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4.13 Employ or contract with at least one "Clinical Pharmacist' having either 1) previous work experience <br />or 2) formal residency training in clinic-based, ambulatory practices work in concert with Network <br />leadership (including the Network Pharmacist) to implement the following: <br />Pharmacy Management Programs for those receiving multiple medications. <br />• Coordinate and support pharmacy initiatives, such as Over the Counter (OTC) Standing Orders, <br />Prescription Advantage List (PAL) prescribing. and electronic prescribing (e-Prescribing) efforts, <br />as outlined by the CCNC program office. <br />• Assist physicians in creating and managing drug regimens of patients with chronic disease states <br />(e.g.: diabetes, asthma, CHF, etc.). This may include, but shall not be limited to, activities such as <br />meeting with patients, adjusting medication dosages in concert with PCP, peak flow monitoring, <br />and performing other services within the professional area of expertise. <br />• Perform medicine reconciliation assessments as requested by Network physicians and/or case <br />managers to optimize the patient's drug regimen. <br />• Educate community pharmacists on CCNC and/or Medicaid pharmacy initiatives. <br />• Serve as a resource to Network physicians and case managers on general drug information and <br />Medicaid drug policy issues <br />•The role of the "Network Phamracist" and the `Clinical Pharmacist" may be perfornred by the same <br />person simultaneously if the network has only one employed/contracted pharmacist <br />4.14 lrnp}ement clinical management initiatives identified as CCNC priorities by the Clinical Directors. <br />The current quality improvement initiatives are: <br />• Asthma • High Service Utilization <br />• Diabetes • High Cost Patients <br />• Chronic Care • Pharmacy Utilization <br />• Heart Failure <br />4.15 Collaborate with CCNC to enable provider participation in periodic external chart reviews to monitor <br />the effectiveness of quality improvement initiatives. <br />4.16 Compare performance with quality, access, cost, and utilization benchmazks established by the <br />Clinical Directors and develop improvement strategies to achieve goals. NCCCN Inc. will serve as a <br />data repository for the CCNC Program and be available to assist Contractor in this benchmark <br />comparison and creation of performance reports and comparisons, which will assist in achieving the <br />goals of standardization and uniformity. <br />4.17 Review quarterly performance measures submitted to the Ot~'ice of the Secretary on the Aged, Blind, <br />and Disabled program, pharmacy utilization, and quality improvement initiatives (see Section 6. <br />Evaluation). <br />4.18 Distribute and review reports to participating providers to assure provider comprehension and <br />encourage collaboration in goal achievement. <br />4.19 Educate new providers about CCNC priority initiatives through orientation, training, and technical <br />assistance. <br />13 <br />