Initial Pharmacy Self-Assessment
• FtP Pharmacy should have already completed this
• Review the Cohort 4 Pharmacy’s Assessment Responses (3 options for reviewing)
1. Click here to view and download the responses as of 10/6/2022.
▪ Alphabetized in order of State and then pharmacy.
2. Upon contacting the pharmacy to set up the initial site visit, ask the pharmacy to forward the
email they received with the results (PDF Format)
3. Ask your Team Lead to forward you the email with the pharmacy’s responses (PDF Format)
FtP Practice Transformation Coach Assessment
• Intended to help guide the site visit with the pharmacy and for the Coach to use as reference for
each visit
• May add more questions if helpful but this is a good start
• Complete an assessment form for each pharmacy
• Click here to download the word document which includes the content within the next 2 pages
• Should not take longer than 1 hour total to complete (includes prior to and during site visit)
• The questions without an asterisk on page 1 are intended to be completed prior to the site visit
• Questions with asterisks are to be completed during site visit
• Page 2 helps with the Coach’s review of the completed pharmacy initial assessment.
• Review each domain’s questions and determine the strengths, weaknesses, and
opportunities for improvement or any barriers based on the responses
▪ This will help you get acclimated to the pharmacy prior to your first site visit and then you can add
to your comments in this chart during/after your site visit
• Intended to help the Coach identify opportunities to help the FtP Pharmacy transform
their practice and to identify how the Coach can be a resource to the Pharmacy.
• Set SMART Goals (specific, measurable, achievable, relevant, time-based) in addition to the eCare
Plan requirements
• Short-term (for next site visit) and long-term (end of the first progression)
Reviewing the Test eCare Plan with the Pharmacy
• View this video (starting at 9:08) to understand how the test eCare Plan can be viewed in the
CPESN Collaboration Site by the pharmacy. Pharmacy Collaboration Site Guide for pharmacies.
o Step 1: Pharmacy Staff Member logs in to the CPESN Collaboration Site
o Step 2: Click on the Pharmacy Name
o Step 3: Scroll down to “Care Plans Received Through....”
o Step 4: View Care Plans received by CPESN USA – click the “Test Care Plan” column until
an orange tab “sample” is at the top (usually have to click twice).
o If a sample does not appear:
a) The pharmacy has not submitted a test eCare Plan
b) The pharmacy did not include the demographic information exactly as stated
in the introductory change package
o Step 5: Click the care plan confirmation number so that you can click “download the PDF
document”