Essential factors demonstrating readiness of primary care practices for clinical pharmacy services

2018 ◽  
Vol 75 (21) ◽  
pp. 1708-1713 ◽  
Author(s):  
Anne Carrington ◽  
Ashley Pokallus ◽  
Irene Park Ulrich ◽  
Mollie Ashe Scott ◽  
Allison E. Fay ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Pharmacy Services ◽  
Clinical Pharmacy Services ◽  
Care Practices ◽  
Primary Care Practices

Primary care pharmacy technicians: Effect on pharmacist workload and patient access to clinical pharmacy services

2020 ◽  
Vol 77 (Supplement_4) ◽  
pp. S93-S99
Author(s):  
Dmitry Walker ◽  
Katherine J Hartkopf ◽  
David R Hager
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Relative Increase ◽  
Relative Reduction ◽  
Pharmacy Services ◽  
Patient Access ◽  
Pharmacy Technician ◽  
Work Sampling ◽  
Clinical Pharmacy Services ◽  
Pharmacy Technicians

Abstract Purpose Improve patient access to clinical pharmacy services and decrease pharmacist technical task workload in primary care (PC) clinics. Summary Due to concerns with the amount of technical tasks performed by University of Wisconsin Health PC clinical pharmacists negatively impacting their capacity to care for patients and perform clinical tasks, the pharmacy department piloted a new PC pharmacy technician role that involved completion of technical tasks previously performed by PC pharmacists. PC pharmacist daily technical and clinical activities were identified through shadowing and quantified by a 4-week period of work sampling. A PC pharmacist workgroup determined the technical tasks that would be appropriate for a pharmacy technician to complete and developed the technician workflows. A PC pharmacy technician was implemented during a 3-week pilot, when pharmacist daily technical and clinical activities were quantified through work sampling. Following implementation, a 52.7% (P < 0.001) relative reduction and a 10.2% (P < 0.001) relative increase in pharmacist technical and clinical activities, respectively, were identified. Additionally, a 10% relative increase from the previous 3-month average was observed in the PC pharmacist rolling patient panel size during the pilot period, correlating with an increase of patient access to pharmacist clinical services. Conclusion Up to 17% of PC pharmacist daily activities are technical tasks. Leveraging pharmacy technicians to support pharmacists with completion of these tasks increases patient access to clinical pharmacy services but requires additional staff resources.

Personal digital assistants for documenting primary care clinical pharmacy services in a health maintenance organization

2006 ◽  
Vol 63 (3) ◽  
pp. 258-261 ◽  
Author(s):  
Rachana J. Patel ◽  
Alfred E. Lyman ◽  
David R. Clark ◽  
Timothy J. Hartman ◽  
Elizabeth A. Chester ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Health Maintenance Organization ◽  
Personal Digital Assistants ◽  
Pharmacy Services ◽  
Health Maintenance ◽  
Clinical Pharmacy Services

Implementation of primary care clinical pharmacy services for adults experiencing homelessness

2020 ◽  
Author(s):  
Shelby Albertson ◽  
Taylor Murray ◽  
Jessica Triboletti ◽  
Lauren Pence ◽  
Jasmine Gonzalvo ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Pharmacy Services ◽  
Clinical Pharmacy Services

Hospital clinical pharmacy services provided to primary care

1994 ◽  
Vol 2 (4) ◽  
pp. 215-219 ◽  
Author(s):  
SIOBHAN M. COTTER ◽  
NICHOLAS D. BARBER ◽  
MARTIN McKEE
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Pharmacy Services ◽  
Clinical Pharmacy Services

Establishing Clinical Pharmacy Services With Prescribing Privileges in a Federally Qualified Health Center Primary Care Clinic

2017 ◽  
Vol 31 (5) ◽  
pp. 434-440 ◽  
Author(s):  
Jeany K. Jun
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Clinical Pharmacy ◽  
Primary Care Clinic ◽  
Pharmacy Services ◽  
Care Clinic ◽  
Clinical Pharmacy Services ◽  
Clinical Pharmacists ◽  
Federally Qualified Health Center ◽  
Ambulatory Patients

Objectives: To describe the process and cost of establishing clinical pharmacy services with prescribing privileges in a federally qualified health center (FQHC) primary care clinic. Setting: The primary care clinic was located in a low-income area of Southern California and served patients with Medicaid and Medicare. The primary care clinic had preventive medicine and family medicine physicians, a family medicine residency program, behavioral health services, and a registered dietician. Practice Innovation: New clinical pharmacy services were established at this FQHC primary care clinic. The medication assistance program was a stepping stone to establish rapport with the physicians. Credentialing and privileging was implemented for clinical pharmacists. An open protocol collaborative practice agreement was developed to allow clinical pharmacists to manage ambulatory patients. Results: From August 2014 to June 2015, the clinical pharmacist interacted with 392 patients and spent 336 hours educating patients and providing disease state management. The pharmacist also provided consults to residents and providers. Diabetic patients made up 76% of all clinical pharmacy encounters. There were 86 face-to-face clinical pharmacy appointments with the pharmacist. The average time for clinical pharmacy appointments was 77 minutes. Conclusion: By describing ways to develop rapport with providers, how to credential and privilege pharmacists, and explain resources and costs of setting up a service, the hope is that more clinical pharmacists will be able to incorporate into independent or FQHC primary care clinics for improved management of ambulatory patients.

Ambulatory Care Pharmacy Services: Has the Agenda Changed?

2000 ◽  
Vol 34 (6) ◽  
pp. 772-787 ◽  
Author(s):  
Barry L Carter ◽  
Dennis K Helling
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Managed Care ◽  
Ambulatory Care ◽  
Clinical Pharmacy ◽  
Relevant Literature ◽  
Pharmacy Services ◽  
Clinical Pharmacy Services ◽  
Care Family ◽  
Veterans Affairs Medical Centers

OBJECTIVE: To provide an extensive review of ambulatory care clinical pharmacy services and evaluate the services and research data in the field. DATA SOURCES: MEDLINE was searched from January 1992 through July 1999. Search terms included pharmacy, clinical pharmacy, and pharmaceutical care, cross-referenced with ambulatory care, primary care, family medicine, and managed care. STUDY SELECTION: Relevant peer-reviewed studies and reports since our previous article in 1992 were selected and described. Literature prior to 1992 was briefly reviewed. DATA SYNTHESIS: The relevant literature was reviewed and some examples from the authors' institutions are provided. Much research has continued to be published documenting the value of clinical pharmacy services in ambulatory care, including in community pharmacy, anticoagulation services, family medicine, primary care clinics, Veterans Affairs Medical Centers, and managed care. However, these innovative services are underrepresented in the community at large. The vast majority of the public does not have access to these types of services. CONCLUSIONS: There will be continued and dramatic expansion of ambulatory care pharmacy services in the new decade beginning in the year 2000. It will be critical that standards of practice be very high. We believe there is a critical need for visible demonstration projects and large multicenter research projects that demonstrate the value of these services.

Pharmacist Involvement in a Seizure Clinic

1993 ◽  
Vol 6 (6) ◽  
pp. 278-282 ◽  
Author(s):  
Julie A. Hixson-Wallace ◽  
Beth Barham ◽  
Randell K. Miyahara ◽  
Charles M. Epstein
Keyword(s):  
Primary Care ◽  
Clinical Pharmacy ◽  
Clinical Pharmacist ◽  
Medical Center ◽  
Objective Assessment ◽  
Flow Sheet ◽  
Pharmacy Services ◽  
Clinical Pharmacy Services ◽  
Care Givers ◽  
Phone Calls

The role of the clinical pharmacist in ambulatory care settings has expanded in the last several years. Various types of clinical pharmacy services in ambulatory clinics have been reported in the literature. This article seeks to describe the involvement of clinical pharmacists as primary-care givers in an outpatient neurology-seizure clinic of the Veterans Affairs Medical Center in Atlanta, GA. The Neurology-Seizure clinical pharmacy services are provided by faculty, residents, and students from Mercer University Southern School of Pharmacy. The faculty members have been granted clinical privileges to practice in the ambulatory clinics in order to function with authority to perform such duties as giving medication renewals, and writing in the medical chart. In the clinic itself, the pharmacist is responsible for providing a medication profile, an initial interview with the patient, a minor neurological examination, presentation of the patient to the attending neurologist, writing of a SOAP (subjective, objective, assessment and plan) note, an end-of-appointment consultation, completion of a clinic flow sheet, maintenance of the clinic record, follow-up phone calls relating the results of anti-epileptic drug levels, and monthly quality assurance summaries. Clinical pharmacist-supervised primary care outpatient clinics can be rewarding endeavors. Through close patient contact and interaction with attending physicians, pharmacists can greatly assist with pharmaceutical care and provide expert drug management of seizure patients.

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