American College of Clinical Pharmacy
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ACCP Report - February 2019

Washington Report

ACCP & PCPCC: Advancing Medication Optimization Across the Care Continuum

Written by John K. McGlew
Director of Government Affairs



Capitol

ACCP’s commitment to team-based comprehensive medication management (CMM) is built on the foundational principle that clinical pharmacists, as health care providers responsible for high-quality patient care, will be accountable for medication optimization in the prevention and treatment of disease. This commitment was exemplified in the Board of Regents’ 2013 decision to launch a Medicare Initiative that focused on the “what” (coverage for CMM as part of broader Medicare fee-for-service payment reform) rather than the “who” (recognition for pharmacists as Medicare providers without specifying what they “provide”).

This decision represented a shift in ACCP’s strategic outlook, having learned from the overly pharmacist-centric efforts in the early 2000s to achieve Medicare Part B “provider status” built around now-outdated fee-for-service payment structures. Importantly, ACCP also recognized that any advocacy effort that seeks to advance a legislative agenda focused on team-based care must itself be collaborative in nature and secure the support of other health professions and stakeholders.

Patient-Centered Primary Care Collaborative (PCPCC)

Founded in 2006, the Patient-Centered Primary Care Collaborative (PCPCC) is a not-for-profit multi-stakeholder organization dedicated to advancing an effective and efficient health system built on a strong foundation of primary care and the patient-centered medical home (PCMH). PCPCC supports increased investment in primary care through alternative payment models that enable PCMHs and other primary care organizations to provide integrated, higher-value care that connects to the community.

Aligned with ACCP’s core values stating the College’s commitment to challenge the status quo and display the courage to lead, PCPCC’s mission is to be a “driver of change,” educating and advocating for ideas, concepts, policies, and programs that advance the goals of high-performing primary care as the foundation of all health care systems.

PCPCC represents over 1,000 members from across the entire health spectrum, including other health care practitioner groups, patient advocacy organizations, health insurers, employers, and a diverse range of stakeholders promoting policies and sharing best practices to achieve the “Quadruple Aim” of better care, better health, lower costs, and greater joy for clinicians and staff in delivery of care.

ACCP and PCPCC

Since the early days of PCPCC, ACCP has been a leader in CMM, and the College is proud to sit alongside other organizations such as the American Academy of Family Physicians, American College of Physicians, National Committee for Quality Assurance, and IBM as the only pharmacist practitioner group ever to serve on the PCPCC Executive Committee. Early on, the College’s strategic positioning within PCPCC served as the catalyst for establishment of PCPCC’s Medication Management Task Force and publication of the CMM resource guide “Integrating Comprehensive Medication Management to Optimize Patient Outcomes.” It is impossible to overstate the importance of this resource guide in ACCP’s advocacy efforts and the impact of bringing together leaders from organizations such as the American College of Physicians, Geisinger Health Plan, Pfizer, Blue Cross Blue Shield Association, U.S. Department of Veterans Affairs, American Association of Nurse Practitioners, and Kaiser Permanente to endorse a formal definition of CMM. ACCP’s leadership in this effort was also instrumental in developing future initiatives such as the Joint Commission of Pharmacy Practitioners Pharmacists’ Patient Care Process, which saw the pharmacy profession come together in a similar manner to endorse a team-based, patient-centered, consistent process of care.

Next Steps

More recently, ACCP collaborated with PCPCC to develop the popular and highly rated webinar Optimizing Value and Patient Outcomes Through Comprehensive Medication Management. The College continues to be active in a variety of PCPCC initiatives and considers PCPCC and its members a vital resource in its dissemination strategy for the findings of the ACCP-funded CMM Effectiveness and Implementation study. Looking ahead, ACCP envisions additional collaborative advocacy efforts with a variety of groups and organizations based on alliances formed through joint participation in PCPCC.