Chair:

• Jennifer Kreidler- Moss Pharm D
  

Staff

• Kathy McNamara
• Vacheria Keys

• Kemi Alli
• Mary Blankson
• Anthony Fortenberry

• Vicki Young

Co-Chairs:

• Nicole Thibeau No tpresent
• Sue Veer

Notetaker:     

• Andrea Price

• Lisa Nelson
• Marisa Rowen
• Hannah Rowell

Anthony Armstrong cannot be there due to new facility opening 9/1.

Kemi Alli, M.D.

Chief Executive Officer

Henry J. Austin Health Center

Kemi.Alli@HenryJAustin.org

609.278.5909

Venti iced latte, skim milk, 1shot decaf, 1 pump sugar free vanilla and 1 pump caramel. 

 Anthony Armstrong, MPA

VP Strategy and Business Development       

Howard Brown Health

anthonya@howardbrown.org

407.765.5579

NA

Mary Blankson, DNP, APRN, FNP-C, FAAN     

Chief Nursing Officer

Community Health Center, Inc.

mary@chc1.com

860.852.0851

double choc chip Frappuccino with whip

Anthony Fortenberry, MSN, RN, NE-BC          

Chief Nursing Officer

Callen-Lorde Community Health Center

afortenberry@callen-lorde.org

646.279.1550

Vacheria Keys

Brown sugar oatmilk espresso latte

Jennifer Kreidler-Moss, PharmD, CMPE

Chief Executive Officer

Peninsula Community Health Services

jkreidler@pchsweb.org

360.340.2541

Venti iced green tea with 5 Splenda and oat milk. 

Kathy McNamara

Lisa Nelson, PharmD (she/her/hers)

Pharmacy Director

Unity Care Northwest

Lisa.Nelson@ucnw.org

www.UnityCareNW.org

Grande Blonde Vanilla Latte

 Marisa Rowen, PharmD, CDCES  

Associate Pharmacy Director-Advanced Practice Services

El Rio Health

marisar@elrio.org

520.670.3805

Black iced tea, no sweetener

Sarah Price

Iced Chai Latte

Andrea Price

Brown sugar oatmilk espresso latte

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.

Nicole Thibeau

Sue Veer

Vicki Young, PhD             

Chief Operating Officer     

South Carolina Primary Health Care Association

vickiy@scphca.org

803.788.2778

Cafe Americano with Splenda and sugar-free vanilla AND Medicine Ball with peppermint syrup.

Supply Group

Items

Quantity

Handouts

Agendas

Committee Application

20

Office Products

Name Tents in plastic covers (20)

1 Flip charts w/ stand

Room set-up

Hollow Square or Boardroom for 20 plus 20 chairs around the perimeter

• 6' skirted table inside room for name tents

• 6' skirted table inside room for materials

• 6' skirted table inside room for notetaker near an outlet

Agenda Item

Lead

Amount of

Time

Start Time

Handout

Notes

Logistics

Emily

30 minutes

10:00 am

Agendas

Name tents

o   Room set-up  Board Room

o   No mic or AV

o   Name Tents

o   Chairs and Co-chairs at head

o   Sign in roster with Chair

o   Note taker hook-up to computer

o   Only agendas at the meeting

o   Chairs around the perimeter for observers

Coffee Run

Andrea

NA

10:00am

1. Welcome

·         Chair introductions

·         Welcome to new and returning members

Jennifer

5 minutes

10:30 am

Jennifer:

·         Call the meeting to order

·         Welcome New Members

·         Introduce co - chairs

o   Sue

o   Nicole

1. Call To Order

·         Review and approve agenda

·         Committee Charge

·         Review Handouts

Jennifer

2 minutes

10:35 am

Agenda

Jennifer

·         Call for approval of the Minutes

o   Motion to Accept: 

o   Second Motion to Accept:

o   Minutes Approved

·         Review the Committee Charge

·         Distribute sign in sheet

·         Refer to link to agenda, minutes and handouts send out 8/21/23

·         This subcommittee reports to the Clinical Committee

·         Review Handouts

·         Note recommendations to the BOARD March  2033.

1. NACHC explore federal and state regulatory and legislative strategies to advance pharmacists as providers for reimbursement’.

2. In addition to the newly outlined federal 340B strategy, NACHC track, monitor, and help CHCs strategize against 340B Medicaid carve outs at the state level.

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.

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 priorizie, which states and which services?

1. infectious disease strep, flu, covid test and treat

2. chronic disease management -dm, htn - vacheria’s first priorty

3. 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

• 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.

Pass minutes of last meeting

Proposer Mary

Second Hannah

Vote - all aye

By-Laws

Chairs Report:

Jennifer/Sue

10

minutes

10:40 am

Jennifer/Sue

Reports

Jennifer

10 minutes

11:05 am

Reports:

·         LGBT Taskforce (Anthony Fortenberry)

·         Adult Immunizations (Sarah Price)

Federal and State Policy Report

Vacheria

20 minutes

11:15 am

Key Policy Topics:

·      

Adult Immunization

Sarah Price

Adult Immunizations Speaking Notes—Pharmacy Sub-Committee 

1. 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 

2. People:   

3. Health care workers---Standards for Immunization Practice  

4. Strike Teams 

5. Vaccine Ambassadors--CHWs 

6. Role of Pharmacists (pharmacy practices and policies) 

7. Process 

8. 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.  

2. IIS systems 

3. Building the Business Case (there is none) 

4. COVID-19 vaccine access (waxing and waning) 

5. Technology 

6. Data pulls—challenges for even baseline data 

7. Big data 

8. Small data 

9.  Lack of infrastructure in place to capture (free texting) for both admin or declination 

10. IIS—very few bidirectional 

11. Policy with a lens of equity 

12. Immunizers—i.e. pharmacy techs 

13. Medicaid/Medicare Reimbursement 

14. NEW!  COVID-19 vaccine funding and access 

1. Open Discussion.

Jennifer

30

minutes

11:30 am

Jennifer

1. Recommendations to the Board

Sue

15 minutes

12 noon

Board Report see previous recommendations

Sue

·         Roberts Rules of Order, only members can inform and vote.

1. Meeting Review

·         Report to NACHC Board

Policy and Issues Forum 2024

Marriott Marquis, Washington DC , February 12-15 

Committee Meetings

February 10-11   

Jennifer

5 minutes

12:15

Jennifer

·        

10.    Adjourn

Jennifer

12:30 pm