Rachel Stafford1, Jeremy Thomas2, Nalin Payakachat3, Tiffany Diemer4, Michele Lang5, Brooke Kordsmeier6, Geoffrey Curran7. 1. University of Arkansas for Medical Sciences, College of Pharmacy, Department of Pharmacy Practice, 4301 West Markham Street, Slot 522, Little Rock, AR 72205, United States; Kroger Pharmacy, 6929 JFK Blvd., North Little Rock, AR 72116, United States. Electronic address: rastafford@uams.edu. 2. University of Arkansas for Medical Sciences, College of Pharmacy, Department of Pharmacy Practice, 4301 West Markham Street, Slot 522, Little Rock, AR 72205, United States. Electronic address: JLThomas2@uams.edu. 3. University of Arkansas for Medical Sciences, College of Pharmacy, Department of Pharmacy Practice, 4301 West Markham Street, Slot 522, Little Rock, AR 72205, United States. Electronic address: NPayakachat@uams.edu. 4. Kroger Pharmacy, 6929 JFK Blvd., North Little Rock, AR 72116, United States. Electronic address: tiffany.diemer@kroger.com. 5. Kroger Pharmacy, 6929 JFK Blvd., North Little Rock, AR 72116, United States. Electronic address: michele.lang@stores.kroger.com. 6. Kroger Pharmacy, 6929 JFK Blvd., North Little Rock, AR 72116, United States. Electronic address: brooke.kordsmeier@stores.kroger.com. 7. University of Arkansas for Medical Sciences, College of Pharmacy, Department of Pharmacy Practice, 4301 West Markham Street, Slot 522, Little Rock, AR 72205, United States. Electronic address: CurranGeoffreyM@uams.edu.
Abstract
BACKGROUND: With the introduction of the Centers for Medicare and Medicaid Services Stars Measure program has come a greater expectation of Medication Therapy Management (MTM) services from community pharmacies. To meet the growing demand of these services, pharmacies have sought out various methods of engaging pharmacists to provide MTM. Barriers for completing MTM include inadequate time to complete the services, insufficient staffing, lack of sufficient compensation, billing difficulty, lack of interest among patients (including refusing MTM services when offered), inadequate training/experience, and lack of support from management. OBJECTIVE: To evaluate the impact of a financial incentive alone versus the incentive plus a package of individualized implementation strategies on the success rate of MTM services. METHODS: To increase MTM completion rates, The Kroger Company implemented a financial incentive for pharmacists in one of its market services areas. The following year the incentive was continued and an array of training and support strategies were implemented. The numbers of MTM claims and success rates for 2013 (no intervention), 2014 (financial incentive alone), and 2015 (incentive plus required training and ongoing support) were compared. RESULTS: A total of 7038 claims were extracted from 2013 to 2015. The number of completed claims had increased from 1385 in 2013 to 3265 in 2015. The total MTM success rates rose significantly from 42.9% in 2013 to 49.0% in 2014 (p = 0.001) and to 64.0% in 2015 (p < 0.001). CONCLUSIONS: A financial incentive plus a package of individualized implementation strategies increases success rates of MTM services compared to a financial incentive alone.
BACKGROUND: With the introduction of the Centers for Medicare and Medicaid Services Stars Measure program has come a greater expectation of Medication Therapy Management (MTM) services from community pharmacies. To meet the growing demand of these services, pharmacies have sought out various methods of engaging pharmacists to provide MTM. Barriers for completing MTM include inadequate time to complete the services, insufficient staffing, lack of sufficient compensation, billing difficulty, lack of interest among patients (including refusing MTM services when offered), inadequate training/experience, and lack of support from management. OBJECTIVE: To evaluate the impact of a financial incentive alone versus the incentive plus a package of individualized implementation strategies on the success rate of MTM services. METHODS: To increase MTM completion rates, The Kroger Company implemented a financial incentive for pharmacists in one of its market services areas. The following year the incentive was continued and an array of training and support strategies were implemented. The numbers of MTM claims and success rates for 2013 (no intervention), 2014 (financial incentive alone), and 2015 (incentive plus required training and ongoing support) were compared. RESULTS: A total of 7038 claims were extracted from 2013 to 2015. The number of completed claims had increased from 1385 in 2013 to 3265 in 2015. The total MTM success rates rose significantly from 42.9% in 2013 to 49.0% in 2014 (p = 0.001) and to 64.0% in 2015 (p < 0.001). CONCLUSIONS: A financial incentive plus a package of individualized implementation strategies increases success rates of MTM services compared to a financial incentive alone.
Authors: Margie E Snyder; Heather A Jaynes; Stephanie A Gernant; Wendy M Lantaff; William R Doucette; Karen Suchanek Hudmon; Susan M Perkins Journal: Res Social Adm Pharm Date: 2019-08-02
Authors: Omolola A Adeoye; Joel F Farley; Antoinette B Coe; Deborah L Pestka; Karen B Farris; Alan J Zillich; Margie E Snyder Journal: J Am Coll Clin Pharm Date: 2019-06-29
Authors: Kenneth C Hohmeier; James S Wheeler; Kea Turner; Jarrod S Vick; Merrill L Marchetti; Jeremy Crain; Andrea Brookhart Journal: Implement Sci Date: 2019-11-27 Impact factor: 7.327