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Monday, March 10, 2014
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7:00 am - 8:00 am
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8:00 am - 8:30 am
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8:30 am - 9:30 am
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Multi-Stakeholder Panel Discussion: A Systems-Based View and Model for Improving Adherence |
- Identify the barriers to adherence and discuss interventions that are proven effective in improving adherence from the various vantage points
- Patient education and engagement
- Case management
- Pharmacist counseling
- Reducing drug costs
- Interventions that support and engage the physician and care team
- Pay-for-Performance or outcomes that improve adherence
- Technologies for reminders and monitoring
- Collaborative approaches that pull together multiple components that are built around an understanding of the patient’s overall health, preferences,
and unique behavioral factors
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| Moderator: |
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| Panelists: |
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Rebecca Killion
Director of Professional Development
McKenna, Long & Aldridge, LLC
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William H. Shrank, MD, MSHS
Senior Vice President, Chief Scientific Officer and Chief Medical Officer, Provider Differentiation
CVS Caremark; Former Director, Rapid Cycle Evaluation Group, Center for Medicare and Medicaid Innovation CMS
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9:30 am - 10:15 am
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Leverage Behavioral Economics Insights to Understand Decision-Making and to Change Behavior |
- Understand the psychological roots of human behavior and why interventions fail when not taken into account
- Real world applications to policy, interventions and products
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Douglas E. Hough, PhD
Associate Scientist and Associate Director, Master in Healthcare Management program, Department of Health Policy and Management, Bloomberg School of Public Health
Johns Hopkins University; Author, Irrationality in Health Care: What Behavioral Economics Reveals About What We Do and Why
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10:15 am - 10:45 am
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10:45 am - 11:30 am
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Making the Scientific Case for Shared Decision Making and What it Means for Your Brand |
- Apply an academic/scientific rigor to patient engagement/adherence work
- Provide materials in a health literate way that can lead to SDM and improved health outcomes
- Real world examples of how SDM impacts brand strategy
- What does practicing SDM mean for adherence?
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Hayden Bosworth, PhD
Associate Director, Center for Health Services Research in Primary Care Durham Veterans Affairs Medical Center
Research Professor, Department of Medicine, Department of Psychiatry and Behavioral Sciences, School of Nursing
Duke University Medical Center
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Emily Freeman, PhD
Director, Epidemiology- Health Behavior & Program Evaluation, Worldwide Safety and Regulatory
Pfizer, Inc.
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Jeff Kozloff
Co-Founder, President and Chief Executive Officer
Verilogue
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11:30 am - 12:30 pm
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Driving Medication Quality through Clinician Engagement: A National Case Study |
- Review the traditional limitations and shortfalls operationalizing the provider’s involvement in various adherence interventions due too many patients, inadequate data, poorly designed incentives, lack of real time feedback and disruptive processes
- Describe an innovative program and technology that identifies high-priority patients at risk of non-adherence and that activates those patients’ own clinicians to intervene effectively
- Demonstrate improvements in medication adherence and other outcomes achieved when the program was implemented in nearly 600 physician practices nationwide
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Aaron McKethan, PhD
Senior Vice President for Strategy and Business Development
RxAnte
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12:30 pm - 1:30 pm
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1:30 pm - 2:15 pm
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Industry Best Practice: An Appointment-Based Model for Medication Synchronization |
- Improve patients’ ability to take medications as prescribed and their satisfaction by synchronizing refills and providing pharmacist
face-to-face consultations
- Discuss the pharmacy efficiencies gained by adoption
- Strategies for rollout and integration on a large scale that gives access to training resources
- Conduct an analysis of claims data to demonstrate better adherence and cost savings
- The value of risk-based contracting and shared savings when higher star value is achieved
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2:15 pm - 3:00 pm
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Getting to Accountability in the Patient Centered Medical Home |
- Developing a system-wide strategy to approach development of the model in terms of the care team, roles, shared decision making process and other elements
- Discuss ways to remove barriers that prevent the Medical Home from becoming fully accountable for quality outcomes
- Initiatives that may maximize return as a result of the effective use of medications — Integrating comprehensive medication management services
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| Moderator: |
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| Panelists: |
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Ed Clarke, MD
Chief Medical Officer
Clinical Operations Banner Medical Group
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3:00 pm - 3:30 pm
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3:30 pm - 4:30 pm
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Multi-Stakeholder Panel Discussion: Adherence Packaging - Taking A Patient-Centric Approach Delivers Results |
- Discuss the value of comprehensive patient, physician and pharmacist intervention, education, and the role that appropriately-designed packaging can
serve as a sole intervention; or as a vehicle to drive awareness and opt-in for additional programs
- Detail research showing that packaging can effectively serve as a connective platform for adherence programs
- Pharmacist and physician counseling
- Reminder and support programs
- The importance of patient-centric packaging design and label content
- Mobile apps
- Share how packaging alone shows a proven lift in key adherence metrics and how that lift increases significantly when combined with patient education
- An ROI model for adherence packaging
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| Moderator: |
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| Panelists: |
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Hayden Bosworth, PhD
Associate Director, Center for Health Services Research in Primary Care Durham Veterans Affairs Medical Center
Research Professor, Department of Medicine, Department of Psychiatry and Behavioral Sciences, School of Nursing
Duke University Medical Center
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| Retail Pharmacy and Pharmaceutical Representatives TBA |
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4:30 pm - 5:15 pm
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Facilitated Roundtable Discussions |
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Bringing it Back to the Patient |
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Everyone is talking about patient engagement, improving adherence, quality measures, etc. because we have similar goals of positively impacting patients’ lives while improving quality and decreasing healthcare costs. Traditionally, research has emphasized the development of either pharmaceuticals to treat diseases or care management programs to tell people how to deal with their diseases. I believe we are taking the wrong approach. Instead of focusing on the disease, we need to focus on the patient as a person with a disease. This would result in a shift from the frame of "a disease within a patient" to "a patient with a disease." During this lively and engaging Roundtable Discussion, we will react to ideas shared throughout the day with the ultimate goal of discussing what is needed in terms of data, new technology and general mind/cultural shift for a conversion of focus from disease first to patient first - all from a multi-stakeholder perspective.
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A Holistic Approach to Medication Synchronization for Patients in Transition |
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Medication Adherence - The Pulse Points |
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The Gold Standard for the measurement of medication adherence is the calculation of the PDC – Proportion of Days Covered. However, numerous other measurements – direct and indirect can be calculated that not only assist in rating a members' medication adherence but also points to specific areas for intervention with the member.
During this roundtable, I would like for us to have a collaborative discussion on the types of medication adherence measurements that can be used, what they actually tell us and share “pearls of wisdom” on the successes and pitfalls of their uses.
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The Impact of New Legislation - Full Provider Status for Pharmacists |
| Facilitator to be announced |
Health System and Pharmacy Data Exchanges |
| Facilitator to be announced |
Additional Topics TBA |
Appointment Based Medication Synchronization |
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Why does synchronizing patients' medications to be filled on a single day each month have such an impact on medication adherence and persistence? The reasons for medication nonadherence are complex, and it is surprising that such a simple pharmacy practice can be so effective.
This round table will discuss the various elements of appointment based medication synchronization and suggest how they can help address the causes of medication nonadherence.
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The Role of Artificial Intelligence in Adherence and Patient Engagement
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5:15 pm - 6:15 pm
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