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 Grant Tools by Category
                      
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                                              | Applicant | Grant  Title & Link to Grant Details Page | Resource(s) | Description |  
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                                                                  | Tool - TOC | Developing Interventions - Project BOOST Implementation Toolkit |  |  
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                                                                  | Referral Form - Patient | Patient handout describing pharmacist services for physicians to give to patients when making a
referral to the pharmacist. |  
                                                                
                                                                  | Form - Visit Log | This form to keep track of attempts to schedule a patient visit to provide the medication management service(s). |  
                                                                
                                                                  | Form - MTM Report | MTM report form for documenting the medication management service(s) provided by the
pharmacist. (sample template) |  
                                                                
                                                                  | Form - MTM Report Custom | MTM report form for documenting the medication management service(s) provided by the
pharmacist. (custom template) |  |  
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                                                                  | PEER Portal | Provider e-Prescribing Experience Reporting |  |  
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                                                                  | Form | Transitions of Care Initial Data Collection Form |  
                                                                
                                                                  | Form | 3-Day Patient Follow-up Telephone Call Script |  
                                                                
                                                                  | Form | 10-Day Patient Follow-up Telephone Call Script |  
                                                                
                                                                  | Form | 30-Day Patient Follow-up Telephone Call Script |  |  
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                                                                  | Tool - Falls | AHRQ tool that can be used to identify medication-related risk factors for falls in hospitalized patients and implemented in a community setting for this study. A pharmacist would perform this assessment. |  
                                                                
                                                                  | Tool - MTM MAR | Patient Medication Administration Record - "MEDS ON A CLOCK" (7-Day) |  |  
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                                                                  | Guide | CPA - An Implementation Guide for Community Pharmacies |  
                                                                
                                                                  | Guide | Business Plan: Implementing Collaborative Practice Agreement in Community Pharmacy |  
                                                                
                                                                  | Form | Prescription Medication Update |  |  
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                                                                  | Toolkit | Home Medication Evaluation Questionnaire (HOMEQ) Training Resources |  |  
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                                                                  | Form | Medication Consultation Referral |  
                                                                
                                                                  | Tool | Enhanced Medication Reconciliation Technician Script |  
                                                                
                                                                  | Form | Medication-Related Action Plan |  |  
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                                                                  | Tool | Opioid Safety Patient Handout |  |  
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                                                                  | Template | Template for service implementation |  |  
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                                                                  | Toolkit | Adding fractional exhaled nitric oxide (FeNO) for asthma patient assessments.  The toolkit contains appointment and marketing materials. |  |  
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                                                                  | Quiz | Pharmacist HCV knowledge quiz |  |  
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                                                                  | Tool | Depression Screenings in Pharmacies (DSIP) Toolkit |  |  
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                                                                  | Education | Community Veterinary Pharmacy Educational Materials |  |  
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                                                                  | Form | Pharmacogenetic Testing with Goodrich Pharmacy |  |  
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                                                                  | Calendar | This calendar has been produced as an example tool to describe how to use common over-the-counter medicines, supplements, and food ingredients to lessen the burden of pain, or wean off opiate medications. These also supplement the CPE activity. |  
                                                                
                                                                  | Resource | Informational leaflets have been prepared to offer a multi-modal option in the context of patient-pharmacist dialogue. These can be stapled onto a prescription bag for pain management or substance use disorder medications to initiate conversation. |  |  
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                                                                  | Podcast | iHeart Radio Podcast - Need To Know with Jeff Angelo - Anthony Pudlo describes "mental health first aid." May 2, 2019 (30:00 - 37:45) |  |  
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                                              | Applicant | Grant  Title & Link to Grant Details Page | Resource(s) | Description |  
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                                                                  | Website | Drake Entrepreneurial Leadership Tools for Advancement (DELTA) Rx Institute - To Instill a Spirit of Change and Innovation in the Pharmacy Profession |  |  
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                                                                  | Resource | Tech-check-tech Workflow Process Map |  
                                                                
                                                                  | Resource | New Practice Model Policies & Procedures |  
                                                                
                                                                  | Resource | Sample Site-Specific Board (BOP) of Pharmacy Application. |  |  
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                                                                  | ESSB 5557 Workgroup Report | Final deliverables from the Collaborative Work
Group on Health Plan Reimbursement of Pharmacist Provided Medical Services prepared at the direction
of the legislature in ESSB 5557. |  
                                                                
                                                                  | Project Guide | Billing and technology reference flowcharts and grids. |  
                                                                
                                                                  | Video Tutorial | Pharmacists as Medical Providers Recognition by Health Plans |  |  
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                                                                  | Form - BAA (Word) | Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement |  
                                                                
                                                                  | Form - BAA (PDF) | Health Insurance Portability and Accountability Act (HIPAA) - Business Associate Agreement |  |  
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                                                                  | Poster | Strategies for Comprehensive Medication Management Services (CMMS) within Value-based Health Plans (AACP 2015 - San Diego, CA) |  |  
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                                                                  | Education Resource Program | The IMPACT Care Transformation Institute is a training and resource program designed by the APhA Foundation to help providers implement patient-centered, team-based care that can improve health outcomes. Open access to Webinar 2 is made possible through support from CPF. |  |  
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                                                                  | Form - CPA | Hypertension & Hyperlipidemia Management Protocol and 
Collaborative Practice Agreement/Standing Orders |  
                                                                
                                                                  | Form - CPA | Diabetes Management & Warfarin Anticoagulation Protocol and
Collaborative Practice Agreement/Standing Orders |  
                                                                
                                                                  | Resource | Assisted Living Memory Care and Supportive Living Best Practice Model |  |  
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                                                                  | Billing | Pharmacist-Provider Claim Billing. This report provides a summary of the Kelley-Ross Pharmacy Group experience in pharmacist-provider claim billing and reimbursement for events and patient care activities during a nine-month period in 2017. |  
                                                                
                                                                  | Billing | Additional claim level detail is available in an excel spreadsheet (Tab CPT Claims). |  |  
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                                                                  | Form - CPA (PDF) | Collaborative Practice Agreement (CPA) and billing terms for partnership with a primary care practice to deliver services for Annual Wellness Visits (AWV). |  |  
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                                                                  | Workflow Template | Integrating a Pharmacy Technician into Medication Therapy Management Workflow. Process Schematic & Patient Follow-up Templates. |  |  
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                                                                  | Toolkit | Community Pharmacist-Provided CCM Guide. Each section details general information and requirements for the provision of CCM services followed by CPF pilot experiences. |  |  
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                                                                  | Website | Integrating Community Pharmacists into Team-Based Care Interactive Model |  
                                                                
                                                                  | Resource | Integrating Community Pharmacists into Team-Based Care Interactive Model (PDF of website content) |  |  
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                                                                  | Website | Leading Pharmacy Change - the purpose of this website is to help you handle change to your organization in a constructive way. The site includes the two 30-minute modules. |  |  
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                                                                  | Practice Transformation Training | Series of 8 webinar training slide decks: 1-Intro, 2-CDTM, 3-DTPs, 4-Documentation, 5-Update, 6-Transformation Success, 7-Partnering, 8-Summary |  
                                                                
                                                                  | Practice Transformation Tools | Four practice transformation implementation tools: 1-pharmacy self-assessment, 2-pharmacy on-site readiness assessment, 3-practice change plan, 4-practice change progress. |  |  
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                                                                  | Video1 | This is the first of a 4-part video series that is part of the Flip the Pharmacy coaches training and support.  This segment focuses on Understanding How to Manage People Effectively. |  |  
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                                              | Applicant | Grant  Title & Link to Grant Details Page | Resource(s) | Description |  
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                                                                  | Guide | Postgraduate Year 1 Community Pharmacy Residency Program Implementation Guide. |  
                                                                
                                                                  | Website | Residency resources on the APhA website. |  |  
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                                                                  | Leadership Curriculum Toolkit | Curriculum is composed of 5 Modules delivered over 10 weeks. This toolkit contains the resources for strength and leadership assessment, and, project idea implementation and project pitch guides. |  |  
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                                                                  | Infographic | Statewide Protocols for Pharmacist Prescribing in the US. |  |  
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                                                                  | Website | The Pharmacist eCare Plan (PeCP) is an interoperable standard that allows for pharmacy technology providers to have a common method of exchanging information related to care delivery, including patient goals, health concerns, active medication list, drug therapy problems, laboratory results, vitals, payer information and billing for services. |  |  
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