PQS Quality Corner Show
Join Pharmacy Quality Solutions Associate Director of Pharmacy Accounts Nick Dorich, PharmD, for a podcast series "Quality Corner Show" that covers everything quality in the world of pharmacy and patient care. Look for future episodes to interview guests and experts in the healthcare profession.
PQS Quality Corner Show
How U-Save-It Pharmacies Use EQUIPP
The Quality Corner Show sits down with U-Save-It Pharmacy co-owners to talk about how they use EQUIPP in a management setting for all 46 of their pharmacies.
Joining us on this podcast episode:
Tommy Sharpe, CEO, Crowe's Management, VP/Co-Owner U-Save-It Pharmacies/Buy-Rite Drugs
Ashley Kunkle, PharmD, Chief Officer of Pharmacy Operations, Crowe's Management, Co-Owner, U-Save-It Pharmacies
and
Lori McLean, PharmD, Manager of Pharmacy Operations, Crowe's Management, Third Party Contract Specialist, Crowe's Management, Co-Owner, U-Save-It Pharmacies
PQS Senior Manager, Pharmacy Training and Support, Brittany Boyd, MHA, interviews this U-Save-It team about how EQUIPP and Enhanced Services programs are helping to drive business success and successful patient outcomes.
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For for years and years.
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You know, historically the pharmacist,
when they measure the most critical,
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professions in our economy always ranks
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in the top five of any profession.
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I think the value that EQUIPP
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can bring in some of these rating scores
that they can bring is
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if they can tie in measurable ways
to practice pharmacy in a healthy way.
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That's good for the patient.
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we want to use technology
in an efficient way,
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but never lose sight of the reason
why we want to be here,
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which is the art of practicing pharmacy.
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Welcome to the Pharmacy Quality Solutions
Quality Corner Show.
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Buckle up.
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And put your thinking cap on.
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The Quality Corner show starts now.
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Hello Quality Corner show listeners.
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Welcome to the PQS podcast,
where we are focused on medication use,
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quality improvement
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and how we can utilize pharmacies
to improve patient health outcomes.
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I'm your host, Brittany Boyd,
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Senior Manager of pharmacy
training and support at PQS by Innovaccer.
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Today we have a special podcast interview
with one of our EQUIPP users.
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Today we welcome Ashley
Kunkle, Lori McLean, and Tommy Sharpe
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of U-Save-It, a group of pharmacies,
out of the state of Georgia.
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So Ashley, Lori, Tommy,
we welcome you to the show.
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Thank you
for having a chance to join us today.
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Thank you.
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Thanks for having us. Yes.
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so, as you know, we typically like
to hear, advice from our pharmacist.
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any users and other stores
that, you know, supporting their business
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and clinical experiences
while utilizing, EQUIPP.
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So today, we're hoping to hear from you
and how U-Save-It
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or how EQUIPP has played a part
for U-Save-It Pharmacies.
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and helping
you share some experiences and understand
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how others can help with their utilization
and expand Enhance Services outcomes.
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But before we get started,
I would love for each of you,
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if you don't mind, to give me, your name,
how you work with U-Save-It and then,
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Tommy would love to hear from you
about, your pharmacy history.
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Okay.
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my name is Tommy Sharpe.
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I am the CEO of, Crowe's Management.
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And Crowe's Management is a,
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a company that we, my family owns
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that helps manage the pharmacies
that we have, interest in.
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We currently have 46 pharmacies
that we, that we manage.
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And the common denominator
is that, someone in my family,
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is an owner in the pharmacy, whether it's
my dad or my brother, Robert and I,
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we started with U-Save-It
pharmacy in 1978.
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My father was in the pharmacist
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working at Revco
from his hometown of Dublin, Georgia.
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And my, grandfather on my mother's
side was a postman,
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and the owner of U-Save-It
pharmacy was on his route.
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And one day they were talking
and he talked about
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how he would love to sell his pharmacy
if he could find somebody to buy it.
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And so my grandfather said, well,
my son in law is a pharmacist
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and he's been saying he's wanted
to own his own pharmacy for a while.
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And so they got my grandfather,
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put them in touch together,
and they worked out a deal.
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And, and,
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my dad got to buy a store, and my grandfather
got to get his daughter back in town.
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So I think everybody won and was happy.
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And, so we started with this pharmacy.
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It was a, a traditional pharmacy
that was located near downtown,
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commercial district.
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and it
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started started with that,
just your old timey pharmacy.
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And, and for ten years, my father owned
that store, and he ended up buying Crowe’s
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Pharmacy, which was specialized
in nursing homes and long term care
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and owned that pharmacy as well.
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And as time went on,
he went from 1 to 2 and 2 to 3 and
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and started growing and, befriended,
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some fellow pharmacists out of Alabama,
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Danny Cottrel, Linden Scott,
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Mike Strickland, Patrick Wurster.
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and they started the pharmacy investment
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coordinators,
which they started buying stores together.
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And that's
how the Buy-Rite brand came about.
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So we, Crowes manages the U-Save-It
pharmacy brand in the Buy-Rite brand,
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but you save it
as the Sharpe family side of the business.
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and as we grow, as we grew,
we realized we needed a neutral
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accounting company to handle
payroll of human resources accounting.
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And that's how Crowe’s came about.
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And, as time came
on, we realized that managing patients
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profiles or adherence scores,
we needed to become more organized.
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And, create a game plan
on how to effectively implement,
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that strategy over all of our companies.
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So we started an operations department
and Crowe’s and Ashley and Laurie
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have come to that department and they,
they they've organized it and designed it.
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And they're a big part of
of why we feel like we can do what we do
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when it comes to managing our patients
adherence scores, giving the best service
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we can do, our patients,
and implementing our operations
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team for pharmacy
operations, of our organization.
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Thank you Tommy.
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And it's such a fantastic story.
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I don't think I ever knew that history
either.
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but that is amazing.
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And I would love to see where
you guys have branched that to today.
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so, Ashley
and then Lori if you guys don't mind
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just speaking on your experience
and what, it's been like for
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you all working with Crowe’s and the Buy-rite in the U-Save-It groups.
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and what you guys do
to, you know, operationalize
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the pharmacy of how you guys keep it
so efficient.
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Okay.
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I'm Ashley Kunkle
and, the director of our pharmacy
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operations team here at Crowe’s.
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so I started,
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as a pharmacist, I was employed or a
pharmacist in Albany, in the Albany area.
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And then we opened a store,
from the ground up.
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And I was there for eight
years and really learned,
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you know, how to build our customer base.
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that store serviced,
a part of the community
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that had a high poverty rate,
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or still has a high poverty rate. And,
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we really
we realized, how much our patients
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utilized, us as a pharmacist
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because we are so accessible.
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I started taking blood pressures.
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we were one of the first stores
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in the area to administer immunizations.
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And then when adherence rolled out
and the adherence measures,
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the star ratings and Medicare Part D
and everything.
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we were we we started doing,
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taking part in that at that store.
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So as the industry
got more kind of streamlined
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with adherence and enhanced services
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and plans became more involved
with kind of
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recognizing how those services really do
help their patients and help them to,
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stay healthier, to
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stay out of the hospital
to prevent kind of,
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you know,
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medical events that might be very costly.
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more plans got on board with that.
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And so
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platforms like PQS came about and,
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and then the plans for the, you know,
we realized that we could really help
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the plans by, digging in, digging in
and figuring out how,
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each of these plans measured adherence.
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So, we really started with Humana.
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when I came into Crowe’s,
we quickly realized
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that if we were going to support
all of our pharmacies,
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we needed to invest in
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more people
to help help with that support.
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So, we ended up bringing Lori in.
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we have a couple of other people
here at the office who help with that.
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we started with the Humana program
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because, we had a
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lot of patients on Humana, and,
we realized
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that if we could keep these patients
adherent with their medications
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just in the three measurement categories
that,
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you know, we can see a difference.
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We can these patients compliant.
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and we also saw that we were able to,
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get DIR fees back.
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So this was not only something
we were already doing for our patients
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and as a service.
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And we were already providing
we were already thinking these patients,
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we were already making sure, you know,
explaining to them why it was so important
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to take their medications,
explaining to them what, you know,
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what could potentially happen
if they didn't take their medications.
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And, and then so we realized that
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we can get those DIR fees back and, and
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in that way it would
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help us to invest more in the operations
team.
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so, we
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we realized with our contracts,
Lori specializes in our contracts.
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And so she really looked at those
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and with each contract
to define where we could,
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focus on adherence and enhance services
with each plan.
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And then,
she kind of set up a streamlined system
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where we communicate with our stores
each day to tell them
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which patients need their medicine
each day.
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so that,
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they know who to contact,
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which patients to contact at the store
level.
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Yes. And Ashley
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pretty much gave my introduction. but,
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also, when I first started with U-Save-It,
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I worked, at that same store,
that Ashley was talking about.
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and then I worked
there for several years, and,
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Ashley
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would come into the store as she moved.
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She had moved to the management office,
and I was the, pharmacist in charge there.
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So, you know,
she would come into the store and,
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make sure we were looking on EQUIPP
and make sure we were,
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you know, doing everything we could,
to help these patients.
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And so that store, you know,
we really focused on it,
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adherence and as much as we could.
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And those were some of the most
that those patients,
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in order to get them to be adherent,
that it was really challenging.
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just because, it's
a very underserved population.
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but we were able to get them adherent,
and, and, then shortly after that,
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they moved me to the corporate
office, and, that was my
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pretty much
sole job is to really focus on adherence.
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like, I actually I only worked on
the Humana program the first year I came.
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and then
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we realized, oh, well,
maybe we need to dive
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deeper down into our contracts
to see if there's other,
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PBMs out there
that have programs like this.
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so I was on EQUIPP / PQS every day,
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to try to, you know, figure out where
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there were holes that we could fill.
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so that's
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when I started doing contracting
because we were really, you know,
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I needed to really look into the contracts
to see
00:12:02:24 - 00:12:05:24
what all was out there.
00:12:06:02 - 00:12:08:16
that's pretty much what I do now.
00:12:08:16 - 00:12:09:24
Yeah. Amazing.
00:12:09:24 - 00:12:12:24
So thank you both, for that descriptive,
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you know, the in detail of what you guys
are currently doing in the shift
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from being in the store
to working more on the operations side.
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But you guys led into,
quite a bit of what I wanted
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to kind of understand
what the benefits are of utilizing EQUIPP.
00:12:27:22 - 00:12:30:19
So you guys have already spoke
on a number of those items.
00:12:30:19 - 00:12:34:06
So from a health plan
contracting perspective, wanting to know,
00:12:34:12 - 00:12:36:19
you know, what you're contracted for,
but what's out there?
00:12:36:19 - 00:12:40:14
What are you expected
to, maintain and do well on and being able
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to see that information in EQUIPP.
00:12:43:16 - 00:12:47:15
Ashley spoke great, detail
about the Humana program
00:12:47:15 - 00:12:50:22
and knowing that you have a large patient
volume there, but knowing that
00:12:50:22 - 00:12:55:03
if you perform at a certain level,
you are able to earn certain dollars back.
00:12:55:12 - 00:12:57:09
and so that is fantastic.
00:12:57:09 - 00:12:59:14
that you've been able to not only,
00:13:01:02 - 00:13:01:24
have some action
00:13:01:24 - 00:13:05:04
behind that, but also have a resource
like EQUIPP
00:13:05:04 - 00:13:09:00
to be able to utilize and actually work
through that information.
00:13:09:07 - 00:13:11:13
So, Lori, I want to ask you.
00:13:11:13 - 00:13:15:23
I know that you were, you know,
speaking primarily on really focusing
00:13:15:23 - 00:13:20:08
on, you know, adherence and the measures
that are, implicated there.
00:13:20:08 - 00:13:22:14
How would you say, you all
00:13:22:14 - 00:13:26:17
how often would you guys log into EQUIPP,
and how often were you utilizing it?
00:13:26:17 - 00:13:28:23
And were there any,
00:13:28:23 - 00:13:33:03
kind of core, like, key actions
that helped you all succeed in knowing,
00:13:33:03 - 00:13:37:03
hey, this patient needs this at this time,
and especially speaking from,
00:13:37:03 - 00:13:39:12
you know, working with a population,
00:13:39:12 - 00:13:43:08
that is pretty impoverished as you, as you
mentioned, you know, how did you guys,
00:13:43:14 - 00:13:46:10
make it actionable while utilizing EQUIPP
and helping
00:13:46:10 - 00:13:47:16
your patients drive to success?
00:13:48:17 - 00:13:49:18
Yes. So
00:13:49:18 - 00:13:53:11
we are, we're a management office.
00:13:53:22 - 00:13:56:05
so we have myself, Ashley.
00:13:56:05 - 00:13:59:22
And then we have, three technicians
00:13:59:22 - 00:14:02:22
and, another pharmacist here as well.
00:14:03:09 - 00:14:07:20
So, basically the way we started handling
00:14:07:20 - 00:14:10:20
this is we log in to EQUIPP every day,
00:14:11:10 - 00:14:14:01
and we and we're doing that
00:14:14:01 - 00:14:17:04
we're focusing on 46 stores. So,
00:14:18:04 - 00:14:22:11
with Humana,
they have weekly outlier updates.
00:14:22:22 - 00:14:26:06
and that is super helpful
because we're able to see,
00:14:27:00 - 00:14:30:24
who's kind of falling behind quicker
than monthly updates.
00:14:31:07 - 00:14:36:12
So basically what we do is
we get the information off of EQUIPP and,
00:14:37:08 - 00:14:40:07
see what prescriptions need
00:14:40:07 - 00:14:44:01
to be filled
and what, patients need to be counseled.
00:14:44:13 - 00:14:47:19
And we send that information
to our pharmacist in the store.
00:14:48:02 - 00:14:51:21
And then that way,
those patients are able to,
00:14:52:20 - 00:14:57:03
or the pharmacists are able to focus
on those patients that week.
00:14:58:05 - 00:15:01:08
and that way they don't fall behind on
getting their medications.
00:15:01:08 - 00:15:05:14
And then they can also see, okay, well,
these patients are trending.
00:15:05:14 - 00:15:07:17
They're falling behind weekly.
00:15:07:17 - 00:15:11:17
They need we need to intervene
and make sure we re-counsel
00:15:12:01 - 00:15:15:00
on the importance
of taking their diabetes medication
00:15:15:00 - 00:15:18:00
or their blood pressure medication.
00:15:18:08 - 00:15:21:06
so that's mainly
what we're we're doing here is
00:15:21:06 - 00:15:25:20
we are giving the information
to our pharmacies and it's it's
00:15:26:08 - 00:15:30:03
basically like they could get on EQUIPP
and do the same thing.
00:15:31:02 - 00:15:35:22
because the platform is so, like
user friendly and they're able to do that.
00:15:36:04 - 00:15:40:08
But we're here to monitor
to make sure that they are doing that.
00:15:40:20 - 00:15:44:24
and then also, you know,
you guys are always updating
00:15:44:24 - 00:15:49:02
or giving us more information or,
you know, different opportunities.
00:15:49:02 - 00:15:51:11
So we want to make sure
we're looking out for that
00:15:51:11 - 00:15:54:20
and that we can communicate that
to our pharmacies that are in the store.
00:15:57:02 - 00:15:58:06
Thank you so much for that, Lori.
00:15:58:06 - 00:15:59:18
It was a great description there.
00:15:59:18 - 00:16:02:09
And you again touched on
quite a few things there. Right.
00:16:02:09 - 00:16:07:00
The time saving piece of knowing that,
you know, you have more frequent updates
00:16:07:00 - 00:16:08:01
in one place,
00:16:08:01 - 00:16:11:00
so then you can spend your time
and focus efforts there, rather
00:16:11:00 - 00:16:12:12
with the monthly update that will come.
00:16:12:12 - 00:16:14:10
And then you're,
you know, putting forth that effort
00:16:14:10 - 00:16:17:21
and time to send that information
back to the stores and allowing them,
00:16:17:21 - 00:16:21:15
you know, that time to have that patient
engagement and work with them, work
00:16:21:15 - 00:16:22:11
with their patients there.
00:16:22:11 - 00:16:24:14
But you're able to give the directive,
00:16:24:14 - 00:16:27:14
based on the information
that you access, through EQUIPP.
00:16:27:14 - 00:16:31:11
Now, that's actually a really great segue,
into our next,
00:16:31:22 - 00:16:34:05
kind of part of the podcast,
the interview here
00:16:34:05 - 00:16:37:19
we would like to discuss, which
is going to be about, enhanced services.
00:16:37:19 - 00:16:39:24
So understanding that, enhance
00:16:39:24 - 00:16:43:08
services opportunities are available
and EQUIPP again weekly.
00:16:43:24 - 00:16:45:20
we have our,
00:16:45:20 - 00:16:49:13
longitudinal adherence monitoring program,
our blood pressure in A1C,
00:16:50:01 - 00:16:53:07
those are programs that you all are
participating in currently.
00:16:53:07 - 00:16:58:17
And then you also participated
in, in Q4 of 2023 when they came in.
00:16:58:24 - 00:17:01:05
And so I know, Lori,
you spoke on being able
00:17:01:05 - 00:17:04:02
to deliver the information
back to the stores,
00:17:04:02 - 00:17:07:02
with the enhanced services,
some of those actions have to be done,
00:17:07:11 - 00:17:10:03
in the store and have to then,
you know, be documented in EQUIPP.
00:17:10:03 - 00:17:13:08
But I know that you all are working
with the source very closely for that.
00:17:13:15 - 00:17:15:08
so Ashley or Lori,
00:17:15:08 - 00:17:19:17
are there any specific tips
that drive success, in these programs
00:17:19:17 - 00:17:23:00
and being able
to have your, the pharmacies and the staff
00:17:23:00 - 00:17:27:14
kind of join together to document,
when they are engaging and trying to,
00:17:28:08 - 00:17:31:05
help those patients close those gaps
in care as it relates to the Enhanced
00:17:31:05 - 00:17:32:10
Services program in EQUIPP.
00:17:35:02 - 00:17:38:03
I think the just, you know,
00:17:39:14 - 00:17:41:04
we're able to kind of have it, like Lori
00:17:41:04 - 00:17:44:04
said, we're able
to kind of oversee that here so we can
00:17:45:02 - 00:17:47:04
we can remind our pharmacists like, hey,
00:17:47:04 - 00:17:50:04
you need to contact this patient.
00:17:50:22 - 00:17:54:20
about their A1C, we need to either
00:17:55:11 - 00:17:59:22
check their A1C, or we need to find out
when their last A1C was.
00:18:00:06 - 00:18:03:20
And, and then that gives
that the in-store pharmacists
00:18:03:20 - 00:18:08:17
the opportunity
to be sure that they are on top of that.
00:18:08:17 - 00:18:13:06
And they have a note to
if they need to call that patient
00:18:13:06 - 00:18:16:20
or if they can't get in touch with them,
make a note next time
00:18:16:20 - 00:18:19:23
the patient comes in
or they deliver to that patient.
00:18:19:23 - 00:18:23:24
They make a note with the delivery driver
to, hey, when you get to this patient's
00:18:23:24 - 00:18:25:00
house, call me.
00:18:25:00 - 00:18:30:05
I need to talk to them about, you know,
whether it's A1C, blood pressure,
00:18:30:17 - 00:18:31:15
you know, being compliant
00:18:31:15 - 00:18:35:10
on their medication or whatever
the issue is, we have, you know,
00:18:35:10 - 00:18:40:20
we really try to make sure that we go,
we make every effort to contact them.
00:18:41:01 - 00:18:43:06
Sometimes that even involves
the doctor's office,
00:18:43:06 - 00:18:44:14
you know, calling the doctor's office.
00:18:44:14 - 00:18:49:17
Hey, next time they're there, we
really need to make sure they get A1C or,
00:18:50:14 - 00:18:54:09
we need them to, you know, in
kind of explaining to the provider
00:18:55:03 - 00:18:58:02
what we're doing
and how we're helping. And,
00:18:59:01 - 00:19:00:20
and that, you know,
00:19:00:20 - 00:19:03:15
just helps the patient more relate,
00:19:03:15 - 00:19:06:15
because they know that they have more,
00:19:07:21 - 00:19:09:15
health care providers
00:19:09:15 - 00:19:12:15
taking care of them.
00:19:13:24 - 00:19:15:01
That's helpful information.
00:19:15:01 - 00:19:16:14
Thank you.
00:19:16:14 - 00:19:18:00
so, Tommy, I know that,
00:19:18:00 - 00:19:21:12
Ashley and Lori are primarily
working in the stores and are close there,
00:19:21:12 - 00:19:24:15
but I believe that this, could be
a good question for you to answer.
00:19:24:15 - 00:19:28:21
Just working on the business operations
and knowing, you know, how many stores
00:19:28:21 - 00:19:31:21
that you all have been able
to branch and expand to,
00:19:31:21 - 00:19:35:07
you know, just over the years,
but knowing that health plans and payers
00:19:35:07 - 00:19:39:06
are ultimately supporting us in being able
to offer these enhanced
00:19:39:06 - 00:19:40:14
services programing.
00:19:40:14 - 00:19:43:08
would you like to see, more health plans
coming in
00:19:43:08 - 00:19:46:21
and delivering that back to the pharmacies
and giving that up as an offering?
00:19:47:01 - 00:19:50:08
Ultimately, not only would that impact,
you know, could that impact your patient
00:19:50:08 - 00:19:54:18
population, but help your stores,
you know, be continue to prosper.
00:19:54:18 - 00:19:57:17
So is that something that you think
could be helpful?
00:19:57:17 - 00:19:59:00
I think it could. I think,
00:20:00:16 - 00:20:01:10
for, for
00:20:01:10 - 00:20:05:22
years, you know, historically,
the pharmacist,
00:20:06:11 - 00:20:10:08
when they measure
most critical, professions in our economy
00:20:10:20 - 00:20:14:01
always ranks in the top
five of any profession.
00:20:14:24 - 00:20:20:07
I think the value that EQUIPP
can bring in some of these rating scores
00:20:20:07 - 00:20:23:11
that they can bring is
if they can tie in measurable ways
00:20:23:18 - 00:20:26:16
to practice pharmacy in a healthy way.
00:20:26:16 - 00:20:28:16
That's good for the patient.
00:20:28:16 - 00:20:31:23
we want to use technology
in an efficient way,
00:20:32:11 - 00:20:35:06
but never lose sight of the reason
why we want to be here,
00:20:35:06 - 00:20:38:01
which is the art of practicing
pharmacy there.
00:20:38:01 - 00:20:42:02
We we as an organization believe,
you know, in the
00:20:42:12 - 00:20:44:02
in the value of our pharmacists.
00:20:44:02 - 00:20:47:13
We're not going to be a good organization
if we don't have good pharmacists.
00:20:47:24 - 00:20:51:01
And so we want to do everything we can
from a corporate standpoint
00:20:51:12 - 00:20:55:00
to empower our pharmacy pharmacists
to focus on our patients.
00:20:55:06 - 00:20:58:20
And if that means we can use organizations
such as EQUIPP
00:20:59:04 - 00:21:02:00
to help gather the right information
00:21:02:00 - 00:21:06:12
to, to to make good decisions
and to build our patients trust by
00:21:07:07 - 00:21:09:21
consistently applying our practice
00:21:09:21 - 00:21:12:15
in a way that is best for the patient,
00:21:12:15 - 00:21:16:23
we feel like that's a good direction
for pharmacy to go, and our pharmacists
00:21:16:23 - 00:21:20:07
need to be accessible to our patients,
and they need to be,
00:21:21:08 - 00:21:23:13
they need
to have access to the best information
00:21:23:13 - 00:21:26:20
to make good decisions that will lead
to better healthcare outcomes.
00:21:26:20 - 00:21:29:16
And I think if we can do that
as an industry,
00:21:29:16 - 00:21:33:21
I think our profession will will be one
that is highly respected
00:21:33:21 - 00:21:36:21
and highly valued.
00:21:37:11 - 00:21:38:15
That’s fantastic, Tommy.
00:21:38:15 - 00:21:40:05
thank you for that.
00:21:40:05 - 00:21:42:08
so again, it's
great to hear that EQUIPP has been such
00:21:42:08 - 00:21:46:07
a valuable resource for you all
and how you all are communicating
00:21:46:13 - 00:21:49:13
back to your staff, to your point Tommy,
how you are,
00:21:50:11 - 00:21:53:10
you know, understanding
how to empower your pharmacies.
00:21:53:10 - 00:21:54:12
And so,
00:21:54:12 - 00:21:57:21
I want to hear from each of you
if you can, giving some advice
00:21:57:21 - 00:22:01:17
to our other end users and other pharmacy
clients that are out there, you know,
00:22:01:17 - 00:22:05:22
as it may relate to quality improvement,
or just, you know,
00:22:05:22 - 00:22:08:22
improving medication use, you know,
00:22:09:19 - 00:22:14:02
increasing the efficiency of EQUIPP,
you know, what are kind of some key tips
00:22:14:02 - 00:22:15:06
that are like, you know what,
00:22:15:06 - 00:22:17:06
I didn't know this before,
but I know this now,
00:22:17:06 - 00:22:19:00
and I know
that this helps us tremendously.
00:22:19:00 - 00:22:23:01
So if each one of you, can maybe
take about a minute and just provide some,
00:22:23:07 - 00:22:26:09
key feedback, if you don't mind, I think
that'd be helpful for our, our listeners.
00:22:28:14 - 00:22:30:24
Yeah, I can start.
00:22:30:24 - 00:22:33:09
so the,
00:22:33:09 - 00:22:36:12
when I first started
with, working on EQUIPP,
00:22:36:19 - 00:22:39:18
I was in the store and yes,
not every pharmacy out
00:22:39:18 - 00:22:43:05
there has a whole management team
to help point those things out.
00:22:43:17 - 00:22:46:23
But, what I've learned with EQUIPP,
00:22:47:04 - 00:22:50:04
like I was touching on earlier, you guys,
00:22:50:09 - 00:22:54:17
are constantly offering, like, resources
to, to help you understand,
00:22:54:17 - 00:22:59:10
like how adherence is measured
and how the program works. And,
00:23:00:14 - 00:23:03:11
the webinars are great.
00:23:03:11 - 00:23:06:16
all the like resource page is fantastic.
00:23:06:16 - 00:23:09:16
So my advice would definitely be,
00:23:10:00 - 00:23:12:06
like, use what you're given and,
00:23:12:06 - 00:23:16:13
you know, take the time to sit and read
and try to really understand
00:23:16:13 - 00:23:20:11
how these plans are,
are measuring you for adherence.
00:23:21:05 - 00:23:26:00
and then also,
as far as a pharmacy standpoint,
00:23:26:07 - 00:23:31:17
you want to focus on the, the plans that,
you have a lot of patients in and
00:23:33:04 - 00:23:34:11
so that's what we do.
00:23:34:11 - 00:23:36:14
Our 2 or 3, biggest payers.
00:23:36:14 - 00:23:42:00
We really focus on them, to make sure
those, patients stay adherent.
00:23:43:23 - 00:23:45:17
that would be my advice.
00:23:45:17 - 00:23:46:22
Yeah.
00:23:46:22 - 00:23:50:05
I would encourage, you know,
I talk to when we go
00:23:50:05 - 00:23:53:16
to different pharmacy conferences,
I talk to a lot of pharmacists
00:23:53:16 - 00:23:57:21
that say, you know,
I just don't have time to do that.
00:23:57:22 - 00:24:02:12
I'm too busy and and all these things,
and I completely understand
00:24:02:12 - 00:24:06:04
it's very busy, but we didn't
we were doing this before. We,
00:24:07:05 - 00:24:11:18
you know, had we brought in the,
you know, myself and Lori to the office
00:24:11:18 - 00:24:17:03
like we saw the importance of it
while we were in the store. So,
00:24:18:24 - 00:24:21:24
so I, I think that I would encourage,
00:24:22:13 - 00:24:27:00
other pharmacists to like, say,
take the time to really dive
00:24:27:00 - 00:24:31:13
into those resources that you put out,
because you can learn a lot about
00:24:31:13 - 00:24:34:14
not only what plans will reimburse
you for the services.
00:24:34:22 - 00:24:37:22
Most of the time, you're already doing,
00:24:38:13 - 00:24:42:04
and if you can really just kind of refine
your process so that you make sure,
00:24:42:09 - 00:24:43:20
you know, patients are left,
00:24:45:05 - 00:24:45:17
without their
00:24:45:17 - 00:24:49:17
meds, you know, that those few days
that they may not
00:24:49:17 - 00:24:53:04
be compliant, you know, really make
the difference with these plans.
00:24:53:04 - 00:24:56:04
So really just kind of find a way to be,
00:24:56:19 - 00:24:58:19
organized with that process
00:24:58:19 - 00:25:01:17
and EQUIPP you know, really gives you
the tools to do that.
00:25:01:17 - 00:25:04:20
But but not only that,
just really looking at those resources
00:25:05:00 - 00:25:11:01
and, and understanding
how you're being reimbursed by each plan.
00:25:11:01 - 00:25:14:10
And I think that, you know, once
you learn all that information,
00:25:14:19 - 00:25:17:19
then you will, appreciate,
00:25:18:09 - 00:25:20:22
the value PQS offers
00:25:20:22 - 00:25:26:03
with, with, you know, making sure
that we can get reimbursement
00:25:26:03 - 00:25:29:03
for everything, that we're able to.
00:25:31:11 - 00:25:34:08
Yes, and just from
a organizational standpoint,
00:25:34:08 - 00:25:38:13
what we've realized is,
when you embraced technology
00:25:38:13 - 00:25:43:17
such as EQUIPP, it's, helped us
learn our patient base, patients.
00:25:44:22 - 00:25:45:09
it's helped
00:25:45:09 - 00:25:48:09
us manage our inventory more effectively.
00:25:48:12 - 00:25:51:13
it's just been an effective tool
for our pharmacies
00:25:51:23 - 00:25:55:20
to stay on top
of where we need to be as a pharmacy.
00:25:56:04 - 00:26:00:18
And it's just it's
been very effective in just improving
00:26:00:18 - 00:26:04:05
the overall patient care
that we've given as an organization.
00:26:08:03 - 00:26:08:15
That's great.
00:26:08:15 - 00:26:10:21
We appreciate that. Thank you.
00:26:10:21 - 00:26:14:17
Ashley, Tommy, Lori, it has been
really great to hang with you guys today.
00:26:15:00 - 00:26:17:18
Just chat through how EQUIPP has helped
you all.
00:26:17:18 - 00:26:20:01
Thank you for your authentic feedback,
00:26:20:01 - 00:26:22:21
about how you've been able
to operationalize the platform, but
00:26:22:21 - 00:26:27:00
also just driving into those really key
details of how successful it's made you.
00:26:27:17 - 00:26:30:03
so two things before we go and I'll let,
00:26:30:03 - 00:26:32:20
Lori, I ask you to take the first one.
00:26:32:20 - 00:26:35:19
I'll leave the second one
for Tommy, but, Lori,
00:26:35:19 - 00:26:39:12
if you had one thing to tell a health plan
and Tommy gave his feedback already
00:26:39:12 - 00:26:42:20
about how great it is
to have that interconnectivity
00:26:42:20 - 00:26:45:12
between the health plans
and the pharmacies and getting that back.
00:26:45:12 - 00:26:47:09
But if you had one thing,
you can tell a health plan,
00:26:48:12 - 00:26:50:16
it's about
enhanced services or about EQUIPP
00:26:50:16 - 00:26:53:11
and how much it's helped you
or what's been successful for you or what
00:26:53:11 - 00:26:54:19
you want them to know.
00:26:54:19 - 00:26:56:21
I would love to hear that from you.
00:26:56:21 - 00:27:00:03
and then, Tommy, you gave us a really
great history about Crowe's Management.
00:27:00:03 - 00:27:03:13
And Buy-Rite and U-Save-It, but
I would like to hear a fun fact from you
00:27:03:13 - 00:27:06:14
that we maybe did not get in that history,
so I'll let you think on that one.
00:27:06:14 - 00:27:08:19
Well, Lori, wrap this up, hearing.
00:27:08:19 - 00:27:11:19
That last question,
00:27:11:20 - 00:27:13:20
I think, what
00:27:13:20 - 00:27:17:12
I would really like
to tell any of the health plans is,
00:27:18:18 - 00:27:22:22
and I know reimbursement,
it looks a lot different for 2024.
00:27:23:07 - 00:27:26:07
It's gonna look a lot different for 2025.
00:27:26:19 - 00:27:29:11
but the pharmacies
00:27:29:11 - 00:27:34:07
and I know particularly pharmacies
in low income rural areas,
00:27:34:17 - 00:27:40:16
like our stores are in we are making
a huge difference in the patients lives.
00:27:40:16 - 00:27:43:23
Like they're they're coming to us to,
00:27:44:10 - 00:27:46:24
you know, evaluate their Medicare plan.
00:27:46:24 - 00:27:48:21
They're coming to us to ask for,
00:27:50:19 - 00:27:52:13
you know, to check their agency.
00:27:52:13 - 00:27:54:15
They're coming to us
to check their blood pressure.
00:27:54:15 - 00:27:57:14
So if there were more plans
that were willing
00:27:57:14 - 00:28:00:14
to, participate and,
00:28:00:20 - 00:28:05:00
and pay us for these services, it's it's
something that we're already doing.
00:28:05:00 - 00:28:08:17
So and we're going to continue to do that
because we care for our patients.
00:28:08:17 - 00:28:10:18
And that's the most important thing.
00:28:10:18 - 00:28:14:04
But if more plans were able to pay us
for those services,
00:28:16:00 - 00:28:18:22
more opportunity
to add something like we're prepared
00:28:18:22 - 00:28:22:00
to do like we're,
we're going to make sure it gets done.
00:28:23:09 - 00:28:25:05
because like what Tommy,
00:28:25:05 - 00:28:29:20
we developed this team,
to help our store succeed
00:28:29:20 - 00:28:32:20
and to help our patients
stay as healthy as possible.
00:28:33:20 - 00:28:35:15
so I think that's what I would just
00:28:35:15 - 00:28:38:17
basically ask for more programs
to give us more work to do,
00:28:40:15 - 00:28:43:15
because we're prepared to do it. So.
00:28:44:21 - 00:28:47:10
fun fact you to
00:28:47:10 - 00:28:50:10
so many, fun facts,
00:28:50:13 - 00:28:53:13
you know, my
my father first got into pharmacy.
00:28:53:24 - 00:28:57:13
It was, you had a typewriter
and there was no insurance.
00:28:57:13 - 00:29:01:10
Basically,
you you had a little bit of state Medicaid
00:29:01:23 - 00:29:07:05
and, so we've seen our industry
evolve from,
00:29:07:23 - 00:29:11:07
from that point to the point
where we have an operations team
00:29:11:07 - 00:29:15:08
that's talking to a technology company,
and we're all figuring out ways
00:29:15:08 - 00:29:18:24
that we can we can coordinate together
to give the best patient care.
00:29:19:20 - 00:29:23:10
so I think, seeing us
get to that point of,
00:29:25:04 - 00:29:28:14
from just the old time
mom and pop independent pharmacy.
00:29:29:06 - 00:29:32:06
it's been a fun transition.
00:29:32:14 - 00:29:34:17
payment is important.
00:29:34:17 - 00:29:37:06
incentives to give good service
00:29:37:06 - 00:29:40:14
and good patient care,
I think is is is a good thing.
00:29:41:22 - 00:29:44:24
when I was
in middle school, one of the first jobs
00:29:44:24 - 00:29:48:18
I had was being assistant
to one of our delivery drivers.
00:29:48:18 - 00:29:52:13
We deliver medication for free,
and there was a high school,
00:29:53:18 - 00:29:56:07
college, you know, college guy
who was driving the truck.
00:29:56:07 - 00:30:00:00
And he would drive up and say, well,
this patient, she's important.
00:30:00:00 - 00:30:02:20
Let me make sure I get her
patient medication. Right.
00:30:02:20 - 00:30:05:18
And he'd deliver,
and I'd see him walk back to the truck,
00:30:05:18 - 00:30:08:17
and look to be like a dollar or two
in his pocket.
00:30:08:17 - 00:30:11:22
And, and then, I'd go the next route
00:30:11:22 - 00:30:15:06
and say, well, you know, you do this one.
00:30:15:06 - 00:30:16:18
You can handle this one. Go get that.
00:30:16:18 - 00:30:18:16
And so I noticed that,
00:30:18:16 - 00:30:22:00
there was no there's no dollar
I was putting in my pocket afterwards.
00:30:22:00 - 00:30:24:20
And after about the fifth time
and seeing that, my dad said,
00:30:24:20 - 00:30:25:20
what did you learn anything?
00:30:25:20 - 00:30:30:13
I said, yeah, Steven,
let me take the, the packages to the ones
00:30:30:13 - 00:30:34:23
that people didn't tip, and make sure
he took care of the ones where people did.
00:30:34:23 - 00:30:37:04
So, they it's a kind of a funny story.
00:30:37:04 - 00:30:38:24
I he knew his patient,
but he knew his patients
00:30:38:24 - 00:30:41:09
because that little,
that little financial incentive that
00:30:41:09 - 00:30:43:11
was a big was a motivator.
00:30:45:05 - 00:30:46:16
we have a very,
00:30:46:16 - 00:30:50:10
very competitive market right
now, and it's difficult.
00:30:50:17 - 00:30:54:02
I think everyone in our industry
knows it's difficult to survive.
00:30:54:22 - 00:30:58:09
So whatever, you know,
if this is how the PBMs value
00:30:58:23 - 00:31:03:00
us by giving better patient care,
I think tying in some form of financial
00:31:03:00 - 00:31:06:02
incentive is important
because all of these services
00:31:06:02 - 00:31:08:16
that we've invested
heavily in aren't free.
00:31:08:16 - 00:31:13:21
We've made a significant financial
investment to this, and it works.
00:31:13:21 - 00:31:19:03
It gives better patient care
where we're seeing our patients outperform
00:31:19:13 - 00:31:22:18
in certain demographics
that traditionally have underperformed.
00:31:22:23 - 00:31:25:04
So I think it's worth the investment.
00:31:25:04 - 00:31:28:23
we're, you know,
the goal is to prolong, prolong lives
00:31:28:23 - 00:31:32:19
and for people to have a good quality
of life with that prolonged life.
00:31:32:19 - 00:31:36:00
So the financial incentives
are a good thing.
00:31:36:08 - 00:31:38:18
They need to be reasonable and fair.
00:31:38:18 - 00:31:41:23
But, our industry,
we are suffering right now
00:31:42:06 - 00:31:45:18
from from very competitive
reimbursements. And,
00:31:46:23 - 00:31:47:05
I think
00:31:47:05 - 00:31:50:07
for us to survive,
we do need to have programs that they help
00:31:50:07 - 00:31:53:07
pay for us, and reward pharmacies
for being good pharmacies.
00:31:56:06 - 00:31:57:06
That's fantastic Tommy.
00:31:57:06 - 00:31:58:14
Thank you. Thank you Laurie.
00:31:58:14 - 00:31:59:19
Thank you Ashley.
00:31:59:19 - 00:32:02:09
Really appreciate you all joining us
today.
00:32:02:09 - 00:32:04:20
that was actually a really fantastic story
to Tommy.
00:32:04:20 - 00:32:07:18
that was. Thank you for that fun fact.
00:32:07:18 - 00:32:08:07
all right,
00:32:08:07 - 00:32:12:00
so with that, we have wrapped up
this episode of the Quality Corner Show.
00:32:12:06 - 00:32:15:23
Would like to thank Ashley,
Lori, and Tommy from Crowe's Management
00:32:15:23 - 00:32:19:16
with Buy-Rite and U-Save-It pharmacies in
Georgia and Alabama for joining us today.
00:32:19:21 - 00:32:21:18
We thank you audience for listening.
00:32:21:18 - 00:32:23:18
I hope you listen
to the next episode of the show.
00:32:23:18 - 00:32:26:18
But before we go,
we have one final message from PQS.
00:32:27:03 - 00:32:30:17
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00:32:31:07 - 00:32:32:13
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00:32:36:15 - 00:32:39:01
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00:32:48:20 - 00:32:51:21
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00:32:51:23 - 00:32:54:20
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00:32:59:18 - 00:33:02:16
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00:33:02:16 - 00:33:04:17
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00:33:04:17 - 00:33:08:03
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00:33:08:10 - 00:33:10:23
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