Dr Linda Frisk Discusses the Role of the Pharmacist in Value-Based Care

I am part of the OCM, so cost of care is important to us and managing our patients, preventing those side-effects from getting worse, interacting with the physician, making sure that what we’re dispensing is the right medicine, the right dose, not auto-filling, but checking with the physician is going to reduce cost of care, it’s going to reduce ER visits, it’s going to reduce hospitalization, it’s going to make sure that we don’t dispense a medication that the patient can’t use In implementing OCM, there was a lot of a ramp up phase. Oral medications is probably the hardest part because they don’t all come through us, so it’s a lot of phone calling to patients, to specialty pharmacies to find out just the basic information that we need to get them enrolled, to get their care plan built, and to find out, you know, where they’re at in their therapy. It would be much easier if my sites, because they’re right in the clinics, could dispense the medications, but we know that because of insurances and PBMs and things like that that we can’t dispense all of them that makes it difficult I’m part of US Oncology McKesson, and so we have the value pathways by NCCN, and they are integrated into our EMR, so every time that the physicians order a new regimen, they do go right through our pathways, and if they don’t follow the pathways, then they have to give a reason why So, we are very much integrated into that system