dedication to fostering excellence in pharmacy management and leadership. The recipient of the 2015 John W. Webb Lecture Award is Linda Tyler, Pharm.D., FASHP.

Linda Tyler, Pharm.D., FASHP, Chief Pharmacy Officer, University of Utah Health Care; and Associate Dean of Pharmacy Practice, University of Utah College of Pharmacy, Salt Lake City
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Breakout 1: Optimizing Clinical Pharmacy Services by Enhancing Clinical Decision Support
ACPE Activity: 0204-0000-15-433-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

Clinical decision support (CDS) and its effective use on the daily patient care prioritizations and risk assessment is becoming a primary tool for health systems. Pharmacy leaders will need to understand the best practices for building CDS, as well as optimizing its results and utilization. This breakout will provide effective approaches to establishing and implementing CDS into the pharmacy workflow and patient outcomes oversight systems.

Learning Objectives

• Determine best practice for CDS governance.
• Examine how CDS can support the transition of care.
• Assess how CDS can be used to support population health initiatives.
• Evaluate the patient complexity tool and integration into CDS.
• Design a plan to integrate CDS into daily work and dashboards.

Karl F. Gumpper, R.Ph., BCPS, CPHIMS, FASHP, Pharmacy Informatics Manager, Boston Children’s Hospital, Department of Pharmacy, Boston, Massachusetts

Van T. Do, Pharm.D., Informatics Pharmacist, Oregon Health and Science University, Portland

Breakout 2: Population Health and Patient-Centered Medical Homes: New Opportunities for Pharmacists
ACPE Activity: 0204-0000-15-434-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

This breakout will provide participants with tools on how to utilize organizational information and data to develop proposals for new models of care in the patient-centered medical home (PCMH) and/or population health management field.  Using data to identify trends to target patient populations for optimizing drug therapy regimens, preventing readmissions, and improving patient outcomes will be reviewed.  Integration strategies to imbed pharmacy into current organizational multidisciplinary teams in the ambulatory setting and the lessons learned will be discussed.

Learning Objectives

• Apply available data sets to discover, design, and implement pharmacists within the Patient-Centered Medical Home (PCMH).
• Apply early lessons learned on practical applications such as prioritization, key indicators, and overall population health initiatives.
• Evaluate use of technology to use data to support and develop workflows for transitions of care and population health management.
• Design a plan to track data to build pharmacy programs and monitor for improved outcomes.
  

Tim Lynch, Pharm.D. M.S., Tim Lynch, Pharm. D., M.S., Regional Senior Director of Pharmacy, Catholic Health Initiatives (CHI) Northwest Division, Tacoma, Washington

Eric Wymore, Pharm.D., M.B.A., Regional Clinical Pharmacy Manager, Inpatient and Ambulatory Services, CHI Franciscan Health, Tacoma, Washington

Breakout 3: Implementation Essentials for Pharmacist Credentialing and Privileging
ACPE Activity: 0204-0000-15-435-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

Credentialing and privileging will become an important aspect of pharmacy’s management of its workforce. The profession has seen rapid growth in residency trained pharmacists and certification will become the norm for both pharmacists and technicians. This breakout will provide the case studies, tools, and processes for pharmacy leaders to implement credentialing and privileging processes.

Learning Objectives

• Examine case studies of successful models of credentialing and privileging, including qualification differentiation.
• Evaluate how to integrate credentialing and privileging with prescribing privileges.
• Discuss engagement with health-system credentialing and privileging systems.
• Recommend practical approaches to implementation of credentialing and privileging processes.

Joel A. Hennenfent, Pharm.D., M.B.A., BCPS, FASHP, System Director of Pharmacy Services, Truman Medical Centers, Kansas City, Missouri

Todd Nesbit, Pharm.D., BCPS, Director of Pharmacy Patient Care Services, The Johns Hopkins Health System, Baltimore, Maryland

The workforce for tomorrow will require different skills than yesterday. As demands for primary care increase and the focus on chronic disease management across the continuum drive decisions for health systems, pharmacy leaders will need to assess how they are developing their teams and identify the new skills necessary for their pharmacists and technicians. This breakout will discuss the changing demands in healthcare affecting all health professions and strategies to address those needs specific to pharmacy.

Learning Objectives

• Explain why "multiplier" leaders are needed in the current healthcare environment.
• Outline clinical and non-clinical competencies needed for transitions of care and care beyond the bedside for leadership, staff, students, residents, and technicians.
• Evaluate and apply learning experiences which facilitate deep learning and assessment strategies.
• Design an in-house professional development program utilizing reverse engineering and an 8-step approach.

Lynn Eschenbacher, Pharm.D., M.B.A., FASHP, Assistant Director of Clinical Services and PGY1 Residency Director, WakeMed Health & Hospitals, Raleigh, North Carolina

Kayley Lyons, Pharm.D., Education Ph.D. Candidate, University of North Carolina School of Education, Chapel Hill, North Carolina

Breakout 5:  Excellence Doesn’t Just Happen: Using the Pharmacy Forecast and Strategic Planning to Chart Your Future
ACPE Activity: 0204-0000-15-437-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

Strategic planning is the cornerstone to effectively leading any organization, especially in times of rapid change. This breakout will provide the opportunity to learn about effective strategic planning and implement learnings into elements to be considered for participants’ organizations.

Learning Objectives

• Recommend critical steps to effective strategic planning and resources, including succession planning.
• Evaluate key trends that affect the imperative and prospects for practice model change.
• Develop a plan to incorporate the Pharmacy Forecast into your pharmacy department’s strategic planning efforts.
• Apply strategic planning strategies in your institution in order to keep pace with environment changes.

John Pastor, Pharm.D., Director of Pharmacy, University of Minnesota Medical Center and University of Minnesota Masonic Children’s Hospital, Minneapolis, Minnesota

Pamela Phelps, Pharm.D., FASHP, Director of Clinical Pharmacy Services, Fairview Hospitals, Minneapolis, Minnesota

Breakout 6: Implementing a Proven Program to Take the Best Possible Medication History: How to Run “Medication Reconciliation Practitioner (MRP) University” at Your Institution
ACPE Activity: 0204-0000-15-438-L05-P and 0204-0000-15-441-L05-P
Contact Hours: Monday 3.25 hours and Tuesday 3.25 / Application-based
Handout [PDF]
Take Home Materials [ZIP]
Note: Breakout 6 is a two-part series and will take place over the course of both days.

Resolving medication discrepancies during care transitions impacts patient outcomes.  Implementing this proven program to Take the Best Possible Medication History (BPMH) will enable your frontline providers to develop the knowledge and competencies to consistently perform this essential step in any practice setting. This breakout session has two parts, delivered on day 1 and day 2 of the Leaders Conference. On day 1, experts facilitate interactive role-playing activities designed for attendees to develop the skills to take the best possible medication history. On day 2, attendees will partner with faculty, using a train-the-trainer model, to walk away with tools to standardize and implement the program to teach taking a BPMH at their organizations.

Learning Objectives

• Define medication reconciliation and articulate the importance of performing an accurate medication history.
• Explain the steps for conducting and completing a best-possible medication history (BPMH) and the process for verifying its accuracy.    
• Demonstrate key BPMH competencies and evaluate trainees’ ability to demonstrate these competencies.        
• Demonstrate how key skills taught during the workshop may be taught to others locally to train them to take a BPMH and certify their competency.

Jeff Schnipper, M.D., M.P.H., FHM, Director of Clinical Research, BWH Hospitalist Service, Associate Physician, Division of General Medicine at Brigham and Women’s Hospital, Associate Professor of Medicine Harvard Medical School, Boston, Massachusetts

Stephanie Labonville, Pharm.D., BCPS, Clinical Pharmacy Specialists, Brigham and Women’s Hospital, Boston, Massachusetts

Facilitators: Amy Aylor, Pharm.D., Clinical Pharmacist/Researcher at the Sioux Falls VA Medical Center; Rebecca Fornaro Largen, Pharm.D., BCPS, Clinical Pharmacy Specialist at Novant Health Presbyterian Medical Center in Charlotte, North Carolina

Breakout 1: Optimizing Clinical Pharmacy Services by Enhancing Clinical Decision Support
ACPE Activity: 0204-0000-15-433-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

Clinical decision support (CDS) and its effective use on the daily patient care prioritizations and risk assessment is becoming a primary tool for health systems. Pharmacy leaders will need to understand the best practices for building CDS, as well as optimizing its results and utilization. This breakout will provide effective approaches to establishing and implementing CDS into the pharmacy workflow and patient outcomes oversight systems.

Learning Objectives

• Determine best practice for CDS governance.
• Examine how CDS can support the transition of care.
• Assess how CDS can be used to support population health initiatives.
• Evaluate the patient complexity tool and integration into CDS.
• Design a plan to integrate CDS into daily work and dashboards.

Karl F. Gumpper, R.Ph., BCPS, CPHIMS, FASHP, Pharmacy Informatics Manager, Boston Children’s Hospital, Department of Pharmacy, Boston, Massachusetts

Van T. Do, Pharm.D., Informatics Pharmacist, Oregon Health and Science University, Portland

Breakout 2: Population Health and Patient-Centered Medical Homes: New Opportunities for Pharmacists
ACPE Activity: 0204-0000-15-434-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

This breakout will provide participants with tools on how to utilize organizational information and data to develop proposals for new models of care in the patient-centered medical home (PCMH) and/or population health management field.  Using data to identify trends to target patient populations for optimizing drug therapy regimens, preventing readmissions, and improving patient outcomes will be reviewed.  Integration strategies to imbed pharmacy into current organizational multidisciplinary teams in the ambulatory setting and the lessons learned will be discussed.

Learning Objectives

• Apply available data sets to discover, design, and implement pharmacists within the Patient-Centered Medical Home (PCMH).
• Apply early lessons learned on practical applications such as prioritization, key indicators, and overall population health initiatives.
• Evaluate use of technology to use data to support and develop workflows for transitions of care and population health management.
• Design a plan to track data to build pharmacy programs and monitor for improved outcomes.
  

Tim Lynch, Tim Lynch, Pharm. D., M.S., Regional Senior Director of Pharmacy, Catholic Health Initiatives (CHI) Northwest Division, Tacoma, Washington

Eric Wymore, Pharm.D., M.B.A., Regional Clinical Pharmacy Manager, Inpatient and Ambulatory Services, CHI Franciscan Health, Tacoma, Washington

Breakout 3: Implementation Essentials for Pharmacist Credentialing and Privileging
ACPE Activity: 0204-0000-15-435-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

Credentialing and privileging will become an important aspect of pharmacy’s management of its workforce. The profession has seen rapid growth in residency trained pharmacists and certification will become the norm for both pharmacists and technicians. This breakout will provide the case studies, tools, and processes for pharmacy leaders to implement credentialing and privileging processes.

Learning Objectives

• Examine case studies of successful models of credentialing and privileging, including qualification differentiation.
• Evaluate how to integrate credentialing and privileging with prescribing privileges.
• Discuss engagement with health-system credentialing and privileging systems.
• Recommend practical approaches to implementation of credentialing and privileging processes.

Joel A. Hennenfent, Pharm.D., M.B.A., BCPS, FASHP, System Director of Pharmacy Services, Truman Medical Centers, Kansas City, Missouri

Todd Nesbit, Pharm.D., BCPS, Director of Pharmacy Patient Care Services, The Johns Hopkins Health System, Baltimore, Maryland

The workforce for tomorrow will require different skills than yesterday. As demands for primary care increase and the focus on chronic disease management across the continuum drive decisions for health systems, pharmacy leaders will need to assess how they are developing their teams and identify the new skills necessary for their pharmacists and technicians. This breakout will discuss the changing demands in healthcare affecting all health professions and strategies to address those needs specific to pharmacy.

Learning Objectives

• Explain why "multiplier" leaders are needed in the current healthcare environment.
• Outline clinical and non-clinical competencies needed for transitions of care and care beyond the bedside for leadership, staff, students, residents, and technicians.
• Evaluate and apply learning experiences which facilitate deep learning and assessment strategies.
• Design an in-house professional development program utilizing reverse engineering and an 8-step approach.

Lynn Eschenbacher, Pharm.D., M.B.A., FASHP, Assistant Director of Clinical Services and PGY1 Residency Director, WakeMed Health & Hospitals, Raleigh, North Carolina

Kayley Lyons, Pharm.D., Education Ph.D. Candidate, University of North Carolina School of Education, Chapel Hill, North Carolina

Breakout 5:  Excellence Doesn’t Just Happen: Using the Pharmacy Forecast and Strategic Planning to Chart Your Future
ACPE Activity: 0204-0000-15-437-L04-P
Contact Hours: 3.25 / Application-based
Handout [PDF]

Strategic planning is the cornerstone to effectively leading any organization, especially in times of rapid change. This breakout will provide the opportunity to learn about effective strategic planning and implement learnings into elements to be considered for participants’ organizations.

Learning Objectives

• Recommend critical steps to effective strategic planning and resources, including succession planning.
• Evaluate key trends that affect the imperative and prospects for practice model change.
• Develop a plan to incorporate the Pharmacy Forecast into your pharmacy department’s strategic planning efforts.
• Apply strategic planning strategies in your institution in order to keep pace with environment changes.

John Pastor, Pharm.D., Director of Pharmacy, University of Minnesota Medical Center and University of Minnesota Masonic Children’s Hospital, Minneapolis, Minnesota

Pamela Phelps, Pharm.D., FASHP, Director of Clinical Pharmacy Services, Fairview Hospitals, Minneapolis, Minnesota

Breakout 6: Implementing a Proven Program to Take the Best Possible Medication History: How to Run “Medication Reconciliation Practitioner (MRP) University” at Your Institution
ACPE Activity: 0204-0000-15-438-L05-P and 0204-0000-15-441-L05-P
Contact Hours: Monday 3.25 hours and Tuesday 3.25 / Application-based
Handout [PDF]
Take Home Materials [ZIP]
Note: Breakout 6 is a two-part series and will take place over the course of both days.

Resolving medication discrepancies during care transitions impacts patient outcomes.  Implementing this proven program to Take the Best Possible Medication History (BPMH) will enable your frontline providers to develop the knowledge and competencies to consistently perform this essential step in any practice setting. This breakout session has two parts, delivered on day 1 and day 2 of the Leaders Conference. On day 1, experts facilitate interactive role-playing activities designed for attendees to develop the skills to take the best possible medication history. On day 2, attendees will partner with faculty, using a train-the-trainer model, to walk away with tools to standardize and implement the program to teach taking a BPMH at their organizations.

Learning Objectives

• Define medication reconciliation and articulate the importance of performing an accurate medication history.
• Explain the steps for conducting and completing a best-possible medication history (BPMH) and the process for verifying its accuracy.    
• Demonstrate key BPMH competencies and evaluate trainees’ ability to demonstrate these competencies.        
• Demonstrate how key skills taught during the workshop may be taught to others locally to train them to take a BPMH and certify their competency.

Jeff Schnipper, M.D., M.P.H., FHM, Director of Clinical Research, BWH Hospitalist Service, Associate Physician, Division of General Medicine at Brigham and Women’s Hospital, Associate Professor of Medicine Harvard Medical School, Boston, Massachusetts

Stephanie Labonville, Pharm.D., BCPS, Clinical Pharmacy Specialists, Brigham and Women’s Hospital, Boston, Massachusetts

Facilitators: Amy Aylor, Pharm.D., Clinical Pharmacist/Researcher at the Sioux Falls VA Medical Center; Rebecca Fornaro Largen, Pharm.D., BCPS, Clinical Pharmacy Specialist at Novant Health Presbyterian Medical Center in Charlotte, North Carolina

1:00 pm – 1:05 pm

Announcements
James M. Hoffman, Pharm.D., M.S., BCPS, FASHP, Moderator

1:05 pm – 2:05 pm
Pay for Performance – The Value Equation
ACPE Activity: 0204-0000-15-439-L04-P
Contact Hours: 1.0 / Knowledge-based
Handout [PDF]

The federal government and commercial payer industries have moved to pay for performance in both the inpatient and outpatient settings. Understanding the drivers from the payers perspective is critical for health care executives to understand to develop strategies that optimize patient outcomes and maintain financial viability.

Learning Objectives

• Describe pay for performance and bundled care from a payer’s perspective.
• Discuss how medication use is incorporated into the overall strategies and expectations for medication-related outcomes and safety.
• Review key factors in the decision making process to successfully participate in value-based purchasing through bundled payments.
• Outline how pharmacy departments can prepare for upcoming changes in healthcare payments.

Christopher Palmieri, M.H.S.A., Darien, Connecticut
Download Audio [MP3]

2:05 pm – 3:05 pm
Population Health – The “Primary” Opportunity Facing the U.S. Healthcare System
ACPE Activity: 0204-0000-15-440-L04-P
Contact Hours: 1.0 / Knowledge-based
Handout [PDF]

Population health has become a primary focus area for health systems. Defining what population health means to an organization, how they will manage their data, and translate information into sustainable and equitable healthcare models has become paramount.

Learning Objectives

• Describe how population health is defined and implemented by health systems.
• Describe the challenges facing executives in demonstrating the value of the services they provide to their patients, payers, and the larger community. 
• Discuss challenges facing healthcare executives in prioritizing resources and identifying opportunities to be successful in population health.

Drew A. Harris, D.P.M., M.P.H., Assistant Professor and Director of the Health Policy and Population Health programs, Thomas Jefferson University School of Population Health, Philadelphia, Pennsylvania
Download Audio [MP3]

3:05 pm – 3:15 pm

Closing Remarks
James M. Hoffman, Pharm.D., M.S., BCPS, FASHP, Moderator