Advancing The Profession of Pharmacy

[Interview] Community Pharmacy Enhanced Services Network (CPESN) and Future Developments

by | Aug 10, 2017 | Consulting Pharmacist Education

Elevate Pharmacy Virtual Summit: Day 5 Session 2

Troy Trygstad PharmD MBA PhD, is Vice President of Pharmacy Programs for Community Care of North Carolina (CCNC), an organization providing medical homes for 1.4 million Medicaid recipients. Under his direction at CCNC, the Network Pharmacist program has grown to include more than 80 pharmacists involved in activities ranging from patient-level medication reconciliation to practice-level health information technology adoption to network-level management of pharmacy benefits.
In addition to serving on multiple advisory panels addressing medication non-adherence, he has co-developed novel adherence programs and technologies that use multiple types and sources of drug use data to predict, intervene and triage medication management interventions and coaching opportunities under a multi-state collaborative called The Pharmacy Home Project.

As part of that work, Trygstad co-created the PHARMACeHOME™ platform which captures a community-level drug use narrative with drug therapy problem-finding utilities. He also co-created Care TriageTM analytics and care logistics engine which organizes interventions and interventionists based on predictive models, taking into account available resources within a given ecosystem. Both are currently utilized in more than 40 distinct licensures, settings and roles, across multiple geographies with more than 4,000 distinct users.
He is also the Project Director for a CMMI Round 2 Innovations award that tests new models of payment and pharmacy connectivity to primary care providers and the Medical Neighborhood that includes over 250 pharmacies in North Carolina.  This work has helped spawn Community Pharmacy Enhanced Services Networks in 17 states as of September of 2016.  Trygstad received his PharmD and MBA degrees from Drake University and a PhD in Pharmaceutical Outcomes and Policy from the University of North Carolina. He proudly practices in a community pharmacy setting on nights and weekends and serves as a board member for the American Pharmacists Association Foundation as well as Editor-In-Chief of Pharmacy Times.

Learn more about CPESN USA on their website.

Key Takeaways:

  • Why shifting to a value-based payment model affords a huge opportunity for pharmacists to improve outcomes
  • How pharmacists can “train for the race” in this new marketplace in order to get a head start
  • Tailoring services with the idea of the end outcome in mind: creating a care plan for patients that proves pharmacist impact
  • Understanding the CMS’s new pilot program the Enhanced MTM services and SNOMED CT codes
  • Getting super specific about the terms we’re using to define pharmacist services in order to create a language that identifies a specific activity for each step of the MTM process
  • SNOMED CT codes can help pharmacists define procedures more like other healthcare providers
  • How CPESN USA supports a network of pharmacies ready to express their value to other care team members as part of their sustainable business models
  • Examples of enhanced clinical services that local networks around the country are implementing as part of their service-sets


We are re-launching the 2017 Elevate Pharmacy Virtual Summit LIVE ENCORE on September 15-19th, 2017!

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I hope to see you soon and look forward to hearing your ideas and plans to Elevate our profession.

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About the Author

Blair Thielemier, PharmD, is a business development consultant specializing in pharmacist-led billing models. She has set the industry standard for virtual pharmacy conferences with the Elevate Pharmacy Virtual Summit in 2017. She has consulted with national pharmacy organizations, drug wholesalers, point of sale companies, and Fortune 5 health insurers. She has books and online courses available for individuals looking to leverage their pharmacy knowledge into monetized clinical programs at She speaks internationally about trends in leveraging pharmacists to improve value-based care.


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