The Asheville Program John Miall

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The Asheville ProgramJohn Miall
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Align The Incentives / Improve The Outcomes

• Labs without co-pays
• Glucose meters
• Patient Education
• Pharmacist fees for counseling
• Disease Specific Rx co-pay waivers

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How They Do It

• Patient making better food choice. Blood
  glucosemuch improved. 2 x 1.5c cm wound RLE.
  Referredto physician for evaluation and therapy.

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Clinical OutcomesAvg. Glycosylated Hemoglobin
HbA1c
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City of Asheville Total Diabetes Medical Costs
Baseline
Year 1
Year 2
Year 3
Year 4
Year 5
58 savings based on actual 2001 costs vs.
expected 2001 costs (1996 costs annual CPI
medical care inflation figures)
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Direct Medical Costs Over Time1 1Cranor CW,
Bunting BA, Christensen DB. The Asheville
Project Long-term clinical and economic outcomes
of a community pharmacy diabetes care program. J
Am Pharm Assoc. 200343173-84.
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Average Annual Diabetic Sick-Leave Usage (CITY OF
ASHEVILLLE Diabetes Group)
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Sick Leave Usage By Time In Program (CITY OF
ASHEVILLLE Diabetes Group)
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Total Mohawk Carpet (Dublin, GA.) Spend
Baseline, Year 1 Year 2 compared to Projected
Costs
Year 2 Projected 12,664
Yr 1 Projected 11,122
Yr 2 savings Per Patient from projected
Costs 5,096 from Baseline Costs 2,203
Total costs 9,771 10,656 7,568
Align the Incentives, Empower the Patient,
Control the CostsSM
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Clinical HEDIS 2003 Indicators Averages
through 25-Sep-04 (n256)

• NCQA Commercial Accredited Plans
• A1c Testing 85
• A1c Control (lt 9) 68
• Lipid Profile 88
• Lipid Control (lt 130) 60
• Lipid Control (lt 100) 31
• Flu Shots 48
• Eye Exams 49

• PSMP Pilot Sites (Aggregate)
• A1c Testing 100
• A1c Control (lt 9) 94
• Lipid Profile 100
• Lipid Control (lt 130) 78
• Lipid Control (lt 100) 49
• Flu Shots 77
• Eye Exams 82

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Our Mission

• The mission of the APhA Foundation is to improve
  the quality of consumer health outcomes that are
  affected by pharmacy.

http//www.APhAFoundation.org