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integration of medication therapy management in primary carewayne pan, md, mbachief medical officersanta clara county ipa
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From: Dan Roam, “American Healthcare: a 4-napkin explanation”www.slideshare.net/danroam/healthcare-napkins-all
WEARE
HERE
Source: Organisation for Economic Co-operation and Development (2010), "OECD Health Data", OECD Health Statistics (database). doi: 10.1787/data-00350-en (Accessed on 14 February 2011).Notes: Data from Australia and Japan are 2007 data. Figures for Belgium, Canada, Netherlands, Norway and Switzerland, are OECD estimates.
Cumulative Increases in Health Insurance Premiums,
Workers’ Contributions to Premiums, Inflation, and Workers’ Earnings, 1999-2011
0%
50%
100%
150%
200%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Health Insurance Premiums Workers' Contribution to PremiumsWorkers' Earnings Overall Inflation
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2011. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 1999-2011; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 1999-2011 (April to April).
THE COMMONWEALTH FUND
Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity).Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
AUS CAN GER NETH NZ UK US
OVERALL RANKING (2010)OVERALL RANKING (2010) 3 6 4 1 5 2 7
Quality CareQuality Care 4 7 5 2 1 3 6
Effective CareEffective Care 2 7 6 3 5 1 4
Safe CareSafe Care 6 5 3 1 4 2 7
Coordinated CareCoordinated Care 4 5 7 2 1 3 6
Patient-Centered CarePatient-Centered Care 2 5 3 6 1 7 4
AccessAccess 6.5 5 3 1 4 2 6.5
Cost-Related ProblemCost-Related Problem 6 3.5 3.5 2 5 1 7
Timeliness of CareTimeliness of Care 6 7 2 1 3 4 5
EfficiencyEfficiency 2 6 5 3 4 1 7
EquityEquity 4 5 3 1 6 2 7
Long, Healthy, Productive LivesLong, Healthy, Productive Lives 1 2 3 4 5 6 7
Health Expenditures/Capita, 2007Health Expenditures/Capita, 2007 $3,357 $3,895 $3,588 $3,837* $2,454 $2,992 $7,290
Country RankingsCountry Rankings
1.00–2.33
2.34–4.66
4.67–7.00
Exhibit ES-1. Overall Ranking
on average,there is a pharmacy
within 2.5 milesof every US resident
Source: National Association of Chain Drug Stores
thepatientjourney
dischargeplanning
hosspitaldischargeplanner
IPA onsitecase
manager
hospitalist
patient
thepatientjourney
dischargeplanning
dischargeinstructions
medicationreconciliation
outpatientphysicianfollow-up
patient
hospitalist
thepatientjourney
dischargeplanning
medicationreconciliation
outpatientphysicianfollow-up
discharge
patient
family
dischargeinstructionsRx
thepatientjourney
dischargeplanning
hosspitaldischargeplanner
IPA onsitecase
manager
hospitalist
patient
dischargeinstructionsRx
medicationreconciliation
outpatientphysicianfollow-up
discharge
patient patient patient
hospitalist hospitalist
family
dischargeinstructionsRx
thepatientjourney
dischargeplanning
hosspitaldischargeplanner
IPA onsitecase
manager
hospitalist
patient
dischargeinstructionsRx
medicationreconciliation
outpatientphysicianfollow-up
discharge
patient patient patient
hospitalist hospitalist
family
dischargeinstructionsRx
thepatientjourney
dischargeplanning
hosspitaldischargeplanner
IPA onsitecase
manager
hospitalist
patient
dischargeinstructionsRx
medicationreconciliation
outpatientphysicianfollow-up
discharge
patient patient patient
hospitalist hospitalist
family
dischargeinstructionsRx
thepatientjourney
dischargeplanning
hosspitaldischargeplanner
IPA onsitecase
manager
hospitalist
patient
dischargeinstructionsRx
medicationreconciliation
outpatientphysicianfollow-up
discharge
patient patient patient
pharmacist hospitalist
family
dischargeinstructionsRx
“put hot triggers in the path of motivated people”BJ Fogg, PhDDirector, Persuasive Technology LabStanford University
Santa Clara County IPA (SCCIPA)Medication Reconciliation Pilot Project
How to find the medication list for patients using AccessExpress
1. Go to the PPMSI AccessExpress provider portal (http://ppmsi.com/accessexpress.html):
2. Select Santa Clara County IPA:
3. Enter USER NAME and PASSWORD, click on “SUBMIT”:
Your SCCIPA doctor wants to help you with your medications, after you leave the hospital.
Please visit the Samaritan Medical Center Pharmacy to pick up your new prescriptions and have a pharmacist review your medications with you.
Michael Lam, RPhpharmacist
Samaritan Medical Center Pharmacy2505 Samaritan DriveSan Jose, CA(408) 356-7111
SCCIPAA Pacific Partners Medical Group