We understand the challenges of working with complex patients who are unable to follow your prescribed medication regimen. These chronically ill patients often see multiple providers and utilize several pharmacies, making your efforts to improve outcomes and keep them out of the hospital even more challenging.
Adding to the complexity, with new rules associated with EMRs, ePrescribing, PCMH programs and ACOs, as well as other state and federal regulations, you may find it difficult to spend enough time with the patients who require additional personalized care.Physicians Pharmacy Alliance has been assisting physicians with the management of complex patients for more than a decade.
We serve as a collaborative partner who helps ensure your patients begin the therapy you’ve carefully established—and then works continuously to help them adhere to that therapy.
We visit patients in their homes, and provide education and adherence tools designed to empower both patients and caregivers—across diverse cultural and economic backgrounds—with the resources they need to manage compliance. And because chronically ill patients often receive duplicate or conflicting therapies from multiple providers, we offer AlliancePoint: a collaborative web-based portal that tracks and measures patient adherence and regimen activity, to provide unprecedented visibility across caseworkers, pharmacy services, multiple providers and payors.
PPA is dedicated to working alongside providers to improve therapy outcomes for complex patients and to help you meet your clinical goals.
To provide complex patients and their caregivers with the personalized support they need, we meet them where adherence starts: at home.
Once a patient is referred to and enrolled in our program, we conduct an in-home medication inventory and assess both the patient and caregiver environments to determine which tools and resources will help them comply with your prescribed regimen.
The home medication inventory, which includes collecting unfilled prescriptions from all existing pharmacies, is compared to your original medication list to ensure the patient is adhering to the correct regimen and prescribing instructions.
Using the in-home medication inventory and provider medication list, PPA clinical pharmacists identify any discrepancies, such as potential gaps in treatment and duplicate therapies, and then submit a fully reconciled recommended medication regimen to you for final approval.
To eliminate confusion and adherence challenges when medications run out at different times of the month, we synchronize the patient’s medication regimen to allow for one-time, at-home delivery every month.
Should the regimen change or patient need an acute medication during the month, we make the changes necessary, deliver the medication and educate the patient on the new regimen.
Our clinical pharmacy team conducts a comprehensive medication reconciliation based on the data captured from the initial in-home visit and, if available, the original primary provider medication list. All medications, including unfilled prescriptions, are reconciled for a holistic review by the provider.
During this process, we identify duplicate therapies, omissions in care, medications on the health plan’s preferred medication list and any medications that require prior authorization or have coverage/quantity limitations. To monitor polydoc and polypharmacy activities, we identify all providers who have prescribed the patient medication and the pharmacies that filled the prescriptions.
Upon final reconciliation, the provider develops a preferred medication regimen. All of the patient’s providers—including specialists—receive access to the full medication regimen to reduce the likelihood of duplicate prescriptions.
To simplify regimen activity for the patient and improve adherence, PPA synchronizes the provider’s medication regimen so the patient receives just one at-home delivery each month. We also provide patients with educational tools, such as easy-to-read bottle tops and descriptive wallet cards—updated monthly—with the current medication regimen, to help them understand their therapy and the purpose of each medication.
Should the regimen change or patient need an acute medication during the month, we make the changes necessary, deliver the medication and educate the patient on the new regimen. If a patient is hospitalized, we work with the provider to ensure the patient’s medications are reconciled with the hospital medications, reducing duplications in therapy and readmissions due to non-compliance.
As needed, PPA will conduct additional in-home patient visits if non-adherence or stockpiling of medications is suspected, or if the provider requests additional check-ins and assessments.
To consistently monitor adherence and uncover changes in a patient’s medication regimen, a certified therapy coordinator speaks with the patient and/or caregiver at least once a month to capture medication challenges, changes in health, and information from ER visits, hospital stays and physician appointments. We communicate with each patient and/or caregivers roughly five times per month.
Your patients and their caregivers can also connect with one of our patient care representatives 24 hours a day, 7 days a week with any questions.
To continuously identify gaps in therapy and provide one-on-one adherence coaching to improve outcomes, caseworkers and providers have access to real-time adherence reporting through our collaborative portal, AlliancePoint.