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
Meeting Materials: PHARMACY
2024-2025 Committee Information Page:
Attendance
Chair:
| Staff
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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.izaeth linderbarum
Chief.. parhamcy officer truehealth
chief pharmy officer… central??
Sarah Price
Favorite Starbucks Order
Kemi Alli, M.D. Chief Executive Officer Henry J. Austin Health Center 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 407.765.5579 | NA |
Mary Blankson, DNP, APRN, FNP-C, FAAN Chief Nursing Officer Community Health Center, Inc. 860.852.0851 | double choc chip Frappuccino with whip |
Anthony Fortenberry, MSN, RN, NE-BC Chief Nursing Officer Callen-Lorde Community Health Center 646.279.1550 | |
Vacheria Keys | Brown sugar oatmilk espresso latte |
Jennifer Kreidler-Moss, PharmD, CMPE Chief Executive Officer Peninsula Community Health Services 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 | Grande Blonde Vanilla Latte
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Marisa Rowen, PharmD, CDCES Associate Pharmacy Director-Advanced Practice Services El Rio Health 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 803.788.2778 |
Cafe Americano with Splenda and sugar-free vanilla AND Medicine Ball with peppermint syrup. |
Agenda and Notes
2023 Subcommittee on Pharmacy Policy and Operations
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
Detailed Agenda for Internal Use Only AS OF 8-19-23
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
Logistics
· Room Layout: Board meeting with chairs on the periphery
· Set up: Emily and Liz name tents, agendas, chairs at the head, flipcharts.
· AV/Room Flow: no AV
Prework:
· Starbuck Drink request Andrea Price
Supply Group | Items | Quantity |
Handouts | Agendas Committee Application |
20 |
Office Products | Name Tents in plastic covers (20) 1 Flip charts w/ stand |
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Room set-up | Hollow Square or Boardroom for 20 plus 20 chairs around the perimeter
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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 | ||
· 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
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· 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.
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 |
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?
Payors react to three
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.
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 | ||||
| Jennifer | 30 minutes | 11:30 am |
| Jennifer |
| Sue | 15 minutes | 12 noon | Board Report see previous recommendations | Sue · |
· 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
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| Jennifer · |
10. Adjourn | Jennifer |
| 12:30 pm |
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Subcommittee on Pharmacy Policy and Operations
2022-2023
Friday, August 25, 2023 Balboa C, Manchester Grand Hyatt, San Diego, CA
10:30 am – 12:30 pm Pacific Time
Chair: Jennifer Kreidler-Moss, Pharm D
Co-Chairs: Nicole Thibeau and Sue Veer
Staff: Kathy McNamara and Vacheria Keys
· Call for approval of the Minutes
o Motion to Accept:
o Second Motion to Accept:
o Minutes Approved
· 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.
Agenda
Call to Order
• Welcome
• Review Board Report from March 6, 2023
• Approve AgendaChairs’ Report
Federal and State Policy Update (Vacheria)
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
Open Discussion
Recommendations to the Board
Next Meeting
Policy and Issues Forum 2024
Marriott Marquis, Washington DC, February 12-15
Committee Meetings
February 10-11Adjourn
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