Partners in Care Foundation Sandy Atkins VP Institute for Change

Dennee Frey PharmD Program Consultant

Adaptable Evidence-based Medication Safety Improvement Intervention

Opening the door to CBO-Healthcare Partnerships

Agenda

bull Introduce Partners in Care amp HomeMeds

bull Contribution community agencies can make to medication safety using HomeMeds

bull The evidence base and the intervention

bull The software

bull User experiences amp innovative applications

bull Getting started with HomeMeds

bull Q amp A

Partners in Care Foundation Who We Are bull Partners in Care serves as a catalyst for

shaping a new vision of healthcare by partnering with organizations families and community leaders in the work of changing healthcare systems changing communities and changing livesmdashfocusing on home and community care

bull We evolved from the VNA of Los Angeles to be a nimble force for change

The Problem

bullMedication Errors are

ndash Serious Over 700000 people go to ED each year for adverse drug events

ndash Costly Drug-related morbiditymortality gt $170 billion (ER hospitalreadmissions SNF use etc)

ndash Common Up to 48 of community-dwelling elders have medication-related problems

ndash Preventable At least 25 of all harmful adverse drug events are preventable

The Solution HomeMeds

bull HomeMeds is designed to enable community agencies to keep people at home amp out of hospital by addressing medication safety

bull Practice change with workforcessettings that already go to the home ndash more cost effective use of existing effort

bull Focus on potential adverse effects (falls vitals confusion) hellip then determine if medications may be part of the cause

HOMEMEDS BRIDGE FROM HOME TO HEALTHCARE

ldquoAny symptom in an elderly patient should be considered a drug side effect until proved otherwiserdquo (Gurwitz et al 1995)

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

Agenda

bull Introduce Partners in Care amp HomeMeds

bull Contribution community agencies can make to medication safety using HomeMeds

bull The evidence base and the intervention

bull The software

bull User experiences amp innovative applications

bull Getting started with HomeMeds

bull Q amp A

Partners in Care Foundation Who We Are bull Partners in Care serves as a catalyst for

shaping a new vision of healthcare by partnering with organizations families and community leaders in the work of changing healthcare systems changing communities and changing livesmdashfocusing on home and community care

bull We evolved from the VNA of Los Angeles to be a nimble force for change

The Problem

bullMedication Errors are

ndash Serious Over 700000 people go to ED each year for adverse drug events

ndash Costly Drug-related morbiditymortality gt $170 billion (ER hospitalreadmissions SNF use etc)

ndash Common Up to 48 of community-dwelling elders have medication-related problems

ndash Preventable At least 25 of all harmful adverse drug events are preventable

The Solution HomeMeds

bull HomeMeds is designed to enable community agencies to keep people at home amp out of hospital by addressing medication safety

bull Practice change with workforcessettings that already go to the home ndash more cost effective use of existing effort

bull Focus on potential adverse effects (falls vitals confusion) hellip then determine if medications may be part of the cause

HOMEMEDS BRIDGE FROM HOME TO HEALTHCARE

ldquoAny symptom in an elderly patient should be considered a drug side effect until proved otherwiserdquo (Gurwitz et al 1995)

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

Partners in Care Foundation Who We Are bull Partners in Care serves as a catalyst for

shaping a new vision of healthcare by partnering with organizations families and community leaders in the work of changing healthcare systems changing communities and changing livesmdashfocusing on home and community care

bull We evolved from the VNA of Los Angeles to be a nimble force for change

The Problem

bullMedication Errors are

ndash Serious Over 700000 people go to ED each year for adverse drug events

ndash Costly Drug-related morbiditymortality gt $170 billion (ER hospitalreadmissions SNF use etc)

ndash Common Up to 48 of community-dwelling elders have medication-related problems

ndash Preventable At least 25 of all harmful adverse drug events are preventable

The Solution HomeMeds

bull HomeMeds is designed to enable community agencies to keep people at home amp out of hospital by addressing medication safety

bull Practice change with workforcessettings that already go to the home ndash more cost effective use of existing effort

bull Focus on potential adverse effects (falls vitals confusion) hellip then determine if medications may be part of the cause

HOMEMEDS BRIDGE FROM HOME TO HEALTHCARE

ldquoAny symptom in an elderly patient should be considered a drug side effect until proved otherwiserdquo (Gurwitz et al 1995)

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

The Problem

bullMedication Errors are

ndash Serious Over 700000 people go to ED each year for adverse drug events

ndash Costly Drug-related morbiditymortality gt $170 billion (ER hospitalreadmissions SNF use etc)

ndash Common Up to 48 of community-dwelling elders have medication-related problems

ndash Preventable At least 25 of all harmful adverse drug events are preventable

The Solution HomeMeds

bull HomeMeds is designed to enable community agencies to keep people at home amp out of hospital by addressing medication safety

bull Practice change with workforcessettings that already go to the home ndash more cost effective use of existing effort

bull Focus on potential adverse effects (falls vitals confusion) hellip then determine if medications may be part of the cause

HOMEMEDS BRIDGE FROM HOME TO HEALTHCARE

ldquoAny symptom in an elderly patient should be considered a drug side effect until proved otherwiserdquo (Gurwitz et al 1995)

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

The Solution HomeMeds

bull HomeMeds is designed to enable community agencies to keep people at home amp out of hospital by addressing medication safety

bull Practice change with workforcessettings that already go to the home ndash more cost effective use of existing effort

bull Focus on potential adverse effects (falls vitals confusion) hellip then determine if medications may be part of the cause

HOMEMEDS BRIDGE FROM HOME TO HEALTHCARE

ldquoAny symptom in an elderly patient should be considered a drug side effect until proved otherwiserdquo (Gurwitz et al 1995)

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

HOMEMEDS BRIDGE FROM HOME TO HEALTHCARE

ldquoAny symptom in an elderly patient should be considered a drug side effect until proved otherwiserdquo (Gurwitz et al 1995)

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

Why should non-healthcare agencies work on medication safety

bull To thrive CBOs need to play a new role connecting the home with the healthcare system

ndash Medications are a huge factor in readmissions

ndash Home provides unique perspective otherwise unavailable to healthcare providers

ndash New focus on population health ndash identifying and proactively addressing health for high-risk patients

ndash Quality measures for health plans and providers relate to issues such as medication use and fall prevention

ndash Home medication reconciliation is a national patient-safety goal

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

Medications amp Care Transitions

from Mary Andrawis PharmD CMMI presentation to Drug Safety Panel May 10 2011 (cite Forster et al Annals of Internal Medicine 2003 128 161-167 CMAJ FEB 3 2004 170 (3)

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

Home visit uncovers many ldquosecretsrdquohellip that prescribers may not know about

bull OTCs ndash Over-the-counter medications

bull Prescriptions from other other providers

bull Adverse effects such as falls dizziness confusion

bull Adherence issues

bull Out of system meds Drugs from other countries borrowed Wal-Mart $4

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

Quality Measures Now Tied to $$$

bull Star Ratings ndash Medicare Advantage ndash Yearly review of all medications and supplements being taken

ndash Yearly pain screening or pain management plan

ndash Controlling blood pressure

ndash Reducing risk of falling

ndash Readmission to a hospital within 30 days of being discharged

bull HEDIS for physicians ndash Percentage of Medicare members 66+ who received at least

one high-risk medication

ndash Fall Risk Management Discussion amp Management

ndash Potentially Harmful Drug-Disease Interactions

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

HomeMeds Saves Money Saves Lives

bull Falls and other adverse effects improved through collaboration between pharmacists and members of the care team

bull 467 of older adults screened in 14 sites from 2007 to 2010 had risk for medication-related injury

bull Estimated Savings from 7000 Screenings up to $15 million

HRSA 2010 wwwhrsagovpatientsafety

ROI for MTM Medication Therapy Management

bull Five core components of MTM 121 ROI Highly targeted MTM in Medicaid Health Plan

ndash General MTM has ROI of 151 to 41

ndash Cost $240 per patient

ndash Savings $3235 per patient (net of admin cost copays etc) in decreased utilization (facilities professional services and prescriptions)

Clinical and economic outcomes of medication therapy management services the Minnesota experience Isetts BJ Schondelmeyer SW Artz MB Lenarz LA Heaton AH Wadd WB Brown LM Cipolle RJ J Am Pharm Assoc 2008 Mar-Apr48(2)203-11

Expected Results

Lower Cost

Fewer falls improved BP control less confusion etc

Improved medication use

WHATrsquoS IT ALL ABOUT Dennee Frey PharmD

Evidence-Based Origins

bull Vanderbilt University ndash John A Hartford Foundation Funds ndash RCT proved efficacy in home health

ndash Based on a pharmacist-nurse collaboration to identify amp resolve errors

ndash Results bull 19 had potential medication problems

bull Medication use improved in 50 of patients (compared to 38 of controls) when pharmacist collaborated with home health staff

HomeMeds Further Evidence

AoA Funds and USC Evaluation

bull In Medicaid Waiver for Dual Eligibles (nursing-home eligible living at home)

ndash Social workers amp nurses collected data

bull Resultssup1sup2 49 had potential medication problems

ndash After pharmacist review 29 of all waiver clients required physician intervention

bull Medication use improved in 61 of clients 1 Prevalence of Potential Medication Problems in Dually-Eligible Older Adults in Medicaid Waiver Services Alkema GE Wilber KW Enguidanos

SM and Frey D The Annals of Pharmacotherapy December 2007 Volume 41 2 The Role of Consultant Pharmacists in Reducing Medication Problems Among Older Adults Receiving Medicaid Waiver Services Alkema G

Enguidanos S Wilber K Trufasiu M and Frey D The Consultant Pharmacist Feb-2009 V24 No 2

HomeMeds Evidence-based Recognition

bull AoA recognition as an evidence-based prevention program ndash Highest Level of Evidence

bull National Registry of Evidence-based Programs and Practices (httpnreppsamhsagov) (soon to be published)

bull Quality of research 324 bull Readiness for dissemination 44

bull US Agency for Healthcare Research and Quality (AHRQ) Innovation Exchange

bull Strong evidence rating

httpwwwinnovationsahrqgovcontentaspxid=2841)

WHATrsquoS IT ALL ABOUT Dennee Frey PharmD

Evidence-Based Origins

bull Vanderbilt University ndash John A Hartford Foundation Funds ndash RCT proved efficacy in home health

ndash Based on a pharmacist-nurse collaboration to identify amp resolve errors

ndash Results bull 19 had potential medication problems

bull Medication use improved in 50 of patients (compared to 38 of controls) when pharmacist collaborated with home health staff

HomeMeds Further Evidence

AoA Funds and USC Evaluation

bull In Medicaid Waiver for Dual Eligibles (nursing-home eligible living at home)

ndash Social workers amp nurses collected data

bull Resultssup1sup2 49 had potential medication problems

ndash After pharmacist review 29 of all waiver clients required physician intervention

bull Medication use improved in 61 of clients 1 Prevalence of Potential Medication Problems in Dually-Eligible Older Adults in Medicaid Waiver Services Alkema GE Wilber KW Enguidanos

SM and Frey D The Annals of Pharmacotherapy December 2007 Volume 41 2 The Role of Consultant Pharmacists in Reducing Medication Problems Among Older Adults Receiving Medicaid Waiver Services Alkema G

Enguidanos S Wilber K Trufasiu M and Frey D The Consultant Pharmacist Feb-2009 V24 No 2

HomeMeds Evidence-based Recognition

bull AoA recognition as an evidence-based prevention program ndash Highest Level of Evidence

bull National Registry of Evidence-based Programs and Practices (httpnreppsamhsagov) (soon to be published)

bull Quality of research 324 bull Readiness for dissemination 44

bull US Agency for Healthcare Research and Quality (AHRQ) Innovation Exchange

bull Strong evidence rating

httpwwwinnovationsahrqgovcontentaspxid=2841)

Evidence-Based Origins

bull Vanderbilt University ndash John A Hartford Foundation Funds ndash RCT proved efficacy in home health

ndash Based on a pharmacist-nurse collaboration to identify amp resolve errors

ndash Results bull 19 had potential medication problems

bull Medication use improved in 50 of patients (compared to 38 of controls) when pharmacist collaborated with home health staff

HomeMeds Further Evidence

AoA Funds and USC Evaluation

bull In Medicaid Waiver for Dual Eligibles (nursing-home eligible living at home)

ndash Social workers amp nurses collected data

bull Resultssup1sup2 49 had potential medication problems

ndash After pharmacist review 29 of all waiver clients required physician intervention

bull Medication use improved in 61 of clients 1 Prevalence of Potential Medication Problems in Dually-Eligible Older Adults in Medicaid Waiver Services Alkema GE Wilber KW Enguidanos

SM and Frey D The Annals of Pharmacotherapy December 2007 Volume 41 2 The Role of Consultant Pharmacists in Reducing Medication Problems Among Older Adults Receiving Medicaid Waiver Services Alkema G

Enguidanos S Wilber K Trufasiu M and Frey D The Consultant Pharmacist Feb-2009 V24 No 2

HomeMeds Evidence-based Recognition

bull AoA recognition as an evidence-based prevention program ndash Highest Level of Evidence

bull National Registry of Evidence-based Programs and Practices (httpnreppsamhsagov) (soon to be published)

bull Quality of research 324 bull Readiness for dissemination 44

bull US Agency for Healthcare Research and Quality (AHRQ) Innovation Exchange

bull Strong evidence rating

httpwwwinnovationsahrqgovcontentaspxid=2841)

HomeMeds Further Evidence

AoA Funds and USC Evaluation

bull In Medicaid Waiver for Dual Eligibles (nursing-home eligible living at home)

ndash Social workers amp nurses collected data

bull Resultssup1sup2 49 had potential medication problems

ndash After pharmacist review 29 of all waiver clients required physician intervention

bull Medication use improved in 61 of clients 1 Prevalence of Potential Medication Problems in Dually-Eligible Older Adults in Medicaid Waiver Services Alkema GE Wilber KW Enguidanos

SM and Frey D The Annals of Pharmacotherapy December 2007 Volume 41 2 The Role of Consultant Pharmacists in Reducing Medication Problems Among Older Adults Receiving Medicaid Waiver Services Alkema G

Enguidanos S Wilber K Trufasiu M and Frey D The Consultant Pharmacist Feb-2009 V24 No 2

HomeMeds Evidence-based Recognition

bull AoA recognition as an evidence-based prevention program ndash Highest Level of Evidence

bull National Registry of Evidence-based Programs and Practices (httpnreppsamhsagov) (soon to be published)

bull Quality of research 324 bull Readiness for dissemination 44

bull US Agency for Healthcare Research and Quality (AHRQ) Innovation Exchange

bull Strong evidence rating

httpwwwinnovationsahrqgovcontentaspxid=2841)

HomeMeds Evidence-based Recognition

bull AoA recognition as an evidence-based prevention program ndash Highest Level of Evidence

bull National Registry of Evidence-based Programs and Practices (httpnreppsamhsagov) (soon to be published)

bull Quality of research 324 bull Readiness for dissemination 44

bull US Agency for Healthcare Research and Quality (AHRQ) Innovation Exchange

bull Strong evidence rating

httpwwwinnovationsahrqgovcontentaspxid=2841)

Risk-Screening Protocols bull Identified by national expert consensus panel sup1

bull Targets problems that can be identified and resolved in the home ndash Positive response by prescribers

ndash Minimize ldquoalert overloadrdquo based on signssymptoms

1 Unnecessary therapeutic duplication

2 Use of psychotropic drugs in patients with a reported recent fall andor confusion

3 Use of non-steroidal anti-inflammatory drugs (NSAID) in patients at risk of peptic ulcergastrointestinal bleeding

4 Cardiovascular medication problems

bull High BP low pulse orthostasis and low systolic BP

bull Limited to only these medication-related problems sup1A model for improving medication use in home health care patients Brown N J Griffin M R Ray W A Meredith S Beers M H Marren J

Robles M Stergachis A Wood A J amp Avorn J (1998) Journal of the American Pharmaceutical Association 38 (6) 696-702

Fidelity to Core Components

bull Comprehensive medication inventory amp assessment

bull Collect data on falls dizziness confusion vitals

bull Risk screening per protocols

bull Review of alerts amp clinical signs by a pharmacist

bull Written recommendations from pharmacist to prescribers

bull Follow through with MD andor clientfamily

bull Documentation of all actions and results

HomeMeds Intervention Process

ldquoWersquore not a medical programhelliprdquo ldquohellipbut yoursquore in the homerdquo

bull Already visit home and collect medication and

other assessment information

bull Coordination amp communication role

bull Trust of clients

bull Focused on delaying institutionalization

bull Funding ndash Title III-D amp Waiver purchase of

service

Roles of the pharmacist

bull Screen alerts to confirm problems

bull Communicate with prescribers

bull Consult with care manager

bull Identify problems beyond protocols

bull Assist with complex cases

bull Educate staff about medicationsrisks

bull Avg 30 minclient

Case presentation A 76 year old woman with several chronic conditions recently

admitted to waiver program reported taking six medications and experiencing dizziness over the past several months

Screening 2 alerts therapeutic duplication and dizziness 2 beta blockers atenolol 50 mg and metoprolol 100 mg Pharmacist Reviewconsultation recommended that the case

manager verify that the client was taking both beta blockers regularly

Confirmation RNCM confirmed the duplication and contacted the primary care physician to report the duplication and medication-related dizziness and requested one of the beta-blockers be discontinued

Follow-up The care manager then followed-up with the client to assure the MD orders were carried out and that the client understood how to take her medications correctly

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Fidelity to Core Components

bull Comprehensive medication inventory amp assessment

bull Collect data on falls dizziness confusion vitals

bull Risk screening per protocols

bull Review of alerts amp clinical signs by a pharmacist

bull Written recommendations from pharmacist to prescribers

bull Follow through with MD andor clientfamily

bull Documentation of all actions and results

HomeMeds Intervention Process

ldquoWersquore not a medical programhelliprdquo ldquohellipbut yoursquore in the homerdquo

bull Already visit home and collect medication and

other assessment information

bull Coordination amp communication role

bull Trust of clients

bull Focused on delaying institutionalization

bull Funding ndash Title III-D amp Waiver purchase of

service

Roles of the pharmacist

bull Screen alerts to confirm problems

bull Communicate with prescribers

bull Consult with care manager

bull Identify problems beyond protocols

bull Assist with complex cases

bull Educate staff about medicationsrisks

bull Avg 30 minclient

Case presentation A 76 year old woman with several chronic conditions recently

admitted to waiver program reported taking six medications and experiencing dizziness over the past several months

Screening 2 alerts therapeutic duplication and dizziness 2 beta blockers atenolol 50 mg and metoprolol 100 mg Pharmacist Reviewconsultation recommended that the case

manager verify that the client was taking both beta blockers regularly

Confirmation RNCM confirmed the duplication and contacted the primary care physician to report the duplication and medication-related dizziness and requested one of the beta-blockers be discontinued

Follow-up The care manager then followed-up with the client to assure the MD orders were carried out and that the client understood how to take her medications correctly

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Intervention Process

ldquoWersquore not a medical programhelliprdquo ldquohellipbut yoursquore in the homerdquo

bull Already visit home and collect medication and

other assessment information

bull Coordination amp communication role

bull Trust of clients

bull Focused on delaying institutionalization

bull Funding ndash Title III-D amp Waiver purchase of

service

Roles of the pharmacist

bull Screen alerts to confirm problems

bull Communicate with prescribers

bull Consult with care manager

bull Identify problems beyond protocols

bull Assist with complex cases

bull Educate staff about medicationsrisks

bull Avg 30 minclient

Case presentation A 76 year old woman with several chronic conditions recently

admitted to waiver program reported taking six medications and experiencing dizziness over the past several months

Screening 2 alerts therapeutic duplication and dizziness 2 beta blockers atenolol 50 mg and metoprolol 100 mg Pharmacist Reviewconsultation recommended that the case

manager verify that the client was taking both beta blockers regularly

Confirmation RNCM confirmed the duplication and contacted the primary care physician to report the duplication and medication-related dizziness and requested one of the beta-blockers be discontinued

Follow-up The care manager then followed-up with the client to assure the MD orders were carried out and that the client understood how to take her medications correctly

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

ldquoWersquore not a medical programhelliprdquo ldquohellipbut yoursquore in the homerdquo

bull Already visit home and collect medication and

other assessment information

bull Coordination amp communication role

bull Trust of clients

bull Focused on delaying institutionalization

bull Funding ndash Title III-D amp Waiver purchase of

service

Roles of the pharmacist

bull Screen alerts to confirm problems

bull Communicate with prescribers

bull Consult with care manager

bull Identify problems beyond protocols

bull Assist with complex cases

bull Educate staff about medicationsrisks

bull Avg 30 minclient

Case presentation A 76 year old woman with several chronic conditions recently

admitted to waiver program reported taking six medications and experiencing dizziness over the past several months

Screening 2 alerts therapeutic duplication and dizziness 2 beta blockers atenolol 50 mg and metoprolol 100 mg Pharmacist Reviewconsultation recommended that the case

manager verify that the client was taking both beta blockers regularly

Confirmation RNCM confirmed the duplication and contacted the primary care physician to report the duplication and medication-related dizziness and requested one of the beta-blockers be discontinued

Follow-up The care manager then followed-up with the client to assure the MD orders were carried out and that the client understood how to take her medications correctly

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Roles of the pharmacist

bull Screen alerts to confirm problems

bull Communicate with prescribers

bull Consult with care manager

bull Identify problems beyond protocols

bull Assist with complex cases

bull Educate staff about medicationsrisks

bull Avg 30 minclient

Case presentation A 76 year old woman with several chronic conditions recently

admitted to waiver program reported taking six medications and experiencing dizziness over the past several months

Screening 2 alerts therapeutic duplication and dizziness 2 beta blockers atenolol 50 mg and metoprolol 100 mg Pharmacist Reviewconsultation recommended that the case

manager verify that the client was taking both beta blockers regularly

Confirmation RNCM confirmed the duplication and contacted the primary care physician to report the duplication and medication-related dizziness and requested one of the beta-blockers be discontinued

Follow-up The care manager then followed-up with the client to assure the MD orders were carried out and that the client understood how to take her medications correctly

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Case presentation A 76 year old woman with several chronic conditions recently

admitted to waiver program reported taking six medications and experiencing dizziness over the past several months

Screening 2 alerts therapeutic duplication and dizziness 2 beta blockers atenolol 50 mg and metoprolol 100 mg Pharmacist Reviewconsultation recommended that the case

manager verify that the client was taking both beta blockers regularly

Confirmation RNCM confirmed the duplication and contacted the primary care physician to report the duplication and medication-related dizziness and requested one of the beta-blockers be discontinued

Follow-up The care manager then followed-up with the client to assure the MD orders were carried out and that the client understood how to take her medications correctly

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HOMEMEDS BRINGING IT HOME WITH STORIES OF SUCCESS

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Consumer Feedbackhellip

Mr Johnson went from 20 meds to just 8

ldquoYou have saved us money on monthly refills and my life We cannot thank you enoughrdquo

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Clinician Feedback I called the MDs office and Dr A actually answered the phone He was very concerned about the client and definitely wants to follow-up with her He really appreciated knowing about the falls especially given aspirin amp Advil use because of the potential for bleeding wfalls - Pharmacist consultant found that PA was refilling Valium wo MD awareness

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Agency Feedback ldquoAvoiding a potential train wreckhelliprdquo

bull ldquoJust thought you would like to know about our first alert (Three blood thinners from three different physicians amongst other problems)rdquo ndash Pharmacist consultant (School of Pharmacy)

ldquoWersquove had one case so far and itrsquos proven to be a good learninghellipWe were communicating with who we thought was the primary physician last week based on the name on the prescriptions It turned out that the initial physician hasnrsquot seen the patient in over a year ndash not goodrdquo

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

User Feedback Implementation and Impact bull Pharmacist time for med reviews 15-45 min

bull Seniors living at home without supports received the greatest benefit

bull Positive feedback on having a comprehensive med list

bull Hospitals Health Plans amp community providers recognize the problem and understand value of this service

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

AAA in Tarrant County TX

bull Caregivers have positive response

ndash Beneficial to gain better understanding of their loved onesrsquo medications and provides confidence when accompanying them to doctors visits

bull Don Smith Director Tarrant County AAA ldquoHomeMeds is the easiest of all evidence-based programs to implement We can see results - decrease in number of medications decrease in falls pre amp postrdquo

29

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HOMEMEDS RISK-SCREENING SOFTWARE ASK FOR A DEMO

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Software Demo

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Software Dashboard

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Software Risk Assessment

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Software Medications

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Software Alerts

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HOMEMEDS INNOVATIVE ADAPTATIONS amp SUSTAINABILITY

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Whorsquos Implementing HomeMeds

bull Medicaid 1915(c) Waiver programs for Dual Eligibles

bull Care Transition programs

bull CBO under contract with medical groups

bull Area Agencies on Aging amp Senior Centers

bull Meals on Wheels

bull Home HealthHomecare Agencies

bull Assisted Living amp Affordable Housing

bull Native American Tribal Community

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Innovative Applications ndash Partners in Care Los Angeles bull Contract with at-risk medical group

bull Targeted one-time home visit by social worker

bull HomeMeds screening and general safety assessment (ADLs environment cognitive status caregiverfamily support PHQ-29)

bull HomeMeds pharmacist intervention

bull Reports to Case Manager PCP EHR system

bull Care plan and referrals

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Targeting Criteria for a Home Visit

1Age 65+ and 2EDhospital use in past year plus

a) Five or more prescribed meds or

b) Warfarinantiplatelet or insulindiabetes meds or

c) Dx CHF COPD depression anxiety bipolar psychosis or

d) Mild cognitive impairment or

e) Recent treatment for fall or confusion or

f) Age 80+ or

g) Any patient there is a concern about

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

bull MOW target 1500 clients

ndash Pharm Tech doing data entry

ndash 80 had alerts

ndash 180400 had at least one fall in last 3 months and a number had dizziness related to the fall

bull Local Fall Prevention Coalition ndash Fire Dept mapped frequent fallers

ndash Target MOB classes and HomeMeds outreach

ndash Provide alternative to 911

40

HomeMeds in Tarrant County TX

ldquoHomeMeds integrates really well with CDSMP and MOB Each has a module on medication management and HomeMeds reinforces this and integrates and is easy to refer people tordquo

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

The Future for HomeMeds bull Make HomeMeds a standard of care for

home-based services care transitions etc

bull All home visit programs ndash health amp social service

bull Enhance technology (and policy) for ease of use

bull SAMHSA alcohol and prescription drug use screening amp additional clinical protocols

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

GETTING STARTED ndash THE NITTY GRITTY

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Our Process Planning amp Decisions

bull Readiness Assessment (online SurveyMonkey)

ndash Executives show higher readiness than supervisors and those who must implement

bull Choose Protocols

ndash At times vital signs not available due to scope of practice concerns

bull Data entry variations

ndash Real-time data entry or person who collected data best

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Planning for Challenges

bull Fear of liability by agency staff

ndash Social work role is in-home information gathering and communication

bull Individual consents from care management clients

ndash Review amp update contracts

ndash Avoid a separate consent if possible

ndash Provide an opt-out rather than an opt-in choice

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

What does it cost bull Planning setup consultation support

bull $3000 one-time fee

bull Software license

bull From $200month for up to 50 new clients createdmo

bull Negotiate shared licenses for smaller sites

bull Training

bull $5000 on-site plus travel (shared multisite OK)

bull $250 per refresher webinar (after year 1)

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Covering the cost bull Software Startup amp Pharmacist

ndash Older Americans Act Title III-D

bull Pharmacist coverage alternatives

ndash Pharmacy School ndash students amp supervision

ndash Waiver purchase-of-service dollars

ndash Volunteer community pharmacist

ndash Medicare MTM Medication Therapy Management (through local pharmacy or patientrsquos Part D plan

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

Conclusion

HomeMeds is a proven tool for improved medication safety health and well-being for older adults

It is an affordable evidence-based program that is a perfect bridge for partnerships between community agencies and healthcare

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230

HomeMeds Call us or email us

Email us at HomeMedspicforg

HomeMeds Website wwwHomeMedsorg

HomeMeds Information Packet

httpwwwhomemedsorglanding_pages143html

Partners in Care Website wwwpicforg

June Simmons CEO jsimmonspicforg

Sandy Atkins VP satkinspicforg

Dennee Frey PharmD dfreypicforg

Phone 8188373775

Join us at ASA Tuesday 312 at 1230