Toolkit

Grants awarded through The Community Pharmacy Foundation


Pursuant to our Vision and Mission to advance community pharmacy practice and patient care delivery through grant funding and resource sharing, this toolkit page consolidates the numerous grantee materials that can be utilized for education and training or applied in direct patient care services to enhance CPF grant-funded project replicability and transferability.


Medication Management, Safety & Quality
Applicant Grant Title & Link to Grant Details Page Resource(s) Description

Joshua
Feldmann
Evaluation of Community Pharmacist-Managed Transitions of Care on Hospital Readmission Rates
Tool - TOC Developing Interventions - Project BOOST Implementation Toolkit
Tool - Risk Assm Risk Assessment - 8P Project BOOST Implementation Toolkit

David
Kreling
Physician Referrals for Pharmacist MTM Services
Toolkit Compiled MTM referrals project overview and form templates
Toolkit Overview Project overview and description of the toolkit contents.
Referral Form - Service Pharmacist Referral Form from Physician or Provider
Referral Form - Priority Pharmacist referral form with service priority ranked.
Referral Form - EMR Example of referral form generated in Electronic Medical Record System.
Referral Form - Patient Patient handout describing pharmacist services for physicians to give to patients when making a referral to the pharmacist.
Form - Visit Log This form to keep track of attempts to schedule a patient visit to provide the medication management service(s).
Form - MTM Report MTM report form for documenting the medication management service(s) provided by the pharmacist. (sample template)
Form - MTM Report Custom MTM report form for documenting the medication management service(s) provided by the pharmacist. (custom template)

Ana
Hincapie
Comprehensive analysis of Error-prone Medications in Electronic Prescribing
PEER Portal Provider e-Prescribing Experience Reporting

Cara
Hoyt
Impact of Community Pharmacy and Home Healthcare Transitions of Care Services on 30-day Emergency Department Revisit Rates CHEDRR
Form Transitions of Care Initial Data Collection Form
Form 3-Day Patient Follow-up Telephone Call Script
Form 10-Day Patient Follow-up Telephone Call Script
Form 30-Day Patient Follow-up Telephone Call Script

Elizabeth
Dragatsi
Integrating Pharmacist Support for Thriving in Place Home Health Program
Tool - Falls AHRQ tool that can be used to identify medication-related risk factors for falls in hospitalized patients and implemented in a community setting for this study. A pharmacist would perform this assessment.
Tool - MTM MAR Patient Medication Administration Record - "MEDS ON A CLOCK" (7-Day)
Tool - MTM Self-Monitoring Patient Medication Administration Record - "MEDS ON A CLOCK" for Self-Monitoring (Monthly)

Christina
Nunemacher
Impact of Community Pharmacist Services on Readmission Rates for CHF, COPD and Diabetes
TOC Service Toolkit Starting a Transition of Care Service. A Toolkit for Community Pharmacists

Lydia
Bailey
Neighbors Helping Neighbors A business plan and data collection policy, training, and documentation for pharmacist services within a collaborative practice agreement
Guide CPA - An Implementation Guide for Community Pharmacies
Guide Business Plan: Implementing Collaborative Practice Agreement in Community Pharmacy
Form Prescription Medication Update
Form - CPA (PDF) Collaborative Practice Agreement Template


Therapeutics, Diseases & Populations
Applicant Grant Title & Link to Grant Details Page Resource(s) Description

Holly
Henry
Rapid Strep A Testing with Prescriptive Authority
Template Template for service implementation

Marvin
Moore
Use of FeNO measurements in community pharmacy to improve asthma management
Toolkit Adding fractional exhaled nitric oxide (FeNO) for asthma patient assessments. The toolkit contains appointment and marketing materials.

Natalie
DiPietro Mager
Pharmacist Provision of Preconception Care Through Medication Therapy Management
CPE Article

Julie
Akers
Point-of-Care Screening for Hepatitis C in Community Pharmacies
Presentation Pharmacist education training slides about HCV
Quiz Pharmacist HCV knowledge quiz

Elizabeth
Dragatsi
Integrating Pharmacist Support for Thriving in Place Home Health Program
Tool - Pain Assm Overview Key to using the Pain Assessment Tool
Tool - Pain Assm Overview Background Pain Assessment Tool
Tool - OTC Pain Med Options Over the counter pain medication options

John
Galdo
Impact of Depression Screenings in Community Pharmacies
Tool Depression Screenings in Pharmacies (DSIP) Toolkit

Natalie
Young
Improving the Veterinary Pharmacy Competency of Community Pharmacists Through a Piloted Educational Program
Education Community Veterinary Pharmacy Educational Materials


Pharmacy Management & Ownership
Applicant Grant Title & Link to Grant Details Page Resource(s) Description

Jennifer
Rodis
Expanding a Successful Program to Increase the Number and Quality of Services in Community Pharmacy
Website

Kate Puetz
Gainer
Development of a New Community Pharmacy Practice Model
Tool - Sites NPM Site Evaluation Criteria
Resource Tech-check-tech Workflow Process Map
Resource New Practice Model Policies & Procedures
Infographic Advanced Pharmacy Technician Training
Resource Sample Site-Specific Board (BOP) of Pharmacy Application.

Jenny
Arnold
Establishing Pharmacists as Credentialed Patient Care Providers
ESSB 5557 Workgroup Report Final deliverables from the Collaborative Work Group on Health Plan Reimbursement of Pharmacist Provided Medical Services prepared at the direction of the legislature in ESSB 5557.
Project Guide Billing and technology reference flowcharts and grids.
Video Tutorial Pharmacists as Medical Providers Recognition by Health Plans

Geoffrey
Twigg
Apple Center for Excellence - PCMH
Form - Referral Patient Referral Cover Sheet
Form - Intake APPLE DRUGS - CORE CLINICAL CARE INTAKE SHEET
Form - Ordering Services Diabetes Self-Management Education/Training and Medical Nutrition Therapy Services Order Form
Form - Sign-in Class Sign-In Sheet
Form - Invoice Invoice for Educational Services

Brian
Isetts
Integrating MTM Provided by Community Pharmacists into a Community-based ACO
Form - BAA (Word) Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement
Form - BAA (PDF) Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement

Marie
Smith
Developing Strategies for Community-Based Medication Management Services in Value-based Health Plan Design
Poster Strategies for Comprehensive Medication Management Services (CMMS) within Value-based Health Plans (AACP 2015 - San Diego, CA)

Benjamin
Bluml
IMPACT Implementation Institute
Education Resource Program The IMPACT Care Transformation Institute is a training and resource program designed by the APhA Foundation to help providers implement patient-centered, team-based care that can improve health outcomes. Open access to Webinar 2 is made possible through support from CPF.

Elizabeth
Dragatsi
Integrating Pharmacist Support for Thriving in Place Home Health Program
Form - CPA (Word) Collaborative Practice (Care) Agreement (CPA) - Maine
Form - BAA (Word) Business Associate Agreement

Mattie
Haas
Rural Physician-Pharmacist Collaborative Practice Agreements Managing Patients in Supportive Living and Assisted Living Memory Care Facilities
Form - CPA Hypertension & Hyperlipidemia Management Protocol and Collaborative Practice Agreement/Standing Orders
Form - CPA Diabetes Management & Warfarin Anticoagulation Protocol and Collaborative Practice Agreement/Standing Orders
Resource Assisted Living Memory Care and Supportive Living Best Practice Model

Geoffrey
Meer
Sustaining better care for high-risk patients Establishing a payment model to deliver in-home medication management to high risk respiratory patients.
Billing Pharmacist-Provider Claim Billing. This report provides a summary of the Kelley-Ross Pharmacy Group experience in pharmacist-provider claim billing and reimbursement for events and patient care activities during a nine-month period in 2017.
Billing Additional claim level detail is available in an excel spreadsheet (Tab CPT Claims).

Minnie
Newman
Establishing a Pharmacist Led Physician Based Clinic for Provision of Medicare Annual Wellness Visits
Form - CPA (PDF) Collaborative Practice Agreement (CPA) and billing terms for partnership with a primary care practice to deliver services for Annual Wellness Visits (AWV).

Kate
Gainer
Advancing a Community Pharmacy Enhanced Service Network

Amanda
Schroepfer
Integrating Pharmacy Technicians into MTM Workflow
Workflow Template Integrating a Pharmacy Technician into Medication Therapy Management Workflow. Process Schematic & Patient Follow-up Templates.

Aaron
Garst
Community Pharmacist Integration into an Advanced Alternative Payment Model through Delivery of Chronic Care Management Services
Toolkit Community Pharmacist-Provided CCM Guide. Each section details general information and requirements for the provision of CCM services followed by CPF pilot experiences.

Chelsea
Renfro
Integrating Community Pharmacists Into Team-Based Care
Website Integrating Community Pharmacists into Team-Based Care Interactive Model
Resource Integrating Community Pharmacists into Team-Based Care Interactive Model (PDF of website content)

Kevin
Day
Expanding Community Pharmacy Enhanced Services Networks CPESNs Outreach and Education
Video - CPESN for Payers CPESN USA Video for Payers

Hannah
Renner
Utilizing Community Pharmacy Prescription Dispensing Data to Identify Opportunities for Pharmacist-Prescriber Collaboration
Collaboration Toolkit A Collaboration Toolkit which enables community pharmacists to use data to approach and facilitate collaborative discussions with prescribers.

Kea
Turner
Addressing barriers to organizational change in NC community pharmacies implementing enhanced services
Website Leading Pharmacy Change - the purpose of this website is to help you handle change to your organization in a constructive way. The site includes the two 30-minute modules.

Kurt
Proctor
Pharmacist eCare Plan Development and Workflow Analysis

Randy
McDonough
Practice transformation training and deployment of a practice transformation coach to implement CoMM, care plans, and enhanced services in a cohort of community pharmacies partnering with an ACO
Practice Transformation Training Series of 8 webinar training slide decks: 1-Intro, 2-CDTM, 3-DTPs, 4-Documentation, 5-Update, 6-Transformation Success, 7-Partnering, 8-Summary
Practice Transformation Tools Four practice transformation implementation tools: 1-pharmacy self-assessment, 2-pharmacy on-site readiness assessment, 3-practice change plan, 4-practice change progress.


Profession, Academics & Economics
Applicant Grant Title & Link to Grant Details Page Resource(s) Description

James
Owen
PGY1 Community Pharmacy Residency Program Resource Manual
Guide Postgraduate Year 1 Community Pharmacy Residency Program Implementation Guide.
Website Residency resources on the APhA website.

Rebecca
Snead
State Fact Sheets
2018 State Fact Sheets These state fact sheets contain useful information for advocacy at both the state and federal level. They include a narrative of the value of pharmacists and also state-specific demographic data, demonstrating the widespread need for pharmacist-provided patient care services and the potential impact of implementing programs that provide coverage for these services.

David
Nau
Development of a Pharmacy Star Rating System Education of Community Pharmacists on Star Ratings
EPIQ Education Resource Educating Pharmacists In Quality online education sessions.

Nanci
Murphy
Fostering Pharmacy Leadership Towards Achieving the IHI Triple Aim Goals
Leadership Curriculum Toolkit Curriculum is composed of 5 Modules delivered over 10 weeks. This toolkit contains the resources for strength and leadership assessment, and, project idea implementation and project pitch guides.

Krystalyn
Weaver
Development of Model Statewide Protocols for Pharmacist-Delivered Care
Infographic Statewide Protocols for Pharmacist Prescribing in the US.

Kurt
Proctor
Pharmacist eCare Plan Development and Workflow Analysis
Website The Pharmacist eCare Plan (PeCP) is an interoperable standard that allows for pharmacy technology providers to have a common method of exchanging information related to care delivery, including patient goals, health concerns, active medication list, drug therapy problems, laboratory results, vitals, payer information and billing for services.