Clinical Pharmacy Forum
Sunday, November 12, 2023
12:45 PM–02:15 PM
Abstract
Service or Program: INHALE is a statewide payer-funded (BCBSM) collaborative quality initiative (CQI) aimed at improving patient outcomes and promoting evidence-based care for patients with asthma and COPD across the state of Michigan. Given newer therapeutic approaches, there is significant need for infrastructure to assist local providers in quality improvement efforts. The goal of this collaboration was to establish a role for a clinical lead pharmacist within a BCBSM funded care management organization, Michigan Institute for Care Management and Transformation (MICMT), to improve patient outcomes through CQIs across the state of Michigan.
Justification/Documentation: Administrative claims data demonstrated only 1.5% of patients with pediatric asthma, adult asthma, or COPD had a billed claim to BCBSM for inhaler education (based on CPT code 94664). This provided a unique opportunity for pharmacist involvement to improve inhaler education. Thus, the clinical pharmacist was recruited to provide individual consult services to POs, in addition to serving on the education workgroup creating standardized patient and provider education materials (including patient education handouts, inhaler demonstration videos, guideline updates, and formulary tools to assist with access and cost barriers).
Adaptability: Institutions with clinical pharmacists are encouraged to partner with local, statewide, and national organizations or payers to improve health outcomes for patients. Future years will expand data resources through INHALE to include those with coverage through public insurance programs and other commercial insurers. Furthermore, there is opportunity for incorporation for pharmacy and medical students/residents into the CQI model.
Significance: By fostering interdisciplinary collaboration, this partnership serves as a cornerstone for delivering high-quality, patient-centered care that improves healthcare outcomes on a broader level, through the use of CQIs. Future projects will focus on additional opportunities for pharmacist involvement and analyze improvement in patient outcomes and the inhaler education measure, specifically.
Presenting Author
Nada Farhat PharmDAuthors
Anna Kovalski MD
Michigan Medicine
Toby Lewis MD
Michigan Medicine
Njira Lugogo MD
Michigan Medicine
Alicia Majcher MHSA
Michigan Institute for Care Management & Transformation
Karla Stoerman Grossman RN, BSN
Michigan Medicine
Arjun Mohan MD
Michigan Medicine
Hae Mi Choe PharmD
University of Michigan College of Pharmacy
Rommel Sagana MD
Michigan Medicine
Michael Sjoding MD
Michigan Medicine