Seven ambulatory care faculty members from the University of Oklahoma College of Pharmacy provide direct patient care services in the University’s Family Medicine Center, which is a primary care practice.  This practice was designated as a Tier 3 patient-centered medical home (PCMH) site by Oklahoma’s Medicaid program in 2009. At this PCMH, pharmacists are fully integrated into the delivery of primary care.  Faculty pharmacists, pharmacy students and residents, dieticians, and community health workers collaboratively support the PCMH model by managing diabetes and anti-coagulation patients referred by family medicine physicians.  The site uses an “incident to” billing model for coagulation, as well as a diabetes self-management and training (DSMT) billing model for diabetes patients.  A multidisciplinary advisory board ensures that the Family Medicine Center’s DSMT program meets the needs of its target population. 

The Centers for Medicare and Medicaid Services (CMS) has partnered with Oklahoma’s Medicare Quality Improvement Organization (QIO) through 2014, which is a program that works with consumers, physicians, hospitals, and other caregivers to refine care delivery systems to make sure patients get the right care at the right time, particularly among underserved populations.  During its fourth year (2011), the Health Resources and Services Administration (HRSA) partnered with the University to join the Patient Safety and Clinical Pharmacy Services Collaborative (PSPC 4.0), which is an action learning program involving several hundred communities working together in a disciplined, focused process to enhance the ability of a community health care safety net to deliver safe care that produces optimal health outcomes for high-risk patient groups.  This model is patient-centered, driven by interprofessional teams, and supported by systems of partnerships.  The collaborative teaches a team of health care providers how to rapidly take major practical steps to provide patient integrated care in a primary health care home with sustainable and measurable delivery of clinical pharmacy services/medication management.