Table 5 Progress on strategy execution

1

Build data management system to monitor progress and outcomes (excel spreadsheet, then integration with EPIC)

In progress

Identify champion to promote service through discussion with leadership

Complete

Leverage champion to develop a billing pathway in order to bill for the service

In progress

Leverage champion to help prepare for implementation

Complete

Identify team members responsible for readiness and implementation

Complete

Determine expectations for selecting a service through meetings with leadership (CMM or opioid tapers)

Complete

Educate clinic staff about the service through meetings

In progress

Educate staff about their role in service delivery through meetings

In progress

Engage coach to support readiness process

Complete

Communicate with peers outside of the organization to learn about billing pathways used by providers implementing this service

In progress

2

Build data management system as a way to monitor progress and outcomes by creating template in EPIC to capture and report on data for the service

In progress

Develop a financial plan to sustain the initiative by engaging with leadership and hiring an FTE

In progress

Develop workflow for service after reviewing current best practices in heart failure

Complete

3

Use of pilot data to increase buy-in from leadership for scaling service

In progress

Develop and present a scalability plan showcasing pilot data to obtain additional financial resources through presentations and meetings with leadership

In progress

Obtain feedback and support from leadership on priority for scalability of the service through meetings and presentation of pilot data

In progress

Train resident on data collection process through meetings and training materials

Not addressed

4

Engage implementation team through online training and showcasing of positive patient stories to obtain buy-in for the selected service

In progress

Develop workflow to integrate new service after completing driver diagram

In progress

Develop training on workflow to get staff confident with service delivery

In progress

Optimize staffing to maximize efficiencies by transitioning roles and responsibilities to mitigate staff turnover

In progress

5

Develop process for tracking patient data

Not addressed

Develop a referral process for pharmacy service by creating referral form for primary care physicians

In progress

Optimize staffing to maximize efficiencies by modifying roles and responsibilities to allow pharmacist to focus on billable services

In progress

6

Use pilot data for gaining approval from partnering health plan for payment model

Complete

Create workflow to meet the capacity needed to reach a larger high-risk patient population

In progress

Develop a payment/billing methodology

Complete

Brainstorm promotional messaging for internal marketing materials with pharmacy managers to increase pharmacist engagement

In progress

Deliver promotional messaging to pharmacists through program champions (i.e., pharmacists on board)

In progress

7

Determine priority for service by reaching out to new leadership once identified (in midst of merger)

In progress

Continue to deliver pharmacy service and collect data to showcase value to new leadership once identified (in midst of merger)

In progress

8

Build data management system as a way to monitor patient progress and outcomes by partnering with IT

In progress

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

Not addressed

Develop a centralized repository for patient information by partnering with IT

In progress