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Table 4 Prioritized readiness challenges and readiness building strategies

From: Ready, set, go!: exploring use of a readiness process to implement pharmacy services

Prioritized readiness challenges Readiness building strategies Site examples Sites Stage
Operational integration
• Data process and systems
• Financial resources
• Patient information repository
• Referral process
• Workflow
• Staffing
Build data processes and systems to track and monitor Build data management process and/or system to monitor patient progress and outcomes (e.g., integration with EPIC) 1, 2, 5, 8 Implementation
Develop reimbursement/financial plan Develop a payment/billing methodology 6 Implementation
Develop a financial plan to sustain the initiative through meetings with leadership and by hiring staff 2 Sustainability
Develop and present a scalability plan showcasing pilot data to obtain additional financial resources through meetings with leadership 3 Scalability
Create a patient information repository Develop a centralized repository for patient information by partnering with IT 8 Implementation
Develop a referral process Develop a referral process for service by creating a referral form for primary care physicians 5 Implementation
Develop integrated workflow Develop workflow for service (e.g., after reviewing current best practices for service, after completing driver diagram) 2, 4 Implementation
Create workflow to meet the capacity needed to reach a larger high-risk patient population 6 Scalability
Optimize staffing to maximize efficiencies Optimize staffing to maximize efficiencies by transitioning roles and responsibilities to mitigate staff turnover 4 Implementation
Optimize staffing to maximize efficiencies by modifying roles and responsibilities to allow pharmacists to focus on billable services 5 Implementation
Stakeholder engagement and buy-in Use pilot data Use pilot data for gaining approval from partnering health plan for payment model 6 Implementation
Use of pilot data to increase buy-in from leadership for scaling service 3 Scalability
Market/create promotional messaging Create and disseminate marketing materials through multiple avenues of communication (e.g., mailing lists, media outlets) to increase patient and provider engagement in the service 8 Implementation
Brainstorm promotional messaging for internal marketing materials with pharmacy managers to increase pharmacist engagement 6 Implementation
Deliver promotional messaging to pharmacists through program champions (i.e., pharmacists on board) 6 Implementation
Conduct trainings Develop and conduct trainings for pharmacy residents and clinic staff (e.g., on workflows, data collection) 3, 4 Implementation
Provide education Educate clinic staff on service and their role 1 Implementation
Team Identify team members Identify team members responsible for readiness and implementation 1 Implementation
Engage team members Engage implementation team through online training and showcasing of positive patient stories to obtain buy-in for the selected service 4 Implementation
Champion Identify champion Identify champion to promote service through discussion with leadership 1 Implementation
Leverage champion Leverage champion to develop a billing pathway and help prepare for implementation 1 Implementation
Priority alignment Determine priority for service Determine priority for service by reaching out to new leadership once identified (in midst of merger) 7 Sustainability
Demonstrate value Continue to deliver pharmacy service and collect data to showcase value to new leadership once identified (in midst of merger) 7 Sustainability
Obtain feedback Obtain feedback and support from leadership on priority for scalability of the service through meetings and presentation of pilot data 3 Scalability
Service fit Clarify needs Determine expectations for selecting a service through meetings with leadership 1 Implementation
Support Access coaching Engage coach to support readiness process 1 Implementation
Learn from peers Communicate with peers outside of the organization to learn about billing pathways from providers implementing this service 1 Implementation