INNOVATIVE PRACTITIONER FORM

NAME: Denny Jorgensen, RPh.

ADDRESS: Box 216
770 Lake Panorama
Panora, IA 50216

PHONE: (515) 755-2312

FAX: (515) 755-3773

E-MAIL/INFORMATION SERVICE: N/A

BRIEFLY DESCRIBE INNOVATION:
Denny Jorgensen has set up a pharmaceutical care program in his pharmacy. This pharmaceutical care program allows the pharmacist to become more interactive with the patient. Denny's staff includes two pharmacist and four technicians. They have changed the workflow by empowering the technicians with more responsibility. The technicians handle the full dispensing process. The drug labels generated by the technician are sent directly to the counseling area. Therefore, the pharmacist does not deal with the medication at all other than to check for accuracy. The pharmacist functions face to face with the patients providing these pharmaceutical care services. Denny says that the patients are responding well to his new program. Denny's program is patient oriented because the pharmacist seeks out the information from the patient and addresses the patients problem. Occasionally, the patients sign a release form to allow the pharmacist to obtain the patients medical records from the doctors. However, the pharmacist usually just calls the doctor and discusses the patient's therapy. Denny hopes to improve his pharmaceutical care innovation and eventually obtain reimbursement from either the patient or the third parties.

METHOD OF REIMBURSEMENT:

PAYOR: Denny currently receives payment for the drugs dispensed.
Denny is currently working on a third party project with 27 other Iowa pharmacies. This project deals with Blue Cross Blue Shield. They are enrolling samples of high risk patients in their pharmaceutical care programs. The high risk samples involve patients with asthma, diabetes, hypertension, and angina. The pharmacist is documenting all interactions and outcomes of these patients. They hope to be reimbursed by documenting the impact of pharmaceutical care on the outcome of these high risk patients.

REIMBURSEMENT RATE: N/A

IS DOCUMENTATION REQUIRED?
Documentation is required. Denny originally started documenting on paper. Now, he is using a computer system to do the documentation. Denny uses this system to keep track of the progress of his high risk patients involved in the Blue Cross Blue Shield study, and other patients.

SPECIALIZED TRAINING REQUIRED? none

SOFTWARE/INSTRUMENTATION REQUIRED?
Although software is not required for this documentation, Panora Pharmacy is currently using a computer system called Data Information System that comes from Pharmacy Care Outcomes in Minnesota. This system can use the patient's medical records and document patient progression and outcomes for future use.

Interviewed by: Kami Singley