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An evaluation of community pharmacies' actions under value-based payment
Journal of the American Pharmacists Association : Japha
|August 22, 2020
Summary
Community pharmacies are adapting to value-based pharmacy programs (VBPPs) by focusing on medication adherence and chronic disease metrics. Challenges include time constraints, with improved communication being a key suggestion for success.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Value-Based Care
Background:
- Value-based pharmacy programs (VBPPs) incentivize quality over quantity in healthcare delivery.
- Community pharmacies are increasingly participating in VBPPs to improve patient outcomes and manage costs.
- Understanding pharmacy strategies is crucial for successful VBPP implementation.
Purpose of the Study:
- To identify actions community pharmacies take to succeed in a value-based pharmacy program (VBPP).
- To explore pharmacy engagement with various performance metrics within a VBPP.
- To assess challenges and suggest improvements for pharmacy operations under VBPPs.
Main Methods:
- An exploratory sequential mixed-methods approach was employed.
- Qualitative data collection and analysis preceded quantitative survey measurement.
- A 30-item survey assessed pharmacy perceptions and priorities, achieving a 72.6% response rate.
Main Results:
- Pharmacies prioritized medication adherence and diabetes/cardiovascular metrics, with lower engagement in depression care.
- Strategies for cost reduction included identifying high-cost patients and monitoring adherence.
- Perceived success averaged 53.06 ± 20.15, with time availability cited as the primary challenge.
Conclusions:
- Community pharmacies are actively transforming practices to align with VBPP requirements.
- Existing care processes for adherence and chronic conditions are leveraged, with new processes developed for emerging metrics.
- Further research is needed to define best practices for pharmacy success in VBPPs.
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