Delfini
Showcase:
Regence Group Pharmacy Benefit Management
Pharmacy and Therapeutics Committee Support Redesign
& Critical Appraisal Appraisal Intensive to Help Improve Formulary
Management
Evidence-based
Drug Reviews
RegenceRx®
has created a website which
provides useful drug information. Included are recent drug class reviews
along with reviews of high-profile therapeutic classes such as statins
and antidepressants.
• RxNews
for physicians
• Drug
review summaries
• Consumer
version
Evidence based Practice Training Intensive
Mission
Assist pharmacy benefit management staff to advance in evidence-based
practice and technique with the goal of producing highly evidence-based
monographs for Pharmacy & Therapeutics (P & T) Committee review.
Help staff foster evidence-based deliberations among committee members
through committee materials to achieve a true evidence- and value-based
drug review process.
Success
Stories:
EBM Training Example
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delfini.org
Also creators
of
medicalleaders.org
Concept
Train staff in essentials and advanced evidence- and value-based
medicine concepts. Detail process methods and techniques for content development.
Provide refreshers at select intervals to both support and deepen staff
knowledge. Recommend modifications to monograph template to make the template
more evidence-based and to achieve transparency and consistency. Goals
for the monograph design were to focus attention on the evidence, enable
auditing of specific outputs, facilitate committee education and promote
an evidence-based approach during committee meetings. Provide just-in-time
evidence-based training to committee members as an introduction and ongoing
as needed.
Outcome
Leadership and staff are highly knowledgeable and skilled in
the concepts, methods, processes and application of tools to create some
of the most clear and solidly evidence-based drug reviews that Delfini
has seen. Regence and Delfini came up with collective solutions to create
a drug review format that helps manage P & T deliberations to foster
an evidence-based approach. As a result, Delfini Group knows of no group
today that is doing a finer job applying evidence-based medicine principles.
About The Regence
Group
Created in 1996, The Regence Group is the largest affiliation of health
care plans in the Pacific Northwest/Mountain State region. It includes
Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence
BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Through
these plans, Regence provides health, life, vision, dental and long-term
care insurance to nearly three million members. The Regence Group and
its affiliate plans are not-for-profit, independent licensees of the Blue
Cross and Blue Shield Association. More than one in three Americans have
coverage from the Blues. For more information, visit www.regence.com.
For more about their Pharmacy Benefit Management Services, visit here.
Read about our solutions for Pharmacy & Therapeutics Committees
Helen Sherman, PharmD, Chief Pharmacy Officer for Regence and Mike Stuart, MD, President Delfini Group are interviewed about tougher standards being applied by insurers. Read the Managed Care Magazine interview.
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The Regence Group ...wonderful program...been to many of your programs and continue to learn, be inspired and stretch...already incorporating the information as well as your tools into our processes... Reference Letter from Chief Pharmacy Officer click here |
After Two Days Following
A Delfini Training Retreat... "I have seen your program 3 times (make that 4 times) and I learn something new (ok, a lot new) every time. I really appreciate the way you constantly update your material to be relevant. I would sit through a day of your seminar once or twice a year." Program Attendee |
The Regence Group Pharmacy & Therapeutics Efforts
Working with The Regence Group Pharmacy Benefits team has been a true delight. From leadership to administrative support, the group is pleasure to work with, demonstrating collegiality, skill and dedication. It's no surprise they are the best there is at this work! In our opinion, there are few to equal them, and no one does it better. This is certainly due to the efforts of all involved, but the tremendous success realized could not have happened without leadership being both committed to, and knowledgeable of, evidence-based medicine.
When we teach our programs on Becoming an Evidence- and Value-based Organization or on Evidence-and Value-based Clinical Improvement, we stress the importance of leadership support, and we make this a theme. And frequently — and unfortunately — leadership is frequently absent from these programs. The attendees tend to be those who understand the need for, and value of, an evidence-based approach, but who are not leaders — and then tell us they wish their leader was there. The efforts of these people are redoubled, at the very least, without the support of their leaders. And as a result, clinical quality suffers, and waste is increased.
Unlike these absent leaders, those leading The Regence Group Pharmacy & Therapeutics efforts are not only supportive, they are involved! And when we say involved, we don't mean at a distance. Not only do they guide their ship in an EBM direction, they are as knowledgable as staff in critical appraisal and utilize EBM on a daily basis.
We applaude The Regence Group Pharmacy Benefit Management leaders and staff. They are masters at an evidence- and value-based approach to clinical care.
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Delfini SERVICES
We offer a wide range of supportive services with the ultimate goal of increasing health care organizations’ and clinicians’ abilities to provide high quality, evidence-based care and to improve medical decision-making for organizations, leaders, teams, clinicians and patients. Delfini About Our Work