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Advisory Group on Pharmacy Policy and Operations Date: Friday, August 25, 2023 Time: 10:30 am – 12:30 pm Location: Manchester Grand Hyatt, San Diego- CA, Balboa C |
Meeting Resources
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Meeting Materials: PHARMACY
2024-2025 Committee Information Page:
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Attendance
Chair:
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Co-Chairs:
| Notetaker:
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| Anthony Armstrong cannot be there due to new facility opening 9/1. |
Guests:
Guy from … pr for health centers in S. Carolina
Greg Williams
E.Advisory Group izaeth Linderbarum
Chief.. parhamcy officer truehealth
chief pharmy officer… central??
Sarah Price
Agenda and Notes
2023 Subcommittee on Pharmacy Policy and Operations
2021-2022
Starbucks Order
Kemi Alli, M.D.
Chief Executive Officer
Henry J. Austin Health Center
609.278.5909
Anthony Armstrong, MPA
VP Strategy and Business Development
Howard Brown Health
407.765.5579
Won’t be able to attend.
Mary Blankson, DNP, APRN, FNP-C, FAAN
Chief Nursing Officer
Community Health Center, Inc.
860.852.0851
Anthony Fortenberry, MSN, RN, NE-BC
Chief Nursing Officer
Callen-Lorde Community Health Center
646.279.1550
Jennifer Kreidler-Moss, PharmD, CMPE
Chief Executive Officer
Peninsula Community Health Services
360.340.2541
Marisa Rowen, PharmD, CDCES
Associate Pharmacy Director-Advanced Practice Services
El Rio Health
520.670.3805
Hannah Rowell
Erie Family Health Centers
1701 West Superior Street
Chicago IL 60622
Tel: 312-432-7467
Email: hrowell@eriefamilyhealth.org
Mint Majesty hot tea, with Splenda and soymilk.
Vicki Young, PhD
Chief Operating Officer
South Carolina Primary Health Care Association
803.788.2778
Friday, August 25, 2022
10:30 am – 12:30 pm
Chair: Jennifer Kreidler- Moss Pharm D
Co-Chairs: Nicole Thibeau and Sue Veer
Staff: Kathy McNamara and Vacheria Keys
Venue: Balboa C, Manchester Hyatt, San Diego, CA
Notetaker: Andrea Price
Purpose
To engage thought leaders and subcommittee members to inform the Pharmacy Strategy for health centers moving forward
Create a forum to give a voice on current concerns, environment, and inform NACHC on Pharmacy Policy, Business Practices, Workforce etc.
To advise and make recommendations for legislation and advocacy
Identify Best Practices
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Subcommittee on Pharmacy Policy and Operations |
Agenda
1. Call to Order
Welcome
Review Board Report from March 6, 2023
Approve Agenda
2. Conversation with Dr. Rhee
Dr. Rhee
Coopatition - Pharmcies like CVS are now doing primary care, which is a good thing, but they have certain interests in mind.
Pharmacists should be reimbursed as provides.
Vacheria - it would be a state by state approach for medicaid but for medicare, too.
There are new roles for Chief PHarmacy Officer - supporting that growth ; the CEO listens to NACHC,
Practice Acts - when there is something coming from CMS, state people may take more note.
Terminology - Ambulatory care pharmacists - not clinical, they all are trained clinically.
In many CHCs the registered nurses can adjust standing orders adn get reimbursed - because there are not enough pharmacists…
Would like to se NACHC push - CMS should carve out services for opioid crisis. The X is going away and that will force the services downwards, to be done by nurses, others, who cannot get reimbursed for it.
To retail primary care - you have to be a good partner - push for everythingn that we need.
National Community Pharmacy Association has been a partner, but National Pharmacy Association - Dr. Rhee can help make connections there.
Three bundles - how to prioritize, which states and which services?
infectious disease strep, flu, covid test and treat
chronic disease management -Diabetes, Hypertension - Vacheria’s first priorty
PHQ2s or DAD7s PrEP - public health - where there are disparities CHCs are trusted. Are there more policies relevant to our populations that we should push to reimburse.
Payors react to three forces:
Medicare
Medicaid states
Commercial employers
Health center employees and their families are about 1 million people. We woudl be a coalition of … like a NACHC health plan as a buying group.
Around 50% of chcs have a pharmacist.
Vacheria - We should have a track for pharmacy at FOM/IT. New CEOs and new CFOs go to that historically, this would be training for that new person. Why FOM/IT? Because financing and operations, might help to bring the front of the house and back of the house together.
Note - Jennifer - Board won’t send ppl to DC - cost is too high.
Suggestion - do a survey on the priorities for Dr. Rhee’s 3 bundles. Kathy there are many ways to do this other than sureys, but we can collect data, questions on registration forms, have PCAs include on their surveys.
where are you on the org chart
what is your role
what are your main concerns
Who is providing what types of ambulatory services?
Even if CHC has no pharmacy, they will have someone doing “pharmacy activities” …
Broader goal: how can we act so that two years from now, there is a pharmacy track to a NACHC conference.
Kathy -embed a training at every conference with the same curriculum the messaging is the same but players in the states are different.
3. Call for approval of the Minutes
o Motion to Accept: Mary Blankson
o Second Motion to Accept: Hannah Rowell
o Minutes Approved: Unanimous
4. Review the Committee Charge
Committee Charge: Focus on patient centric emerging models of pharmacy policy and operations that impact patient access and improve health outcomes, business principles, scale and sustainability of Pharmacy Programs.Advises NACHC on legislative and regulatory policies, funding, reimbursement, and pharmacy policy and operations.
5. Chairs’ Report
6. Federal and State Policy Update (Vacheria)
7. Reports
LGBTQ Health Task Force Gender Affirming Care (Anthony Fortenberry)
Providers leaving
Providers feeling unsafe
Organizations that no longer provide gender affirming care drive patients to FQHCs
Adult Immunizations (Sarah Price)
Adult Immunizations Speaking Notes—Pharmacy Sub-Committee
Spent the last 5 years exploring adult immunizations in the areas of: people, processes, technology, and policy; Over 80 health centers in 25 states and 5 networks
People:
Health care workers---Standards for Immunization Practice
Strike Teams
Vaccine Ambassadors--CHWs
Role of Pharmacists (pharmacy practices and policies)
Process
Standards for Immunization Practice---Assess, Recommend, Administer/Refer, Document
Example: For 44 health centers, asked about which vaccines are stocked and which are routinely referred out for:
The vaccines most commonly administered on-site are: Flu, Tdap, Pneumo, Hep A, Hep B, Men, and
The vaccines that are not administered on-site, for between 3 and 7 health centers, are: live flu, MMR, Varicella, Zoster, HPV, Men B, and Hib; 1 health center does not administer Zoster on-site and 1 health center does not administer Hep A on-site.
IIS systems
Building the Business Case (there is none)
COVID-19 vaccine access (waxing and waning)
Technology
Data pulls—challenges for even baseline data
Big data
Small data
Lack of infrastructure in place to capture (free texting) for both admin or declination
IIS—very few bidirectional
Policy with a lens of equity
Immunizers—i.e. pharmacy techs
Medicaid/Medicare Reimbursement
NEW! COVID-19 vaccine funding and access
Mary Blankson - issue of HRSA requirements for everyone to be offered same ….
Anthony Fortenberry - We want to be able to offer vaccines if they were in the office… not to have to refer them out.
8. Open Discussion
9. Recommendations to the Board
NACHC prioritizes federal and state regulatory and legislative strategies to advance pharmacists as providers for reimbursement.
NACHC develop a national plan to elevate ambulatory care pharmacists with an integrated education, training model with a learning community. The Model will include ancillary pharmacy services in beyond 340 B to be completed in 2024.
Request clarification from HRSA regarding equity in provision of adult vaccinations via different pathways so health centers to participate in vaccine programs for the uninsured.
10. Next Meeting
Policy and Issues Forum 2024
Marriott Marquis, Washington DC, February 12-15
Committee Meetings February 10-11