College of Pharmacy

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Organization Type: 
Educational Institution
Program Type: 
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Self Reflection Activities
Experiential including clinical contact with patients
Program Description: 

Seven ambulatory care faculty members from the University of Oklahoma College of Pharmacy provide direct patient care services in the University’s Family Medicine Center, which is a primary care practice.  This practice was designated as a Tier 3 patient-centered medical home (PCMH) site by Oklahoma’s Medicaid program in 2009. At this PCMH, pharmacists are fully integrated into the delivery of primary care.  Faculty pharmacists, pharmacy students and residents, dieticians, and community health workers collaboratively support the PCMH model by managing diabetes and anti-coagulation patients referred by family medicine physicians.  The site uses an “incident to” billing model for coagulation, as well as a diabetes self-management and training (DSMT) billing model for diabetes patients.  A multidisciplinary advisory board ensures that the Family Medicine Center’s DSMT program meets the needs of its target population. 

The Centers for Medicare and Medicaid Services (CMS) has partnered with Oklahoma’s Medicare Quality Improvement Organization (QIO) through 2014, which is a program that works with consumers, physicians, hospitals, and other caregivers to refine care delivery systems to make sure patients get the right care at the right time, particularly among underserved populations.  During its fourth year (2011), the Health Resources and Services Administration (HRSA) partnered with the University to join the Patient Safety and Clinical Pharmacy Services Collaborative (PSPC 4.0), which is an action learning program involving several hundred communities working together in a disciplined, focused process to enhance the ability of a community health care safety net to deliver safe care that produces optimal health outcomes for high-risk patient groups.  This model is patient-centered, driven by interprofessional teams, and supported by systems of partnerships.  The collaborative teaches a team of health care providers how to rapidly take major practical steps to provide patient integrated care in a primary health care home with sustainable and measurable delivery of clinical pharmacy services/medication management.

Program Results: 

The College of Pharmacy  tracks clinical outcomes on all diabetes and coagulation patients on an ongoing basis; this program has also tracked student recommendations and acceptance of those recommendations since 2011.  

Targeted Professions
Family Medicine
Ambulatory Care
Physician Assistants
Dietitians/Nutrition, Social Work
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Population-based approaches to health care delivery
Risk identification
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Business models for patient-centered integrated care
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.


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