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Feb 16, 2010

Interview with Douglas Hoey, R.Ph., M.B.A., Senior VP & COO, NCPA

Douglas Hoey is the Chief Operating Officer for the National Community Pharmacists Association. Hoey joined NCPA in 1996. Prior to NCPA, Hoey spent 14 years working in community pharmacies that provided home infusion, long term care consulting, compounding, and full-line DME services.

Hoey is a graduate of the University of Oklahoma Health Sciences Center College of Pharmacy and has an M.B.A. from Oklahoma City University.

Topics/ Discussion Points:


Medication Management today and tomorrow: Project Destiny & the Independent Community Pharmacy

  • Independent Community Pharmacy in 2010 / MTM, reimbursement, and the Patient Care Continuum
  • Pharmacists are well positioned to address unmet needs – how can these healthcare providers capitalize?
  • The medication management market is being defined, as community pharmacy, nurses, physicians, payers and pharmacy benefit managers all are engaging to some degree:
    • Where are we today?
    • Next Steps? 
  • Industry stakeholders are interested in assisting pharmacy in the process of developing service offerings and bringing the services to market.
    • Who are these stake-holders?
    • Who else needs to become aware/ involved to ensure the program’s success in helping the community independent pharmacy?

Significant hurdles exist, and these range from the magnitude of the industry-wide effort, to regulatory restrictions related to pharmacists and pharmacist extenders, and time constraints on pharmacists currently. 


One key concept that emerged from the first phase of the project is that of a “primary care pharmacist,” who would work collaboratively with the healthcare delivery and financing systems and focus on managing medications, positively impacting health outcomes, reducing overall healthcare system costs and empowering consumers to actively manage their health. Putting this concept into practice would require the development of pharmacy-based Patient Care Management Services that are interoperable, while maintaining the autonomy of individual pharmacies.


The Patient Care Management Services envisioned go beyond a narrow definition of medication therapy management and include interventions targeting 15 conditions plus polypharmacy (the use of multiple medications by a patient) that drive demand for avoidable healthcare utilization. Project Destiny would seek to leverage, and not reinvent, the work of entities already demonstrating value in some segments.