Magazine article Drug Topics

Indie Pharmacists Find Rx for Success at McKesson ideaShare

Magazine article Drug Topics

Indie Pharmacists Find Rx for Success at McKesson ideaShare

Article excerpt

Only a few years ago, Iowa pharmacy owner Randy R McDonough, PharmD, MS, CGP, BCPS, found himself feeling overwhelmed by the bad news about big declines in reimbursements.

"I was scared to death about what the impact would be," recalled McDonough, who faced a possible 50% reduction in payments from the biggest payer in the state.

Today, things look quite different. McDonough believes that his independent pharmacy will stay afloat by evolving with the times, and with infectious optimism, he thinks his colleagues can succeed too.

"I had pharmacists in similar situations to mine tell me there's nothing we could do about it, that we have to accept our fate," McDonough told an audience at McKesson's ideaShare 2015 in San Diego. "But I've never believed that accepting your fate is the way to go."

Process and documentation

The key is learning to make an active difference instead of just providing medications to patients, said McDonough, co-owner of Towncrest Pharmacy in Iowa City and Solon Towncrest Pharmacy in Solon, Iowa.

"Make every encounter count. Half of our inventions now have to do with adherence. For us to have an impact within the profession and the system, we have to become interventionists," said McDonough, who spoke at a session titled "Impacting pharmacy economics in a preferred network environment."

McDonough has created a phannacy system he calls "Make Every Encounter Count," which allows pharmacists to focus on patient and medication management while technicians drive the dispensing system. Through use of his system, McDonough was ready in 2013 to prove to payers that pharmacy interventions were boosting the health of patients.

"Start doing the documentation, so you can show them the interventions you're making," he said. "Everybody who's going to be high-perfonning needs to have a clinical documentation system and be documenting on a regular basis."

Timed retills

Greg Paisley, BS Pharm, RPh, found success with a strategy that improves adherence through focus on the timing of medication refills: Ateb's Time My Meds system for synchronizing the medications of any patient with two or more maintenance medications.

Patients no longer had to fill their prescriptions at different times of the month, said Paisley, vice president and chief operating officer for Shrivers Phannacies and Coler Long-Tenn Care. …

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