Exploration of network facilitator experiences implementing payer-partner programs within a nationwide clinically integrated network

Abstract

Background

The Community Pharmacy Enhanced Services Network (CPESN) is a clinically integrated network (CIN) of approximately 3500 community-based pharmacies in 48 local networks across the United States. CPESN USA promotes expansion of innovative programs within community-based pharmacies including value-based contracting for patient care services. As opportunities grow, it is important to define strategies and tools needed to implement payer-partner programs.

Objective

This study aimed to explore strategies and resources used when implementing payer-partner programs within a CIN.

Methods

This cross-sectional electronic survey was e-mailed to 48 managing network facilitators (MNFs) representing 48 local CPESN networks across the United States. An electronic survey was e-mailed to the MNF of each local CPESN network. Fourteen questions collected the MNFs experience with (1) opportunities at the local network, (2) resources found helpful for implementing payer-partner programs, (3) barriers to implementing payer-partner programs, (4) confidence with tasks related to payer-partner program implementation, and (5) reporting what types of teammates they work with or manage when implementing a payer-partner program. The survey was open for data collection for 65 days. Data were analyzed using descriptive statistics.

Results

A total of 42 completed surveys were returned (response rate, 87.5%). MNFs ranked the barriers most frequently experienced as buy-in effect (n = 16, 41.0%) and management of pharmacy/network follow-through (n = 11, 28.2%). MNFs reported helpful resources for program implementation as peer-to-peer guidance (n = 31, 79.5%) and program handouts/guides (n = 30, 76.9%). MNFs reported additional resources needed as subject matter experts (n = 23, 59.0%) and templated communications (n = 22, 56.4%). MNFs expressed their highest levels of confidence in tasks related to leadership management (n = 30, 76.9%) and implementing programs (n = 28, 71.8%).

Conclusion

Barriers to payer-partner program implementation within the CIN were buy-in effect, management of pharmacy/network follow-through, management of peers, and management of pharmacy/network implementation. Leaders within the CIN reported desires for a toolkit that iterates successful strategies and education on building community and accountability within local networks. Development of tailored support and resources can enhance the capacity of network leaders to scale payer-partner programs within community-based pharmacies.