U.S. SolutionsGroupStructure ChangeHow Create/PayQuality EffectRPh’s Role EffectRealistic 1=No, 10 = Yes1 and 2Medical Home- emphasize preventative care with the use clinical pharmacists (specialists)Pay: MTM reimbursements (Ins Cos, Taxes)Training Programs in RPhImproveIncrease scope of practice, primary care emphasis- cause overwork, increase training ($), increase malpractice concern8, since it is already implemented by the VA3 and 4 Increase primary care MDDecrease specialists MDGovt mandated population ratio (i.e. in set 100,000 population there will be a set number of MD primary, MD secondary, etc)We don’t need to pay for anything, since the cost for medical school should be the sameImproveHowever the role of specialist pharmacists will diminished but basically our role will remain the same5, people just don’t like the govt5 and 6Information Infrastructure change one database for all facilities and patients**to decrease inefficiencies/errorsNew govt database dept
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Pharmacist, MD, New govt database, federal govt department