Slice of PIE Blog

Slice of Pie

Community pharmacists’ perceptions of acceptability, appropriateness, and feasibility of a value-based care model

July 12, 2021

HealthPartners is an integrated health plan offering comprehensive medication management (CMM) under a value-based care model called Partners in Excellence (PIE). In PIE, participating organizations are incentivized to conduct CMM visits and are eligible for bonus payments if they achieve quality and engagement metrics. Semi-structured, one-on-one qualitative interviews were conducted with a group of 14 pharmacists and pharmacy managers to evaluate the acceptability, appropriateness, and feasibility of the PIE program from their perspective.

Tips for Success from the Collaborative: The Coaches’ Perspective

April 27, 2021

Slice of PIE takes its name from the “Partners in Excellence” (PIE) program, which recognizes outstanding contributions to patient health within a defined health plan.  Slice of PIE is a separate but related research and learning collaborative, supporting community pharmacists in their efforts to improve patient health through chronic care management and optimized medication use. Previous blog posts provide more details on the components of the Slice of PIE initiative including the PIE program, implementation science, and the learning collaborative

 

How Two Value-Based Care Initiatives are Stretching Growth of Clinical Care Access in Community Pharmacies in Minnesota

March 24, 2021

Value-based care models in community pharmacies are advancing through exciting new channels in Minnesota. In addition to the work of Slice of PIE, the Community Pharmacy Enhanced Services Network of Minnesota (CPESN-MN) is making moves through its second cycle of the Flip the Pharmacy (FtP) initiative. Slice of PIE and FtP share some common ground, but are  distinct initiatives. They use different strategies, populations of focus, funding, and interventions toward a common goal of pushing value-based care to the next level through implementation and scale to improve patient care. So, what do they have in common, and how are they different?

Self-Monitoring Blood Pressure – The Patient and Pharmacist Team

The COVID-19 pandemic has significantly impacted the ability to provide in-person CMM services and therefore made it more difficult for pharmacists to collect the clinical data needed from their patients. For example, gathering blood pressure data generally could not be completed in the pharmacy for most sites during CMM visits. In the midst of a global pandemic where patients may be apprehensive to come to a clinic for their care, at-home care delivery must be prioritized. How can pharmacists support patients in the delivery of these important interventions and help patients reach their health care goals? How will these interventions shape the future of care delivery after the pandemic? In order to support pharmacists to develop and implement home blood pressure monitoring at home, the Slice of PIE initiative collaborated with faculty at the University of Minnesota and the MN Department of Health to outline key points and resources in the attachment below

Achieving High Fidelity to Ensure High Quality Patient Care

October 14, 2020

Ensuring consistency in patient-centered delivery of comprehensive medication management (CMM) across the 12 organizations and over 30 pharmacists is one of the most important components to Slice of PIE. To determine the extent to which the CMM patient care process is delivered consistently, the Slice of PIE initiative utilizes implementation strategies to ensure fidelity, which is defined as the degree to which the service is implemented as intended[1]. Interventions implemented with fidelity have a higher likelihood of reaching their desired clinical and humanistic outcomes than those that are poorly implemented.[2] Therefore, achieving high fidelity to CMM is a critical component to the Slice of PIE program to ensure the highest quality of patient care. This is accomplished by several implementation strategies targeted at increasing fidelity including: 1) periodic self-reported fidelity assessments, 2) action planning and improvement work to increase areas of improvement, 3) web-based learning events, and 4) coaching supports. You can learn more about the other implementation strategies in Slice of PIE in the Implementation Science blog.

Motivation to Participate in the Collaborative: The Pharmacists’ Perspective

August 20, 2020

The HealthPartners Partners in Excellence (PIE) program provides an opportunity to sustainably provide direct patient care, expand patient-centered care approaches and expand access to care through community pharmacies. Pharmacists in the PIE program were invited to participate in the Slice of PIE initiative to facilitate the development of innovative ideas to adjust care models for patients and to share resources and identify areas of improvement within the CMM Patient Care Process delivered in the community pharmacy.

All Teach, All Learn to Impact Health Across the Community

June 24, 2020

In Slice of PIE, 12 community pharmacy organizations representing over 100 pharmacies in Minnesota are working together to improve individual health and demonstrate economic value through engaging at least 1,000 patients in an initial and at least one follow up pharmacist medication therapy management (MTM) encounter by December 31, 2020

Implementation Science is Vital to the Success of Slice of PIE

May 18, 2020

“What does implementation science (IS) have to do with PIE?” We’re so glad you asked! Though it has less to do with the delicious culinary creation than one might like, it will be vital to the success of the Slice of PIE initiative.

A Value-Based Program between Health Plan and Pharmacy Practitioners

May 8, 2020

University of North Carolina Eshelman School of Pharmacy, University of Minnesota Twin Cities, and HealthPartners have formed a partnership to facilitate a learning and action collaborative around the delivery of medication therapy management (MTM) services for HealthPartners Partners in Excellence Program (PIE).  PIE is a health plan pay for performance and recognition program for physicians, medical groups, and pharmacies that achieve top-notch marks in health, experience and affordability.

A Partnership to Optimize Medications, Create Value and Transform Practice

March 31, 2020

“Slice of PIE” is not just a triangular wedge of crusted fruit filling. For 13 Minnesota community pharmacy organizations, “Slice of PIE” is also the name of a learning collaborative, which comprises one of two novel strategies in a project supporting community pharmacist efforts to improve medication use in chronic care management.