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.

Screen Shot 2021-04-23 at 3.26.57 PM.png

Click Image to View

Diabetes/SDOH Change Package: Domain 2

May 2021

This month's innovations are:

  1. Discuss blood glucose and A1C goals with your patients with diabetes, and

  2. 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.

Screen Shot 2021-05-10 at 6.35.19 PM.png

Click Image to View

FtP Best Practices Webinar: May 2021

Diabetes/SDOH Change Package: Domain 3

June 2021

Screen Shot 2021-07-06 at 3.08.12 PM.png

Click Image to View

With this month's Change Package, we are going to focus on monitoring and medication optimization as it relates to co-morbid conditions. Some of this monitoring can be done in the pharmacy with point of care testing. We will also discuss how to start offering point of care testing or improve your current services.

FtP Best Practices Webinar: June 2021

Diabetes/SDOH Change Package: Domain 4

July 2021

With this month's Change Package, we are going to focus on these workflow innovations:

  • Assessing patient adherence and identifying any potential barriers

  • Communicating what you've learned with the patient's prescribers

  • Reviewing ways social determinants of health can be addressed

Screen Shot 2021-07-06 at 3.28.29 PM.png

FtP Best Practices Webinar: July 2021

Coming Soon

Click Image to View

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.

Screen Shot 2021-01-20 at 11.53.18 PM.pn

FtP Best Practices Webinar: Nov 2020

Click Image to View

Immunizations Change Package: Domain 2

December 2020

This edition provides information on medication synchronization and proactively identifying patients for immunizations.

Screen Shot 2021-01-12 at 1.18.51 PM.png

FtP Best Practices Webinar: Dec 2020

Click Image to View

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.

Screen Shot 2021-01-16 at 11.29.44 PM.pn

FtP Best Practices Webinar: Jan 2021

Click Image to View

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.

Screen Shot 2021-02-05 at 5.34.09 PM.png

FtP Best Practices Webinar: Feb 2021

Click Image to View

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.

Screen Shot 2021-03-05 at 1.01.41 PM.png

Click Image to View

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

Click Image to View

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

Click Image to View

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.

Click Image to View

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

Click Image to View

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

Click Image to View

COVID-19 Change Packages

Change Package #1

March 24, 2020

Key Topics:

  • Protecting pharmacy staff and patients

  • Communicating changes to patients

Change Package #3 

April 17, 2020

Key Topics

  • Applying for a CLIA Waiver, including a video to help complete the form

Change Package #2 

April 8, 2020

Key Topics

  • Triaging patients suspected of COVID-19

  • Developing a care plan for those patients

Change Package #4 

May 15, 2020

Key Topics:

  • 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.

CP Hypertension #1.png

Click Image to View

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.

CP Hypertension #2.png

Click Image to View

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.

CP Hypertension #3.png

Click Image to View

Hypertension Change Package: Domain 4

January 2020

This edition is focused on documenting blood pressure readings for patients with hypertension.

CP Hypertension #4.png

Click Image to View

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.

CP Hypertension #5.png

Click Image to View

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.

CP Hypertension #6.png

Click Image to View

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.