Defining the value of faculty primary care clinical pharmacists

被引:0
|
作者
Cox, Sarah R. [1 ,2 ,3 ]
Hall, Jamie L. [1 ,2 ,4 ]
Cochran, Kelly A. [1 ,2 ,5 ]
机构
[1] Univ Missouri Kansas City, Sch Pharm, 807 Lewis Hall,701 S 5th St, Columbia, MO 65211 USA
[2] Univ Missouri Hlth Care, 1 Hosp Dr, Columbia, MO 65211 USA
[3] 807 Lewis Hall,701 S 5th St, Columbia, MO 65211 USA
[4] Harry S Truman Mem Vet Hosp, 800 Hosp Dr, Columbia, MO 65201 USA
[5] Ambulatory Pharm, Community Hlth Network, 7240 N Shadeland Stn,Suite 300, Indianapolis, IN 46256 USA
来源
关键词
Comprehensive medication management; Primary health care; Pharmacist; Reimbursement; Pharmacy education; Pharmacy faculty; COMPREHENSIVE MEDICATION MANAGEMENT; INTERVENTIONS;
D O I
10.1016/j.sapharm.2023.02.006
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Demonstrating the value of comprehensive medication management (CMM) within clinical faculty sites is a challenge when balancing patient volume with academic responsibilities. Utilizing an evidence-based implementation system for CMM, faculty primary care clinical pharmacists (PCCPs) standardized CMM within their practice sites.Objective: The primary objective of this project was to define the value of faculty PCCPs.Methods: An Ambulatory Care Summit was hosted to identify opportunities for consistency of CMM. Following the summit, the CMM implementation team (faculty PCCPs and project manager) utilized CMM implementation tools from the Comprehensive Medication Management in Primary Care Research Team. Additionally, a strategic plan was developed to enhance practice management, improve fidelity, and determine key performance in-dicators (KPIs). Five faculty-mentored student projects assessed value of faculty-delivered CMM in primary care clinics. Data included medication adherence metrics, clinic quality metrics, diabetes metrics, acute healthcare utilization rates, and a physician satisfaction survey.Results: Among those receiving CMM, adherence improved 14% (P = 0.022), 119 clinic quality metrics were achieved, HbA1c <= 9% improved 45% (p < 0.001), average HbA1c decreased by 1.73% (p < 0.001), and medication preventable acute care utilization within the referral reason decreased. Over 90% of physicians surveyed agreed the faculty PCCP is a valuable team member, improved patients' health, and improved effec-tiveness/efficiency. Four student posters were presented at national conferences and 18 student pharmacists were engaged in various aspects of the project.Conclusion: Incorporating CMM at faculty primary care clinics provides value. To demonstrate this value, faculty must align KPIs with institution-specific payer contracts.
引用
收藏
页码:889 / 895
页数:7
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