|
|
|
2003 Public Health Service Commissioned Officers
Professional Conference |
|
Pharmacy Category Day |
|
17 June 2003 |
|
|
|
Colonel W. Mike Heath, U.S. Army Medical Service
Corps |
|
Pharmacy Consultant to The Army Surgeon General |
|
|
|
|
For
your outstanding leadership, professionalism,dedication and collaboration
in providing excellence in pharmaceutical care and services to the millions
of patients whom Federal Pharmacists serve. |
|
|
|
|
Discuss TRICARE and DoD Pharmacy |
|
|
|
Describe DoD Pharmacy Challenges and Initiatives |
|
|
|
Discuss Operation Iraqi Freedom |
|
|
|
Discuss PHS / DoD / VA and Federal Pharmacy Collaborative Initiatives and
Opportunities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Captain Chuck Bruner, USCG |
|
Colonel W. Mike Heath, USA |
|
Colonel Ardis Meier, USAF |
|
Captain Betsy Nolan, USN |
|
|
|
|
Captain
Chuck Bruner |
|
Colonel Bill Davies |
|
Colonel W. Mike Heath |
|
Colonel Ardis Meier |
|
Captain Betsy Nolan |
|
Colonel Daniel Remund |
|
|
|
|
|
Pharmacists |
|
|
|
|
|
|
|
|
|
|
|
Enlisted and civilian pharmacy personnel |
|
|
|
AF - 1102 Army – 663
Navy - 1031 |
|
|
|
|
|
|
587 Military Treatment Facility (MTF) pharmacies |
|
83 AF
and ANG bases |
|
104 Army
posts |
|
94 Navy
bases |
|
Mail Order Pharmacy (TMOP) |
|
40,000+ retail network pharmacies |
|
Non-network retail pharmacies |
|
|
|
|
Uniformly, consistently, and equitably provide appropriate and safe
drug therapy to meet all patients’ clinical needs in a effective,
efficient, and fiscally responsible manner |
|
|
|
|
|
|
|
|
Legislated by 2001 National Defense
Authorization Act |
|
For retirees and dependents ≥ age 65 who
meet eligibility requirements |
|
Provides access to the NMOP, retail (network and
non-network) and retains access to MTF pharmacies |
|
Co-pays same as < 65 |
|
Replaced previous ≥ 65 programs: BRAC
benefit and Pharmacy Redesign Pilot Program |
|
Implemented on time April 1, 2001 |
|
|
|
|
|
Medicare Part B requirements |
|
No requirement for Part B for beneficiaries who
were 65 before April 1, 2001 |
|
Those who turn 65 on or after April 1, 2001 must
be enrolled in Medicare Part B in order to maintain same benefit as they
had when <65 |
|
No enrollment process or fee for TSRx |
|
Automatic eligibility based on Medicare Part B
requirements |
|
|
|
|
|
|
|
|
|
|
|
|
At a cost of over $3 Billion for FY02 |
|
Retail: $1.38 B |
|
Mail Order: $0.35 B |
|
MTFs: $1.42 B |
|
AF $0.517B |
|
Army $0.513B |
|
Navy $0.392 B |
|
|
|
|
|
|
|
|
|
Supports 8.6 M eligible beneficiaries worldwide |
|
1.6 million active duty |
|
2.3 million active duty family members |
|
3.1 million retirees and family members < 65 |
|
1.6 million retirees and family members ≥
65 |
|
|
|
|
|
|
|
|
With over 82 million prescriptions annually |
|
Retail: 26.7 M |
|
Mail Order: 4.7 M |
|
MTFs:
51.3 M |
|
AF 18 M |
|
Army 18.2 M |
|
Navy 14.8 M |
|
|
|
|
|
|
|
|
|
|
|
|
|
People |
|
Recruitment and Retention |
|
|
|
Patient Safety |
|
|
|
TRICARE Next Generation (T-NEX) |
|
TRICARE Mail Order Pharmacy (TMOP) (1 Mar 03) |
|
TRICARE Retail Pharmacy Program (TRRx) |
|
|
|
Uniform Formulary |
|
|
|
Consolidated Mail Order Pharmacy (CMOP) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Automation: COTS/ Other |
|
|
|
JCAHO |
|
|
|
Readiness |
|
|
|
Third Wave |
|
|
|
BRAC 05 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Recruiting |
|
Direct (Accession Bonus) |
|
AF $30K |
|
Army $30K |
|
Navy $30K |
|
HPSP
(Scholarships) |
|
AF (value - $35K), Army (begins FY 04) |
|
HPLRP (Army) |
|
IPP (Enlisted) |
|
Navy (value - $44K) |
|
HSCP (Navy) |
|
|
|
|
|
|
Retention |
|
HPLRP Air Force |
|
Professional Pay (Special Pay) |
|
AF & Army |
|
Board Certification Pay |
|
AF, Army, & Navy |
|
|
|
|
|
TMOP |
|
Express Scripts Tempe, AZ. (1 Mar 03) |
|
TRRx |
|
Portability, uniformity and improved management
of the retail pharmacy network |
|
Pharmacy Retail Network Carve-out |
|
RFP 13 Mar 03 – 12 May |
|
TRICARE Managed Care Service Support contract |
|
Consolidation into three TRICARE regions |
|
(2003
– 2004) |
|
|
|
|
|
|
FY00 Legislation directed establishment of a
Uniform Formulary to include 3-tier copays (generic, formulary,
nonformulary) |
|
UF legislated 1 year prior to TRICARE Senior
Pharmacy |
|
Partial implementation of copay structure
(generic and formulary) coincided with TRICARE Senior Pharmacy |
|
Enhances access |
|
Extends availability of nonformulary medications
to Mail Order |
|
Anticipate Basic Core Formulary will be
increased at MTFs |
|
Establishes the DoD Pharmacy and Therapeutics
Committee and Beneficiary Advisory Panel (BAP) |
|
BAP provides opportunity for comment on UF
recommendations |
|
|
|
|
|
|
|
|
Comprised of military and civilian health care
professionals |
|
Evaluates clinical and cost effectiveness |
|
Beneficiary Advisory Panel |
|
Quarterly meetings |
|
|
|
|
|
Significant congressional interest for greater
collaboration |
|
Additional options (Refills only) |
|
1 year test at 3 sites (1Oct02) |
|
Darnall ACH, Ft Hood, TX |
|
Naval MC, San Diego, CA |
|
Kirtland AFB, NM |
|
|
|
|
|
|
|
|
|
|
Protection: Vaccines, PB, CANA, Patient Safety |
|
Formulary development: JDF |
|
Investigational drug protocol management |
|
Management of pharmaceutical supply processes |
|
Patient screening, documentation |
|
Emergency dispensing and procedures |
|
Contingency planning |
|
Patient education |
|
Humanitarian |
|
|
|
|
|
Goal: |
|
Reduce number of line |
|
items |
|
Maximize joint standardization |
|
Data Sources: |
|
Basic Corps Formulary |
|
Real-world data (OEF) |
|
PDTS |
|
|
|
|
|
|
|
Development of standardized approach for
installation support and emergency requirements |
|
Strategic National Stockpile |
|
Standardization with CDC’s 12-hour push package |
|
Pharmaceutical care support for deploying
personnel |
|
|
|
|
|
Additional items? |
|
What is the contingency plan? |
|
How will MTF execute? |
|
How will Pharmacy execute? |
|
Where do other Services and Agencies fit? |
|
How will Pharmacy integrate |
|
with Logistics & Clinical? |
|
|
|
|
|
|
|
|
|
|
Joint Readiness Clinical Advisory Board (JRCAB) |
|
Readiness |
|
Joint Deployment Formulary (JDF) |
|
Patient
condition panels |
|
Homeland Security |
|
Strategic National Stockpile (SNS) Training |
|
VA |
|
Federal Pharmacy Executive Steering Committee |
|
Joint Procurement Strategy |
|
CMOP |
|
|
|
|
|
USP |
|
MedMARx: Med Error Initiative |
|
FDA |
|
Drugs with restrictions on prescribing and
dispensing processes (Tikosyn, Accutane, other) |
|
Dietary Supplements |
|
PB |
|
PHS |
|
PHS / Army MOU for Pharmacist contingency
backfill |
|
Homeland Security / Preparedness |
|
Strategic National Stockpile |
|
|
|
|
|
|
Nation Wide Reporting Program |
|
Over 120 DoD sites with access |
|
Multi-Facility Module |
|
|
|
|
|
|
|
AMCP |
|
TWI: DoD
Pharmacist: Managed Care Pharmacy |
|
Framework Initiative |
|
APhA |
|
Federal Services Pharmacy Forum |
|
Immunization Certification |
|
Reduced Dues |
|
ASHP |
|
TWI: DoD
Pharmacist: Patient Safety |
|
Emergency Pharmaceutical Preparedness |
|
Extended membership to deployed forces |
|
|
|
|
|
|
Appropriate and Safe Drug Therapy |
|
Standardized Integration of Technology
(Automation) |
|
Pharmacoepidemiology |
|
Wellness and Prevention |
|
Homeland Defense |
|
Joint Staffing |
|
Increased Federal Collaboration with Veteran’s
Administration and Public Health Service |
|
|
|
|
|
|
Never
forgetting all of those who serve, from the “soldier walking point” to the
retiree at home |
|
|
|
Notes