VA PBMCMOP Overview

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VA PBM/CMOP Overview 2008
Timothy Stroup Deputy Chief Consultant- Pharmacy
Benefits Management/ Consolidated Mail Outpatient
Pharmacy Planning and Program Development Departm
ent of Veterans Affairs
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Pharmacy Personnel By Branch By Type January
2008 Pharmacists
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Pharmacy Personnel By Branch By TypeJanuary 2008
Pharmacy Technicians
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VA CMOP History

• 1950s - VA Became First Organization to Mail
  Rx.
• 1974 - Consolidation of Mail Rx Processing
  Initiated at VAMC, West Los Angeles,
  CA.
• 1992 - GAO Report/VA Modernize Mail Rx
  System
• 1994 - First Prescription Dispensed at
  Initial Automated
• VA CMOP in Leavenworth, KS.
• 1999 - VA CMOP Service Fully Implemented.
• 2002 - VA/DoD pilot of CMOP Initiated.
• 2007 - VA CMOP Reorganization.

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National CMOP Organization-2007

• Deputy Chief Consultant-PBM/CMOP for Operations
  New position established to provide leadership
  and direction to CMOP Directors and operational
  positions.
• Deputy Chief Consultant-PBM/CMOP for Planning and
  Program Development Former National CMOP
  Director position changed to focus on planning
  and developing programs, especially with
  customers external to VA.

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CMOP Mission

• Serve as a virtual extension of each
  participating VISN, medical center, CBOC, MTF or
  other approved healthcare facility.
• Provide mail prescription dispensing service for
  those participating sites.
• Accept electronic prescription data stream from
  sites.
• Complete actual dispensing of product and ship
  directly to patient.
• Dynamic return of electronic prescription
  dispensing data to participating sites.

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CMOP Technology Advances

• 1st generation Leavenworth Los Angeles
  (capacity 2.5M Rx/yr install 1993-94)
• 2nd generation Bedford Dallas (capacity 5M
  Rx/yr install 1994-95)
• 3rd generation Murfreesboro Hines (capacity
  10M Rx/yr install 1996-97)
• 4th generation Charleston Leavenworth
  (capacity 10M-15M Rx/yr install 1998-99)
• 5th generation Upgrades/expansion of Hines,
  Charleston, Murfreesboro (15 M/yr 2001-03)
• 6th generation Dallas accepted (20M/yr)
  Tucson Chelmsford activated 2007.

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CMOP New and Replacement Initiatives

• Dallas (TX) System accepted in 2006.
  Dispensing over 40K Rx/day.
• Chelmsford (MA) System activated in April 2007.
  Dispensing 25K Rx/day.
• Tucson (AZ) System activated in September 2007.
  Dispensing 13K Rx/day.
• Murfreesboro (TN) Approved for lease space in
  area. Contracting for new system within 12
  months. Separate CS CMOP in existing space.
• Additional CMOP Business case updated,
  recommending 8th CMOP in Northwest.

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CMOP Costs Workload(Annual 2007)

• Personal Services 84.5 million
• Operating 40.6 million
• Mail 129.3 million
• Drug 2.8 billion
• Total Expenditures 3.1 billion
• Total volume 97 million Rxs
• Productivity 70K Rx/FTEE
• Yearend Monies Record level

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CMOPs Technology at WorkConsolidated Mail
Outpatient Pharmacy

• 200 Million 30 Day Equivalents / Year
• Performance
• Error Rates less than 0.0004
• Patient Satisfaction Rating 93 VG/E
• Productivity greater than 70,000 Rx/FTEE/year

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ChampVA Meds-by-Mail

• Organizational change in process.
• VA-PBM/CMOP coordinating with Health
  Administration Center (HAC) on administration of
  Meds-by-Mail (MbM).
• MbM Centers at Cheyenne (WY) and Dublin (GA) to
  organizationally align under PBM/CMOP within next
  15 months.
• Exact organizational structure yet to be
  determined.

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ChampVA Meds by Mail

• Meds by Mail Beneficiaries are Spouses, dependent
  children of 100 service connected veterans
• Spouses, dependent children of veterans that
  died as a result of injuries in battle
• Spouses, dependent children of veterans that died
  as a result of their 100 service connection
• MbM is a program for the Cat 1 Veteran

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ChampVA Meds by Mail

• Meds by Mail provides a safe, easy and cost-free
  way for eligible beneficiaries to receive
  non-urgent maintenance medications delivered
  right to their home.
• Beneficiaries who are covered by Other Health
  Insurance (OHI) which includes prescription drug
  coverage are not eligible to participate in the
  MbM Program. Medicare Part D (prescription drug
  coverage) is considered OHI.

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Other Federal Pharmacy Initiatives

• Department of Defense Continued dialogue and
  meetings. Memorandum of Understanding drafted
  and in review.
• Bureau of Prisons Continued dialogue and email
  exchange of documents. Interagency Agreement
  drafted and in review.
• Indian Health Service Continued dialogue and
  meetings. Interagency agreement drafted and in
  review.

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The End