2009 Midyear Clinical Meeting
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Building Ambulatory Services: Best Practices in Design, Reimbursement, and Outcomes, Part I
Track:
Educational Sessions (CE)
Program Code: 213-L04
Date: Tuesday, December 8, 2009
Time: 8:00 AM to 11:00 AM EST
Location:
Venetian C, Level 2
MEETING PLANNING ASSOCIATE:
Click the plus sign to see more detailed information about each speaker.
Seena Haines,
PharmD, CDE, Associate Professor Pharmacy Practice and Residency Director,
Palm Beach Atlantic University
Dr. Seena L. Haines is an Associate Professor of Pharmacy Practice and founding faculty member at Palm Beach Atlantic Universitys School of Pharmacy. Dr. Haines completed an Ambulatory Care residency through the Veterans Administration where she learned much of her understanding of health-systems practice. Based on this experience, Dr. Haines developed and launched a replicable medication therapy management model which has resulted in the founding of four different pharmacist-based, indigent care clinics in Palm Beach County. The Integrated Pharmacotherapy Services (IPS) clinics have recently received DSME ADA recognition as a single-provider, multi-site program and have been awarded over $750,000 in grant funding to provide pharmacist-directed primary care to the underserved. In 2008, Dr. Haines was asked to accept co-directorship of the Diabetes Education and Research Center where she also serves as the administrator for the Med Data prescription assistance program in Palm Beach County. Dr. Haines established Palm Beach Atlantics first Pharmacy Practice residency where she serves as Residency Director (PGY-1).
Professional achievements include: founding Chair and member for the ASHP SAG on Reimbursement for Cognitive Services, inaugural AACP Self-Care SIG Chair, Certified Diabetes Educator, 2009 Preceptor of Distinction, 2008 Hero in Medicine award finalist, and inaugural fellow of the AACP Academic Leadership Fellows Program.
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PRESENTER(S):
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Barry Bunting,
PharmD, DSNAP, Vice President, Clinical Services,
American Health Care
Barry Bunting is a V.P. of Clinical Services for American Health Care, a pharmacist owned health and data management company that promotes a disease management model that uses pharmacists as health coaches for individuals with chronic illnesses such as diabetes, hypertension, and hyperlipidemia. He received his B.S. Pharmacy degree from Ferris State University and his Doctor of Pharmacy degree from the University of North Carolina, Chapel Hill. He is a member of the National Academies of Practice in Pharmacy, and has published over two dozen articles in biomedical journals, including three that have received research paper awards.
Prior to working for American Health Care he was Clinical Pharmacy Manager at Mission Hospitals, an 800 bed 4 hospital, tertiary care health system in Asheville, NC where he coordinated the award winning "Asheville Project". This pharmacist-driven disease management model has generated peer review journal research articles on more than 1000 patients over 10 years. It has been replicated in over 23 states and 3 countries and has been the subject of front page articles in the Washington Post, the New York Times, the Los Angeles Times, and has been featured on NBC Nightly News. Most significantly it has demonstrated that pharmacists can be key players in collaborative health care models that improve care and control health care costs. The significance to hospital pharmacists interested in building ambulatory services is that they can provide clinical services for employees of their own hospital and help their employer control their organization's health care costs.
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Seena Haines,
PharmD, CDE, Associate Professor Pharmacy Practice and Residency Director,
Palm Beach Atlantic University
Dr. Seena L. Haines is an Associate Professor of Pharmacy Practice and founding faculty member at Palm Beach Atlantic Universitys School of Pharmacy. Dr. Haines completed an Ambulatory Care residency through the Veterans Administration where she learned much of her understanding of health-systems practice. Based on this experience, Dr. Haines developed and launched a replicable medication therapy management model which has resulted in the founding of four different pharmacist-based, indigent care clinics in Palm Beach County. The Integrated Pharmacotherapy Services (IPS) clinics have recently received DSME ADA recognition as a single-provider, multi-site program and have been awarded over $750,000 in grant funding to provide pharmacist-directed primary care to the underserved. In 2008, Dr. Haines was asked to accept co-directorship of the Diabetes Education and Research Center where she also serves as the administrator for the Med Data prescription assistance program in Palm Beach County. Dr. Haines established Palm Beach Atlantics first Pharmacy Practice residency where she serves as Residency Director (PGY-1).
Professional achievements include: founding Chair and member for the ASHP SAG on Reimbursement for Cognitive Services, inaugural AACP Self-Care SIG Chair, Certified Diabetes Educator, 2009 Preceptor of Distinction, 2008 Hero in Medicine award finalist, and inaugural fellow of the AACP Academic Leadership Fellows Program.
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Sandra Leal,
PharmD, CDE, Clinical Pharmacy Supervisor,
El Rio Health Center
Sandra Leal, PharmD, CDE is the Clinical Pharmacy Supervisor at El Rio Health Center in Tucson, Arizona. Her clinical practice includes provision of clinical services in the areas of diabetes, hypertension, and dyslipidemia in a largely Hispanic and American Indian population. She is an adjunct instructor at the University of Arizona College of Pharmacy and at A.T. Still University School of Osteopathic Medicine.
Dr. Leal received her Bachelors in Pharmacy and her PharmD degree from the University of Colorado School of Pharmacy. She completed her Pharmacy Practice Residency at the Southern Arizona VA Health Care System in Tucson, Arizona.
She is the first pharmacist in Arizona to receive prescription authority. She is the immediate past president of the Association of Clinicians for the Underserved and sits on the board of the National Center for Farmworker Health. She received the ASHP Best Practices Award in Health-Systems Pharmacy for her successful implementation of an innovative program. Most recently, she received the National Association of Community Health Center Innovative Research in Primary Care Award, the Pinnacle Award from the APhA Foundation and was selected as Pharmacist of the Year by the Arizona Pharmacy Alliance (AzPA). Some of her current work has been published in Diabetes Care, The Journal of Health Care for the Poor and Underserved, Insulin Journal, and Advances in Chronic Kidney Disease.
She has been working to promote clinical pharmacy services nationally to improve patient safety and health outcomes as faculty for HRSAs Patient Safety & Clinical Pharmacy Services Collaborative.
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Laura Roller,
PharmD, BCPS, Supervisor, Ambulatory Clinical Pharmacy Services; and Supervisor, Thrombosis Service,
University Health Care
Dr. Roller supervises ambulatory clinical pharmacy programs and coordinates ambulatory student and resident rotations at University Health Care in Salt Lake City, Utah. After graduating with a PharmD from the University of Illinois at Chicago in 1990, she went on to do a clinical residency with the West Side VA Medical Center in Chicago. She has since spent time with the Indian Health Service, participated as a member of the Solid Organ Transplant team at the University of New Mexico, contributed to a patient oriented website while at the St. Louis College of Pharmacy, practiced in ambulatory care, and managed an anticoagulation clinic at the University of New Mexico. Currently she is actively involved in expanding a discharge medication reconciliation/prescription service, MTM, collaborative practice agreements, other clinical programs, and maximizing cognitive services reimbursement.
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Amy Stump,
PharmD, BCPS, Clinical Assistant Professor of Pharmacy Practice,
University Wyoming School of Pharmacy
Amy L Stump, PharmD, BCPS is a Clinical Assistant Professor of Pharmacy Practice with the University of Wyoming School of Pharmacy and the UW Family Practice Residency Program (UWFP) at Cheyenne. She graduated from the University of Nebraska Medical Center College of Pharmacy, and completed a Primary Care Specialty Residency with Mission Hosptials/MAHEC in Asheville, North Carolina. Prior to joining the faculty at the University of Wyoming in 2006, Doctor Stump was faculty with the Auburn University School of Pharmacy and the University of Alabama-Tuscaloosa School of Medicine Department of Community and Rural Medicine. Her professional interests include billing for pharmacy services, chronic disease management and medication access in elderly and indigent populations. In her free time, Doctor Stump enjoys reading historical fiction, hiking and spending time with her family.
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Description
Planned in cooperation with the ASHP Section of Home, Ambulatory, and Chronic Care Practitioners
ACPE Activity #204-000-09-213-L04P
3.0 Contact Hours / Application-based
Educational Content: Level 2
Moderator: Seena L. Haines, PharmD, CDE, Associate Professor Pharmacy Practice and Residency Director, Palm Beach Atlantic University, West Palm Beach, FL; and Director, Integrated Pharmacotherapy Services, Diabetes Education and Research Center, West Palm Beach, FL
8:00 a.m. – 8:05 a.m.
Announcements
8:05 a.m. – 8:30 a.m.
Primer for the Session and Resources
Seena L. Haines
8:30 a.m. – 9:00 a.m.
Building an Electronic Medical Record (EMR)/Personal Medical Record (PMR)
Amy L. Stump, PharmD, BCPS, Clinical Assistant Professor of Pharmacy Practice, University Wyoming School of Pharmacy, Cheyenne, WY
9:00 a.m. – 9:30 a.m.
Outcomes Design
Laura Roller, PharmD, BCPS, Supervisor, Ambulatory Clinical Pharmacy Services; and Supervisor, Thrombosis Service, University Health Care, Salt Lake City, UT
9:30 a.m. – 10:00 a.m.
Active Learning Outcomes Design and Collection
Amy L. Stump, Laura Roller
10:00 a.m. – 10:20 a.m.
Negotiate with Payors
Sandra Leal, PharmD, CDE, Clinical Pharmacy Supervisor, El Rio Health Center, Tucson, AZ
10:20 a.m. – 10:45 a.m.
Negotiate with Payors
Barry Bunting, PharmD, DSNAP, Vice President, Clinical Services, American Health Care, Asheville, NC
10:45 a.m. – 11:00 a.m.
Questions, Answers, and Discussion
Learning Objectives:
- Explain the steps necessary to negotiate with payors for reimbursement.
- Given a clinical scenario, design standardized and disease specific outcomes that best suit your practice model.
- Identify specific steps associated with designing outcomes with information technology and electronic health records.