Patient Self-Management Credentialing and Value-Based Health Benefits Design Considerations in Patient-Centered Team-Based Care


Patient credentialing is a unique concept where the patient’s knowledge, skills, and performance associated with their chronic disease, lifestyle requirements, and therapy adherence strategies are assessed so health care providers can tailor education, support and care that effectively meets the specific needs of individual patients. The Patient Self-Management Credential (PSMC) is a psychometrically validated care resource that empowers health care providers and patients to work together in meaningful and efficient ways to identify and address areas for improvement in the self-management of health. With a progressive evidence-base that has evolved over the past 14 years, use of the PSMC has consistently produced patients that are more engaged and empowered to manage their own health care. 

Convening a Consortium of Key Stakeholders

The APhA Foundation convened a consortium to further explore challenges within the current healthcare system as well as opportunities for potential system changes. The consortium provided insights and principles that could be used to guide institutions in making value-based health benefit decisions.

Perspectives from four key constituencies were considered:

1) patients who have been empowered by their providers through use of the PSMC,

2) practitioners who have utilized the PSMC in their practices to customize care,

3) payors who make data-driven decisions to inform their coverage, and

4) value-based health decision makers from benefit managers and health systems.

Recommendations from Consortium

A synthesis of the information, opinions, and expertise that emerged from the Consortium discussion produced six key themes that provided the basis for developing a principle-centered approach that will contribute to optimizing health and costs of care.

The Key Principles for Transforming the Delivery of Patient Care that could IMPACT effective health care system changes and improve patient outcomes are to:

Inspire patients, providers and payors to transform the health care system

Make the patient the center of all health care decisions

Promote access to evidence and information that elevates clinical decision-making

Align the incentives for patients, providers and payors

Cultivate quality improvement and practice enhancement

Take accountability for the financial, clinical and humanistic outcomes of patient medication use


The APhA Foundation will continue to work with system stakeholders to develop tools and resources that will guide stakeholders on “how” to translate these principles into practice and invent a preferred future for our health care delivery system.



Expert Panel Participants




Amanda Applegate

Pharmacy Clinical Services Coordinator

Balls Food Stores

Tery Baskin

President and CEO


John Beckner

Senior Director, Strategic Initiatives

National Community Pharmacists Association

Dean Benton

Clinical Coordinator

Dillons Pharmacy

Benjamin Bluml

Senior Vice President, Research and Innovation

APhA Foundation

Kelly A. Brock


KB Pharmacy Solutions

Barry Bunting

National Practice Leader, Health Plan Innovation


Mark Cziraky

Vice President of Research

HealthCore, Inc., an Anthem Company

John Forbes


Medicap Pharmacy

Scott Hamstra

Infectious Disease Specialist

U.S. Indian Health Service

Elizabeth K. Keyes

Executive Director

APhA Foundation

Sandra Leal

Vice President for Innovation


Thomas Menighan

Executive Vice President and CEO


Shannon Peter

Clinical Pharmacy Manager

Think Whole Person Healthcare

Pete Sheldon

Vice President, Education & Patient Engagement


Steve Simenson

Managing Partner

Goodrich Pharmacies

Jaan B. Skelton


Silver Pennies Consulting 

Parisa Vatanka

Project Development Manager 

 APhA Foundation