Community Care of North Carolina – A statewide initiative for innovative pharmacy practice with a behavioral health focus

2014 ◽  
Vol 4 (6) ◽  
pp. 271-275 ◽  
Author(s):  
Theodore Pikoulas ◽  
Jerry McKee ◽  
Carlos Jackson ◽  
Troy Trygstad ◽  
Amelia Mahan ◽  
...  
Keyword(s):  
North Carolina ◽  
Behavioral Health ◽  
Community Care ◽  
Transitional Care ◽  
Medication Management ◽  
Pharmacy Practice ◽  
Care Facility ◽  
Leadership Role ◽  
Clinical Pharmacists ◽  
Medical Home Model

Community Care of North Carolina (CCNC) is a state-wide public/private partnership, primarily serving North Carolina (NC) Medicaid recipients, which focuses on the Primary Care Medical Home model of care. The CCNC Behavioral Health Pharmacy Coordinator has a leadership role for the direction and management of Behavioral Health Initiative (BHI) pharmacy projects, while other CCNC clinical pharmacists work in a variety of settings and help to implement and support those BHI projects. CCNC clinical pharmacists also perform medication management in all settings, help to implement the NC Medicaid Preferred Drug List (PDL), support the care managers, and are involved with the transitional care (TC) process. Transitional care medication management focuses on the identification of medication list discrepancies after discharge from an acute care facility. Patients receiving TC were 20% less likely to return to the hospital in the coming year. We observed the same trend even when looking specifically at those patients who were discharged from a psychiatric unit (Wilcoxon-Gehan statistic = 21.22, p<.0001). It is the goal of the CCNC behavioral health team to provide practicing pharmacists (those directly supported by CCNC and those collaborating with CCNC) with the tools to continue serving populations with behavioral health issues.

scholarly journals Community Care of North Carolina—: An Enhanced Medical Home Model

2009 ◽  
Vol 70 (3) ◽  
pp. 219-224
Author(s):  
L. Allen Dobson ◽  
Denise Levis Hewson
Keyword(s):  
North Carolina ◽  
Medical Home ◽  
Community Care ◽  
Medical Home Model

Verdict Pending: Understanding Leadership Role Identity for North Carolina Judges and Lawyers

2018 ◽  
Vol 48 (2) ◽  
pp. 252-279
Author(s):  
Willow S. Jacobson ◽  
Sharon R. Paynter
Keyword(s):  
North Carolina ◽  
Public Service ◽  
Role Identity ◽  
Leadership Role ◽  
Motivational Orientation ◽  
System Level ◽  
Leadership Practice ◽  
Primary Focus ◽  
State Case

This article examines precursors to leadership practice, specifically through the lens of role identity. The assumption explored is that people are unlikely to engage in the hard work of leadership if they do not see that challenge as part of who they are and what they do, especially collaborative or system-level leadership. Role identity is, then, a critical building block in developing a deeper understanding of leadership intentions and actions especially in collaborative settings. Multiple judicial players, termed here “public service lawyers,” are investigated in this single-state case study that examines individuals’ view of their role and primary focus. Factors are examined that contribute to the construction of role perception. Results reveal that leadership training, the position one holds, and motivational orientation all influence the extent to which public service lawyers develop a view of their role that includes a broader system or collaborative orientation.

scholarly journals Nikki’s Story Shows the Success of Community Care of North Carolina

2013 ◽  
Vol 74 (Suppl) ◽  
pp. s19-s20
Author(s):  
William A. Pully ◽  
Robert W. Seligson
Keyword(s):  
North Carolina ◽  
Community Care

scholarly journals EMERGING MODELS OF CARE: THE IMPACT OF PHARMACIST-LED MEDICATION MANAGEMENT IN A TRANSITIONAL CARE PROGRAM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S708-S708
Author(s):  
Ebony Andrews ◽  
Travonia Brown-Hughes ◽  
Ronald Lyon ◽  
Shanea D Parker ◽  
Brad Lazernick
Keyword(s):  
Transitional Care ◽  
Medication Management ◽  
Hospital Readmissions ◽  
Care Transitions ◽  
Patient Activation ◽  
Care Program ◽  
Transition Process ◽  
Models Of Care ◽  
Care Transition ◽  
The Impact

Abstract Transitional care programs have emerged as successful models of care in which to reduce cost and improve health outcomes. However, few transitional care models have directly incorporated the expertise of the pharmacist as an integral member of the care coordination team. Therein lies an inherent limitation of many community-based transitional care programs, the underutilization of pharmacist during all stages of the care transition process. In 2013, the Hampton Roads Care Transitions Project (HRCTP), a partnership between Senior Services of Southeastern Virginia Area Agency on Aging in Norfolk, VA and Hampton University School of Pharmacy, was established. The goal of the HRCTP is to provide medication management services to reduce preventable hospital readmissions for adults 60 years of age and older with targeted diagnoses. Pharmacists work in collaboration with social workers who act as HRCTP care transition coaches. Between May 2017- October 2018, 678 patients were enrolled in the HRCTP. The hospital readmission rate among patients with targeted diagnoses was reduced by 55.3% with an absolute percentage point reduction of 9.9% and estimated savings amount per avoided readmission of $14,400. Patients who participated in the HRCTP showed a 14% increase in the Patient Activation Assessment indicating an improvement in self-managing efficacy. 93% of patients/caregivers indicated they felt more confident in their ability to manage their health, and 91% expressed satisfaction with the program. The program has proven effective in assisting seniors to remain in their home, reducing hospitalizations, promoting health, increasing patient satisfaction, and reducing healthcare cost.

scholarly journals Significant Published Articles for Pharmacy Nutrition Support Practice in 2018

2019 ◽  
Vol 54 (5) ◽  
pp. 285-293
Author(s):  
Roland N. Dickerson ◽  
Vanessa J. Kumpf ◽  
Angela L. Bingham ◽  
Allison B. Blackmer ◽  
Todd W. Canada ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pharmacy Practice ◽  
Nutrition Support ◽  
Professional Organizations ◽  
Pertinent Literature ◽  
High Importance ◽  
Clinical Pharmacists ◽  
Primary Literature

Purpose: The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2018 considered important to their clinical practice. The citation list was compiled into a single spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby the majority of author participants (at least 5 of 8) considered the paper to be important. Guideline and consensus papers from professional organizations, important to practice but not scored, were also included. Results: A total of 117 articles were identified; 8 from the primary literature were voted by the group to be of high importance. An additional 13 organizational guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were reviewed. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.

Transitional Care Cut Hospital Readmissions For North Carolina Medicaid Patients With Complex Chronic Conditions

2013 ◽  
Vol 32 (8) ◽  
pp. 1407-1415 ◽  
Author(s):  
Carlos T. Jackson ◽  
Troy K. Trygstad ◽  
Darren A. DeWalt ◽  
C. Annette DuBard
Keyword(s):  
North Carolina ◽  
Chronic Conditions ◽  
Transitional Care ◽  
Hospital Readmissions ◽  
Complex Chronic Conditions
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