Billing and Reimbursement Methods and Opportunities for Pharmacist Patient Care Clinical Services

This activity provides learners with a description of the multiple avenues for reimbursement for patient care clinical services provided by pharmacists, including requirements and specific codes for billing.

Fundamentals of Healthcare Billing

This certificate has been created as a comprehensive resource about billing and reimbursement for patient care clinical services provided by pharmacists in ambulatory and community pharmacy settings. Note: This curriculum does not include information related to reimbursement for drug products.

Establishing a Pharmacy Quality Improvement Program

This explores the critical aspects of establishing a robust quality improvement program specific to pharmacy services. These include meaningful measures that reflect the quality of pharmacy services, a description of a learning culture and how this type of culture supports continuous QI.

Managing the Business of Pharmacist Patient Care Clinical Services

This activity covers the business aspects of providing patient care clinical services including building a business case, assessing the impact of clinical pharmacy services on a healthcare organization's expenses and revenues, and establishing relationships with commercial payers.

Failure Modes and Effects Analysis and Root Cause Analysis

This activity describes a proactive process for assessing medication safety risk - failure modes and effects analysis (FMEA), and a reactive process for identifying the underlying causes of adverse drug events - root cause analysis (RCA).

Fundamentals of Quality Improvement Measures

This activity is a primer for learners about healthcare quality measures including sources of QM data, and QM categories, specifications, and calculations.

Measure for Impact - Demonstrating Value of Pharmacy Services

This program will identify Pharmacy Accountability Measures (PAMs) to apply to your current organization.

Quality Improvement Methodologies, Measurement, and Communication

This activity introduces learners to the most common quality improvement methodologies, the concept of process variation and how it is measured, and communication of quality improvement data.

Quality Improvement Tools - Part 1

This activity describes the use of the following quality improvement tools including problem statements, benchmarking, fishbone diagrams, the 5 Whys, quadrant charts, and process flow diagrams.

Quality Improvement Tools - Part 2

This activity introduces learners to the following quality improvement tools including brainstorming, spaghetti diagrams, affinity diagrams, Pareto charts, Gantt charts, check sheets, and Imagineering.