PSPC: Another CHAS-ism or a Glimpse into Integrated Care?

The following individuals are part of the core PSPC team (most of team pictured above): Pharmacists Heather McNamee and Kelly Smoot, Pharmacy Technician Amber Frohberg, ARNP Kathryn Sander, Pharmacist Jason Doss. Dietician Keri Smith and Quality Improvement Manager Amy Walker  (not pictured).

CHAS’ Pharmacy Department has become well-known for advancing the responsibilities of Pharmacists, not only in Spokane, but contributing to moving the profession forward nationwide!

One such recent effort which has spotlighted the Pharmacy Department is its’ involvement in the Patient Safety and Clinic Pharmacy Services Collaborative (PSPC).  According to HRSA’s website, the PSPC is “a breakthrough effort to improve the quality of health care across America by integrating evidence-based clinic pharmacy services into the care and management of high-risk, high-cost, complex patients.”

CHAS became involved in the PSPC in October 2010 stemming from a desire to have Pharmacists recognized as providers while tracking measurable patient outcomes.  A barrage of high-risk conditions were considered, but diabetes was selected as the focus because it closely aligned with work that was already being done at CHAS related to the Beacon and Patient Centered Medical Home initiatives.  The ultimate goal of CHAS’s PSPC efforts is to take patients with high-risk diabetes and stabilize them using an integrated care model.  And isn’t CHAS the perfect place to do such a thing?! With Pharmacists and medical providers all under one roof, it was a no-brainer!

Primary Care Providers can refer patients with complicated diabetes to the team, those whose A1cs are too high or those who simply have educational needs.  The model looks like this: a Pharmacist, who also happens to be a Certified Diabetic Educator, meets with the patient and performs a needs assessment which includes documentation of all medications, insulin titration needs, creating an educational plan and goal setting by the patient.  From there, the patient can be seen strictly by one or a combination of the team members which includes a primary care provider, pharmacist, and dietician.  The data measured which includes A1c, adverse drug events, potential adverse drug events and medication reconciliation is reported internally to Quality Improvement and nationally. 

To date, approximately 180 patients have enrolled in this integrated program.  Visits include in-person, over-the-phone, and monthly group educational sessions (see upcoming schedule below). “As predicted, the patient results have been great,” states Pharmacy Director, Heather McNamee.  Kelly Smoot, Pharmacist and Certified Diabetes Educator goes on to say that the team approach has made a bigger difference to patients than she originally thought.  “We’ve gotten a lot of positive patient feedback.  We’ve had a lot of patients lost in care and out of control for years, but now they feel like they have people they can call.” 

Another unexpected consequence of the PSPC program has been the increased role of the Certified Diabetes Educator (CDE).  “I never expected as many combo visits with the provider. It opens the door to help monitor for complications.  A lot of CDE’s don’t get to do this.  I love my job,” says Kelly.  

PSPC services are available in the following clinics: Valley, Maple, and North County, with hopes to eventually offer these at all locations. 

 2013 Diabetes Group Visits
Pre-registration is required.  Patients can call 509.444.8200 to register or for more information.

Valley Clinic

Date

Topic

March 15, 2013
April 19, 2013
May 17, 2013
June 21, 2013
July 19, 2013
August 16, 2013
September 20, 2013
October 18, 2013
November 15, 2013
December 20, 2013
Know Your Healthy Numbers
Oral Health
Stepping into Activity
Diabetes Drugs
Dining Out & Eating on the Road
Monitoring and Your Meter
Insulin-Facts and Myths
The Natural Progression of Diabetes
Holiday Meal Planning
Coping with Diabetes Emotions

 Maple St. Clinic

Date

Topic

March 22, 2013
April 19, 2013
May 17, 2013
June 28, 2013
July 12, 2013
August 9, 2013
September 20, 2013
October 18, 2013
November 15, 2013
December 27, 2013
Monitoring and Your Meter
Know Your Healthy Numbers
Foot and Eye Care
Stepping into Activity
Diabetes Drugs
Dining Out & Eating on the Road
Insulin-Facts and Myths
The Natural Progression of Diabetes
Holiday Meal Planning
Coping with Diabetes Emotions

 North County Clinic

Date

Topic

March 28, 2013
April 18, 2013
May 23, 2013
June 20, 2013
July 25, 2013
August 22, 2013
September 26, 2013
October 24, 2013
November 21, 2013
December 19, 2013
Know Your Healthy Numbers
Foot, Eye and Oral Care
Stepping into Activity
Dining Out & Eating on the Road
Diabetes Drugs
Monitoring and Your Meter
Insulin-Facts and Myths
The Natural Progression of Diabetes
Holiday Meal Planning
Coping with Diabetes Emotions

About Kelley Charvet

Communications Manager at Community Health Association of Spokane
This entry was posted in About Us, Behavioral Health, Dental, Maple Street Clinic, Market Street Clinic, Medical, North County Clinic, Pharmacy, Physician Employment, Uncategorized, Urgent Care. Bookmark the permalink.

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