Clinical
Programs
Personalized Health Improvement Strategies
through Evidence-Based Medicine
The Rx Ohio Collaborative calls for ensuring clinical
efficacy through programs and strategies based on
evidence-based research. After clinical considerations are
accounted for, we have a single aim: driving out wasteful
spending in the benefit.
With the introduction of the Institute of Pharmaceutical
Outcomes (IPO) in 2009, the RxOC now truly differentiates
itself from all other pharmacy programs offered to
public-sector employers. Led by The Ohio State University
Health Plan Inc., the IPO has pulled an independent team of
clinical advisors, researchers and staff to provide
proactive and unbiased results and recommendations on
pharmaceutical issues facing Ohioans. The Ohio State
University Health Plan Inc. and Express Scripts serve as the
IPO Core and Support Staff while the OSU Medical Center and
College of Pharmacy along with other universities in Ohio
serve as the expert panel. Institute of Pharmaceutical
Outcomes’ goal is to identify benefit design opportunities
and incorporate scientific evidence and claims data to then
develop actionable steps for members.
Population Based Health Management through
Innovation
Medication Therapy Management
The RxOC has pledged significant resources toward the
development of innovative programs to improve healthcare
delivery in Ohio. First among these initiatives is a new
Medication Therapy Management (MTM) program being developed
at OSU, which the RxOC began as a pilot in 2009. This
personalized MTM program grew by patient demand from a
small-scale MTM service offered. It is a face-to-face or
telephone appointment with a University pharmacist, who
knows the patient’s benefit plan and can recommend and
advocate for optimal drug choices for the patient. The
pharmacist can, if desired by the patient, contact the
patient’s physician’s on the spot to recommend medication
changes. The pharmacist will report to the patient’s
physicians about the consultation and will provide the
physician with independent clinical judgment on the best
medication for this particular patient. This high level of
personalized medication management, in conjunction with
education of both patient and physician, contribute to the
best overall health outcomes and cost savings while managing
medication therapy and safety.
Population Health Management/IntellActSM
Focus on Data Integration
Express Scripts implemented a best-in-class program
integrating medical, pharmacy, lab and self-reported data to
give prescribers a 360-degree view of patients for improved
decision making and for the client, improving the health of
patients and cost effectiveness of their overall spend. This
program began as a pilot in 2009 and focuses on prevention
of drug safety issues, addresses gaps in care, and assists
in maximizing adherence. Using a best-in-class rules engine,
alerts are generated to prescribers retrospectively. This
program enables better overall health and value. |
