Pharmacy Practice
Model Initiative (PPMI)
Overview
• What is PPMI?
• PPMI Messaging Platform/Overview
– Five pillars of PPMI
• PPMI Summit
– Key recommendations
• Case study on PPMI implementation
• What can you do as a student?
Pharmacy Advancements
What is PPMI?
• Pharmacy Practice Model Initiative
• Joint initiative
• American Society of Health-System Pharmacists (ASHP)
• ASHP Research & Education Foundation
• Practice model to utilize pharmacists as direct
patient care providers
• Instill passion, commitment, and action
among hospital and health-system practice
leaders
What is PPMI? (continued)
• Transforming how pharmacists care for
patients
– Led by pharmacists
– Empowers fellow pharmacists
– Improve patient outcomes
Five Pillars of PPMI
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Care team integration
Leveraging pharmacy technicians
Pharmacist credentialing and training
Technology
Leadership in medication use
Goal of PPMI Initiative
To significantly advance the health and well
being of patients by supporting futuristic
practice models that support the most effective
use of pharmacists as direct patient care
providers.
PPMI Rationale
• Healthcare reform is a high national priority
• Pharmacy practice has greatly evolved
– Entry-level PharmD degree
– Increase in number of pharmacists with residency
training
– Recognition of pharmacists among
interdisciplinary teams
PPMI Summit - 2010
• Two-day invitational event of pharmacy
professionals
• Areas of consensus assessed prior to
conference by survey
• Consensus process to develop a new
pharmacy practice model
• 147 recommendations adopted
PPMI Focus Areas
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Create a Framework
Determine Services
Identify Emerging Technologies
Develop a Template
Implement Change
What were the KEY
recommendations from the
PPMI Summit?
Key Recommendations
• All patients should have a right to receive the care of a
pharmacist.
• Hospital and health-system pharmacists must be responsible and
accountable for patients’ medication-related outcomes.
• Every pharmacy department should develop a plan to reallocate
its resources to devote significantly more pharmacist time to
medication management services.
• Pharmacists who provide drug therapy management should be
certified through the most appropriate board of pharmacy
specialties.
• Pharmacist-provided drug therapy management should be
prioritized using a patient medication complexity index.
Key Recommendations (cont.)
• A patient medication complexity index should be developed that includes
factors such as severity of illness, number of medications, and
comorbidities.
• In optimal pharmacy practice models, individual pharmacists must accept
responsibility for both the clinical and the distributive activities of the
pharmacy department.
• Sufficient pharmacy resources must be available to safely develop,
implement, and maintain technology-related medication-use safety
standards.
• By 2015, the Pharmacy Technician Certification Board should require
completion of an accredited training program before an individual can
take the certification examination.
• To support optimal pharmacy practice models, technicians must be
licensed by state boards of pharmacy.
Case Study
• Site = Cleveland Clinic Florida
• PPMI recommendation in action
– B24c. Develop a plan to allocate pharmacy student
time to drug therapy management services.
• Students incorporated in the following ways:
– Functioned as pharmacist extenders
– Worked up and rounded Computer access to patient
information and were able to round on daily basis
– Accommodated ~15 APPE students/month
What can you do as a student?
• Spread the word about PPMI
– Explain to others how PPMI will shape the future of pharmacy
– Share with other healthcare providers
– Present on PPMI at your work, rotation site, or SSHP meeting
• Assist with completing the hospital self-assessment at your APPE
site, http://www.ppmiassessment.org/
• Get involved at the state level through the PPMI...
– Task force
– Educational opportunities
– Projects
What can you do as a student?
• Participate in ASHP Connect PPMI community
• Attend ASHP Midyear or Summer Meetings and
participate in PPMI and/or practice change sessions
• Learn about the outcomes from the Ambulatory Care
Conference and Summit in Dallas, March 3-4, 2014
– As a next step in the PPMI, help create a vision for
forward thinking pharmacy practice models for
pharmacists in ambulatory healthcare
• Participate in advocacy efforts for Provider Status at the
state and national level
Tools & Resources
General information about PPMI
http://www.ashp.org/ppmi/