Defining the value of faculty primary care clinical pharmacists |
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| Affiliation: | 1. University of Missouri-Kansas City School of Pharmacy, 807 Lewis Hall, 701 S. 5th St, Columbia, MO, 65211, USA;2. University of Missouri Health Care, 1 Hospital Dr, Columbia, MO, 65211, USA;1. Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin-Madison School of Pharmacy, 777 Highland Ave., Madison, WI, 53705, United States;2. University of Wisconsin-Madison School of Pharmacy, Social and Administrative Sciences Division, 777 Highland Ave., Madison, WI, 53705, United States;3. University of Wisconsin School of Medicine and Public Health, 750 Highland Ave., Madison, WI, 53705, United States;1. University of Western Australia, Western Australia, Australia;2. King Edward Memorial Hospital, Western Australia, Australia;3. Quality Use of Medicines and Pharmacy Research Centre, Clinical and Health Sciences, University of South Australia, South Australia, Australia;4. University of Queensland, Queensland, Australia;5. University of New England, New South Wales, Australia;6. University of Newcastle, New South Wales, Australia;7. Curtin University, Western Australia, Australia;1. Facultad de Química, Universidad Autónoma del Estado de México, Mexico;2. Área Académica de Farmacia, Universidad Autónoma del Estado de Hidalgo, Mexico;3. Universidade Federal de São Paulo, UNIFESP, Diadema, SP, Brazil;1. Département de pharmacologie et physiologie, Université de Montréal, Montréal, QC, Canada;2. Centre de Recherche de l’Hôpital Maisonneuve-Rosemont, Montréal, QC, Canada;3. Service de néphrologie, CIUSSS de l’Est-de-l’Île-de-Montréal, Montréal, QC, Canada;4. Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, Canada;1. Dentistry Postgraduate Research Program, Rio de Janeiro State University, Rio de Janeiro, Brazil;2. H&TRC- Health & Technology Research Center, ESTeSL- Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal;3. Pharmaceutical Sciences Postgraduate Research Program, Federal University of Paraná, Curitiba, Brazil;4. Department of Pharmaceutical Sciences, Federal Rural University of Rio de Janeiro, Seropedica, Brazil |
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| Abstract: | BackgroundDemonstrating 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.ObjectiveThe primary objective of this project was to define the value of faculty PCCPs.MethodsAn 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 indicators (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.ResultsAmong 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 effectiveness/efficiency. Four student posters were presented at national conferences and 18 student pharmacists were engaged in various aspects of the project.ConclusionIncorporating CMM at faculty primary care clinics provides value. To demonstrate this value, faculty must align KPIs with institution-specific payer contracts. |
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| Keywords: | Comprehensive medication management Primary health care Pharmacist Reimbursement Pharmacy education Pharmacy faculty |
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