CDR Krista M. Pedley, PharmD, MS
Director
U.S. Department of Health and Human Services
Health Resources and Services Administration
Healthcare Systems Bureau
Office of Pharmacy Affairs

•
What is the Patient Safety and Clinical Pharmacy
Services Collaborative (PSPC)?
•
How will PSPC function over the collaborative year?
•
How will teams/partners build the defining relationships to success in PSPC 4.0?
•
What are some of the success stories?
•
How to participate in PSPC 4.0?

WHAT: Quality Improvement Collaborative aimed at improving health outcomes and patient safety for highrisk patients (Adapted IHI Breakthrough Series
Collaborative Model)
Improve the delivery system where there are gaps by:
– Enhancing care coordination among the providers and partners involved
– Fostering multidisciplinary, team based care approach
– Strengthening patient centered medical home
– Integrating medication management and other services to minimize harm related to adverse drug events and maximize optimal health outcomes

WHO: Community based teams across the country
– Organizations include safety net provider and hospitals, public health departments, and HIV clinics
– Partners include colleges of pharmacy, primary care associations, and Quality Improvement Organizations,
– Multidisciplinary care teams delivering patient centered services to improve medication safety and health outcomes

•
Integrate the healthcare delivery system, across multiple healthcare partners, to create a service delivery system for high-risk patients that will produce breakthroughs in the following three areas:
– 1) Improved patient health outcomes
– 2) Improved patient safety
– 3) Increase cost-effective clinical pharmacy services

The nation’s communities have high medication risk patient populations that are in crisis.
Better care, better health: PSPC community partners offer their high risk patients an innovation in service delivery design that can bring health status and safety under control.
Lower costs: They offer a business case innovation where health plans can manage a reduction in health care costs by shifting patients from high cost uncoordinated care to lower cost coordinated care.

PSPC Model (Adapted from IHI Breakthrough
Collaborative Series)
Enroll Teams
Prework
P
A
S
AP1
LS 1
D
LS 2
A
P
S
AP2
D
LS 3
PDSA=Plan, Do, Study, Act
LS= Learning Session
AP=Action Period
ListServ
Conference Calls
Healthcare Communities.org
Resources
Tools/Guides
Faculty Expertise

•
PSPC 1.0: August 2008 – Sept. 2009 with 68 community based teams
•
PSPC 2.0: Sept. 2009 – Oct. 2010 with 110 community based teams
•
PSPC 3.0
: Oct. 2010 – Fall 2011 with 128 community based teams
– Learning Session #1 – Oct. 2010
– Learning Session #2 – May – June 2011
– Learning Session #3 – Nov/Dec. 2011 (anticipated)
•
PSPC 4.0: Fall 2011 –
– Learning Session #1 – January 2012 (face to face)
– Learning Session #2 – Spring 2012 (anticipated, virtual)
– Learning Session #3 – Fall 2012 (anticipated, face to face)

9
•
Patient-Centered
•
Interdisciplinary Care Team
•
Cross-Organizational with Health Homes at the Center
•
Systematically Addresses Medication
Management, Safety and Risk -- Huge
Issues for Ambulatory Care Patients
•
All Teach, All Learn
•
Align with national efforts – Partnership for
Patients
It Is Truly the
Next Generation of Collaboratives!

What we look like today:
•
210 Teams – Greatest Number of Teams yet!
•
48 states, District of Columbia, Puerto Rico and Virgin
Islands
•
550+ Partnering Organizations
• associations, clinics, community organizations, colleges & universities, hospital-related, pharmacies, state/local government
•
Schools of Pharmacy
– 54 participating
– Teams have partnered with a school of pharmacy

New for 4.0
•
Partnership with CMS and Quality Improvement
Organizations (QIOs)
– CMS 10 th Scope of Work Contract
– Partner with existing teams
– Create new PSPC teams
– Provide support and data analysis to teams
– Create partnering opportunities for teams within the state
•
47 QIOs participating
•
95 Teams ( and still counting!
) partnering with QIO

What does PSPC 5.0 look like:
– PSPC Alliance support
– Grants
– Outside funding
– CMS Funding: QIOs only with management from the NCC
More spread and national awareness

Traditional PSPC Teams
Anticoagulation
Asthma
Depression
Diabetes
Dyslipidemia
HIV/AIDS
Hypertension
Adverse Drug Events
Potential Adverse Drug
Events
QIO-Partnered Teams
Anticoagulation
Antipsychotic
Diabetes
Adverse Drug Events
Potential Adverse Drug
Events

1.
Step 1 – Read PSPC Info Packet
2.
Step 2 – Complete PSPC Participation Package
(online)
– Share contact information for team/partners
3.
Step 3 – HRSA will review information and send a
“welcome” email to the team lead
Website: http://www.hrsa.gov/patientsafety http:/www.healthcarecommunities.org
Open Enrollment !!

Office of Pharmacy Affairs (OPA)
Phone: 301-594-4353
Web: http://www.hrsa.gov/opa and www.hrsa.gov/patientsafety
Apexus Answers™ Call Center
Phone: 1-888-340-2787 (340B PVP)
ApexusAnswers@340bpvp.com
www.340bpvp.com
Pharmacy Services Support Center (PSSC)
Phone: 1-800-628-6297
Web http://pssc.aphanet.org/