Transcript The Canadian Stakeholder Steering Committee on Private

The Stakeholder Steering
Committee on Private Drug
Plans
Jeff May, Co-Chair, CACDS
Peter Zawadzki, Co-Chair, CPhA
Pharmacy Advisory Committee for
the Stakeholder Steering Committee on
Private Drug Plans
Solutions in Drug Plan Management Conference
Toronto, ON
September 8, 2011
Backgrounder/Introduction
The Canadian Stakeholder Steering Committee on Private
Drug Plans
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Multi-stakeholder group
“We need to learn about each others businesses”
Developing solutions in collaboration
Improving health outcomes for beneficiaries
Improving the plan member experience - examples
− Resolving birthdate errors
− Can’t adjudicate annual plan maximum
− Special authorizations not online
• It’s all about timing – committee will be re-established &
restructured to meet the current economic & healthcare climate
Pharmacy Advisory Committee (PAC)
 Purposes: Initiate the steps to create the Steering
Committee, define activities, create the mandate, identify
issues, and ensure representation
 Representation:
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Co-Chair – CPhA: Peter Zawadzki, Pharmasave National
Co-Chair – CACDS: Jeff May, Shoppers Drug Mart Ltd.
Provincial Pharmacy Association (PPA): Allison Bodnar (NS)
Provincial Pharmacy Association: Parkesh Ragsdale (BC)
Provincial Pharmacy Association and Independent Pharmacist:
Janet McCutchon (ON)
Pharmacy Operations: Jim Beaumariage, Rexall
Former SSCPDP Member: Ruth Ackerman, MediResource
CPhA Staff Support – Jeff Morrison
CACDS Staff Support – Steve Wilton
Steering Committee (SSCPDP)
 A strategic multi-stakeholder partnership
 Provides strategic direction and accountability
 Focuses on identifies issues, seeks collaboration, and
develops constructive solutions
 Representation to include:
CACDS
CPhA
PPA
Insurer
Benefit Consultant
Adjudicator
Plan Sponsor
Employee/ Patient
Canadian Health and Life Insurance Association
 First meeting, yet to be determined
Pharmacy Operations Working Group
 Mandate is to act as a bridge between pharmacy /
pharmacists and the third party payer sector to enhance
operational efficiencies and logistical processes
 Issues can be identified by the Steering Committee, or
the working group can develop tactics and/or solutions
 Representation to include:
CPhA
PPO
Adjudicator
CHLIA
CACDS,
Insurer
Plan Sponsor
 Outcome: to enhance efficiencies that lower costs and
improve the beneficiaries’ experience
Enhanced Pharmacy Services
Working Group
 Mandate: to educate the private sector on the value and
benefits of new services and to jointly advocate for
publically funded enhanced pharmacy services
leveraging the CPSF
 Representation to include:
CPhA
CACDS
PPO
Insurer
Adjudicator
Benefits
Consultant Plan Sponsor
CHLIA
Employee/Patient
Provincial Gov’t (TBD)
 Outcome: to ensure all beneficiaries/patients benefit for
expanded pharmacy services
Work Plan and Next Steps
 Follow up on Action Items from Sep. 7, 2011 meeting of
the Pharmacy Advisory Committee
• Issues identification for operations and enhanced services
• Stakeholder surveys and engagement
 PAC – next meeting Dec. 2011 to develop work plans
 Establish the Steering Committee (SSCPDP) Feb 2012
• Identify and recruit private sector representatives as outlined
 Set Meeting Date for SSCPDP Face-to-Face Meeting
• Draft Terms of Reference, Mandate and Work Plan
 Establish the Working Groups
• Identify and recruit private sector representatives as outlined
• Let the real work begin – develop constructive solutions
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The Definition
of Insanity
“Doing the same thing over and over again,
and expecting change…”
The only constant is change!