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

Link to Documents on SharePoint HIV & BH

Attendance

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.

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 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.

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
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
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
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. NACHC explore federal and state regulatory and legislative strategies to advance pharmacists as providers for reimbursement’. 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? infectious disease strep, flu, covid test and treat chronic disease management -dm, htn - 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 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.
Chairs Report:	Jennifer/Sue	10 minutes	10:40 am		Jennifer/Sue/Nicole
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: ·
Open Discussion.	Jennifer	30 minutes	11:30 am		Jennifer
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.
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

2023-08-25 Subcomittee on Pharmacy