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: What qualifies a pharmacist to coach patients?
A: Today, all graduating pharmacists receive their Doctor of
Pharmacy degrees from an accredited institution, which constitutes approximately
six years of schooling. Many pharmacy graduates opt to complete a one to two
year residency program, and some continue on to complete a fellowship in a
specialized area of practice.
In addition to college, residencies and fellowships, many pharmacists complete
certificate programs that focus on a specific chronic condition. LPIHO requires
that any pharmacist participating in the program complete a certificate program
for the chronic disease module(s) in which they wish to participate as a coach.
Q: How often does a patient meet with their pharmacist coach?
A: Visit frequency is as follows:
Diabetes Patient Self Management Program
Cardiovascular Disease Prevention Program
Q: What takes place at these visits?
A: Pharmacist coaches provide the following:
Initial visit: Review of the program guidelines, patient medical history,
ensure functional medical equipment if needed (i.e. blood glucose monitor, home
blood pressure monitor, etc.), and administer a knowledge exam. This exam is
used only to see which areas patients are strong in and which areas the
pharmacist should spend more time providing education.
Visits 2-6 (diabetes) & 2-4 (cardiovascular):
Generally accepted standards of care (ADA, JNC7, ATP III, etc.)
General nutrition/healthy eating
Chronic complications/reducing risks
Review of guidelines/laboratory results/goal setting
Sexual health/erectile dysfunction
Sick day/travel/emergency preparedness
Ongoing visits (quarterly): Pharmacists will continue to review all
recent lab work to help monitor and educate patients on their health goals.
Pharmacists will be requesting these labs from physician offices accompanied by
a signed patient consent form for release of PHI.
Q: What are the advantages of my patient participating in this program?
A: Your patient(s) will have a more in-depth understanding of
their disease and related topics which translates into:
more productive questions asked at their office visits
a better understanding of your plan of care for them
increased therapy compliance
higher percentage of patients reaching their clinical goals
Q: How will the pharmacist coaches communicate my patient’s progress to
A: Each coach is trained to communicate with other members of a
patient’s health care team:
After the initial visit via a letter notifying you of your patient’s enrollment
and briefly describing the program
After every consecutive visit via fax a summary of the visit including any areas
of concern and/or recommendations
Q: How can I ensure my plan of care will be followed?
A: Along with the initial letter, the pharmacist coach will
also fax a Target Release form that asks you to identify specific goals for your
patient for the pharmacist to follow. Pharmacist coaches welcome physician/HCP
input at anytime.
Q: How can I find out the program’s outcomes?
A: Please check the “Program Results” section of our website.
Q: How does LPIHO keep physicians in the area updated on the program?
A: In Lancaster County, LPIHO and the Lancaster County Business
Group on Health meet bi-annually with the Lancaster Medical Society. LPIHO is
always open to meet with any physician office or organization to present program
Do you have questions or concerns that were not addressed here?
If so, please contact a member of LPIHO’s Care Team