Patient Self-Management: Diabetes

The Methods

The Methods

Patient Self-Management Program for Diabetes was the first project to implement the APhA's Foundation refined process of care model scaled from the Asheville Project. The methods used in the project included new components that focus on aligned incentives, collaborative care, and a Patient Self-Management Program for Diabetes (PSMP Diabetes) credentialing process. This model has continued to be refined and scaled for use in APhA Foundation's other work on diabetes - Diabetes Ten City Challenge and Project IMPACT: Diabetes.


Pharmacists' Patient Care Services

Patients worked with pharmacists through a structured series of visits that focused on knowledge, skills, and performance. As patients reached certain milestones in self-management of their condition, they were recognized with the PSMP Diabetes Credential. The credential is critical in patients' successful management of their diabetes.


Interdisciplinary Health Care Teams

Patients were referred to diabetes education centers for additional education when indicated and to their physician for changes in therapy or resolution of medication therapy problems, identified by the pharmacists.


Innovative Payers and Sustainability

Pharmacists were reimbursed for patient counseling services according to payment schedules negotiated with the employer by the local pharmacy network at each site


Aligned Incentives

Enrolled patients were offered waived copayments for diabetes-related medications and supplies or other incentives determined by the individual employers