Change Packages
What is a Change Package?
A Flip the Pharmacy Change Package is an implementation guide that shares best practices from pharmacies across America in easy-to-implement, bite-sized steps with other participating pharmacies so that they can transform their pharmacy practice.
The intent of the Change Package is to impact two important areas:
1. Workflow Innovation / Patient Care Process: Weave in innovative workflows to further improve patient care and workflow efficiencies
2. eCare Plan Documentation: Learn how to document the valuable care that you provide to your patients
Diabetes/Social Determinants of Health Progression Change Packages
Diabetes/SDOH Change Package: Domain 1
April 2021
The first few months, we will focus on diabetes. You will find references to social determinants of health (such as the “Comprehensive Medical Evaluation and Assessment of Comorbidities” Table on the last page of the change package), but it will not be the main focus of the change package until later in the progression.
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Diabetes/SDOH Change Package: Domain 2
May 2021
This month's innovations are:
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Discuss blood glucose and A1C goals with your patients with diabetes, and
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Identify and address gaps in care for you patients with diabetes.
You can proactively use the Diabetes Checklist to help with clinical considerations related to care gaps and ideas for workflow and documentation. Or, refer to the ideas for addressing care gaps by incorporating MTM and EQuIPP into your pharmacy’s workflow.
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Immunization Progression Change Packages
Immunizations Change Package: Domain 1
November 2020
This edition will help you proactively assess patients for immunizations (and possibly offering immunization scheduling and filling out the consent form ahead of time) and identify and enroll patients into medication synchronization.
FtP Best Practices Webinar: Nov 2020
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Immunizations Change Package: Domain 2
December 2020
This edition provides information on medication synchronization and proactively identifying patients for immunizations.
FtP Best Practices Webinar: Dec 2020
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Immunizations Change Package: Domain 3
January 2021
This edition highlights the documentation and follow-up necessary for a successful immunization practice. It includes reporting to the immunization registry with your state.
FtP Best Practices Webinar: Jan 2021
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Immunizations Change Package: Domain 4
February 2021
This edition highlights the need for processes related to care coordination and offers tips on how to maintain patient care services during disruptions in normal operations.
FtP Best Practices Webinar: Feb 2021
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Immunizations Change Package: Domain 5
March 2021
This month’s change package focuses on developing and growing your immunization business model. The baseline workflow provides tips for growing your immunization program through targeted interventions and outreach. The advanced workflow gives information on how to establish medical billing capabilities (i.e. billing Medicare for certain immunizations) or expand to other payers. This foundational information is very important as community pharmacy continues to push into the medical billing space.
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FtP Best Practices Webinar: Mar 2021
Opioid Progression Change Packages
Opioid Change Package: Domain 1
June 2020
June 2020 begins the launch of the Opioid Progression 2 Change Packages. The goal is to identify patients within the Appointment-Based Model who are taking opioid medications and begin documenting the indication and MME.
FtP Best Practices Webinar: June 2020
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Opioid Change Package: Domain 2
July 2020
The goal is to follow up with patients or identify newly eligible patients for candidates of naloxone. If the pharmacy has not implemented a naloxone program, a guide to help is located within the change package.
FtP Best Practices Webinar: July 2020
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Opioid Change Package: Domain 3
August 2020
The focus is providing each patient receiving an opioid prescription with an Opioid Pledge that outlines the commitment of the pharmacy and the patient for opioid medications. Additionally, enhancing non-pharmacist support staff roles within the pharmacy is the second workflow innovation.
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FtP Best Practices Webinar: August 2020
Opioid Change Package: Domain 4 & 5
September 2020
The focus is on implementing aspects from Domains 4 and 5 of the Opioid Progression. Two change packages were combined due to our COVID-19 response.
FtP Best Practices Webinar: Sept 2020
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Opioid Change Package: Domain 6
October 2020
At this point, Flip the Pharmacy participating pharmacies should have or are creating a sustainable practice around opioid medications. The goal is to continue offering these workflow innovations as we move into the next progression.
FtP Best Practices Webinar: Oct 2020
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COVID-19 Change Packages
Change Package #1
March 24, 2020
Key Topics:
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Protecting pharmacy staff and patients
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Communicating changes to patients
Change Package #3
April 17, 2020
Key Topics
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Applying for a CLIA Waiver, including a video to help complete the form
Change Package #2
April 8, 2020
Key Topics
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Triaging patients suspected of COVID-19
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Developing a care plan for those patients
Change Package #4
May 15, 2020
Key Topics:
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Keeping pharmacy staff safe and healthy as a pharmacy considers reopening for patients
Hypertension Progression Change Packages
Hypertension Change Package: Domain 1
October 2019
This edition leverages the Appointment Based Model (i.e. medication synchronization) and includes a self-assessment for the pharmacy.
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Hypertension Change Package: Domain 2
November 2019
This edition focuses on Improving Patient Follow-up and Monitoring and encourages pharmacies to continue enrolling patients into medication synchronization and following up with those who previously received a care plan and have hypertension.
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Hypertension Change Package: Domain 3
December 2019
This edition supports developing new roles for non-pharmacy staff and continuing to follow-up with patients who have hypertension.
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Hypertension Change Package: Domain 4
January 2020
This edition is focused on documenting blood pressure readings for patients with hypertension.
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Hypertension Change Package: Domain 5
February 2020
This edition is designed to help establish and foster a strong relationship with one of your top prescribers for your patients.
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Hypertension Change Package: Domain 6
March 2020
This edition is focused on helping pharmacists better understand how community-based pharmacy fits into measures that impact prescribers.
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Resource for Current Flip the Pharmacy Practice Transformation Teams -
Ask a Question of the Coordinating Center
If you are currently participating in Flip the Pharmacy as a coach or pharmacy, please take your question to the Lead of your Practice Transformation Team.
If you are a PTT team Lead and you have a question for the coordinating center, please use this form to submit it instead of using email.
This form will allow the Flip the Pharmacy Coordinating Center to more efficiently route your question to the appropriate team member, and you will either receive a direct response via email or a response via the FtP listserv, if the Coordinating Center believes your question is relevant to all participants.
Your questions may also be addressed on an upcoming program webinar.