Q: What is a “Patient Self Management” program?
A: In 2003, the Institute of Medicine defined self-management
support as “the systematic provision of education and supportive interventions
by health care staff to increase patients’ skills and confidence in managing
their health problems, including regular assessment of progress and problems,
goal setting, and problem-solving support.” Simply stated, a "Patient Self
Management Program" provides education so that patients become a more active
part of their health care team. When patients become more involved in their
health care, the result is that patients will be healthier and more compliant!
Q: Why does the LPIHO program use pharmacists?
A: Pharmacists have been involved in diabetic education for
many years. The Asheville Project clearly demonstrated that Pharmacists can have
a significant positive effect on the health status of diabetic patients
resulting in significant cost savings due to a decrease in complications.
Q: What qualifications/credentials do I need to have in order to be a
coach for any of the LPIHO programs?
Successful completion of a certificate training program in diabetes management
(e.g. DMEducate), OR
Currently recognized as a Certified Diabetes Educator (CDE), OR
Currently recognized as a Board Certified Pharmacotherapy Specialist (BCPS) with
experience in caring for people with diabetes, OR
Successful completion of the NISPC Diabetes Exam.
Liability Insurance for each pharmacist
$1,000,000 per occurrence
$3,000,000 in aggregate
Private consultation area
NPI (National Provider Identification Number)
Signed contract with LPIHO
Completed documentation training
Complete the Live Core Competency Training Program with one of LPIHO’s
Coordinators or designees.
Q: I currently work for a chain/independent/hospital pharmacy. May I
still be considered to become an LPIHO pharmacist?
A: Yes! You may contract independently with LPIHO. We encourage
you to communicate this to your supervisor. In some cases, our pharmacists see
their patients at their place of employment. LPIHO offers the following options
for contract pharmacists:
Contract directly with LPIHO and see patients on your own time, outside of your
current employment hours. In this scenario, LPIHO remits payment to you
Your employer/pharmacy contracts with LPIHO, in which case you see patients on
their (company) time. In this scenario, LPIHO remits payment to your employer.
Q: Do I receive additional training to understand the program structure?
A: Yes! In order to comply with program participation
guidelines, you must receive training on our documentation system (LPIHOLink) as
well as a live one-on-one or group training with one of the LPIHO Care Team
Q: How do I document my visits?
A: You will record your visits in our web-based, secure
documentation system (LPIHOLink).
Q: Will I be responsible for enrolling my own patients?
A: No, LPIHO coordinates all enrollment activities for
contracted employers. You will be contacted when a patient in your area is in
need of a pharmacist coach.
Q: How many patients will be assigned to me?
A: It is your choice how many patients your schedule will allow
you to accept. We encourage you to only accept a small number of patients in the
beginning until you are comfortable with the time commitment required and the
Q: Where do I meet with my patients?
A: You have several options:
Some pharmacies have a private counseling area and may permit you to use this
space for LPIHO patient visits
Some contracted employers allow patients to be seen at their workplace; if that
is an option we will let you know
If none of the above are available, the LPIHO Care Team will work with you to
find a location in your community that meets our privacy guidelines
Q: How often do I meet with my patients?
A: This is determined by which module your patient is enrolled
Diabetes: once a month for the first six months, then quarterly thereafter
Cardiovascular: once a month for the first four months, then quarterly
Q: What do I do if I cannot get a hold of my patient?
A: Our policy is to make 5 documented attempts
to reach the patient. Then report the issue to your coordinator.
Q: Will the participant have to transfer their prescriptions or change
which pharmacy they currently use?
A: No, the participants may continue to have their
prescriptions filled at ANY pharmacy, including mail order pharmacies. No LPIHO
pharmacist will attempt to persuade patients to have prescriptions filled at
specific pharmacy other than within the employer’s network.
Q: Who contacts the physician to let them know the employee participant
A: Each LPIHO Pharmacist initiates the communication to the
patient's Health Care Provider(s). A template of an introductory letter will be
provided to you, which explains the program to the HCP.
Q: How often do I interact with the other members of the patient’s
health care team?
A: LPIHO’s policy is that each coach communicates a summary of
each visit to the appropriate members of the patient’s health care team as well
as any recommendations regarding therapy or follow-up.
Q: How will I know if the program is successful?
A: LPIHO works with the contracted employers and their
respective carriers to acquire both medical and prescription claims data
annually to generate aggregated reports. LPIHO will also provide these reports
to the pharmacist coaches.
Q: What happens if I need to discontinue my involvement in the program?
A: You may discontinue your involvement in the program at any
time. We request as much notice as possible as well as your support in
transitioning your patient(s) to the next coach.
Q: Do I receive reimbursement for my coaching time?
A: Yes. LPIHO invoices contracted employers based on your time
documented in LPIHOLink. Once LPIHO receives remittance from the employers,
payment is forwarded to either you or your employer, based on the contract
option you selected.
Q: Does LPIHO hire pharmacists on a full or part-time basis?
A: Most of our pharmacists are contracted pharmacists. Should
there be an employer group with enough enrollments to warrant a full or
part-time position in a given location, LPIHO will consider this option.
Do you have questions or concerns that were not addressed here?
If so, please contact a member of LPIHO’s Care Team