Journal of the American Pharmacists Association : JAPhA
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J Am Pharm Assoc (2003) · Nov 2018
Audit of community pharmacists' prescribing interventions: Quality assessment of a newly reimbursed service.
To evaluate community pharmacists' reimbursed prescribing interventions (called pharmaceutical opinions/POs in Canada) by determining the types of drug-related problems (DRPs) identified; the type, quality, and clinical impact of recommendations made; and variation in recommendation quality across regions, pharmacy ownership type, and pharmacy size. ⋯ PO quality was suboptimal: the primary issue was failure to state a prescriber recommendation. Collaborative efforts are needed from community pharmacy stakeholders (schools of pharmacy, regulatory colleges, and continuing education providers) to help pharmacists enhance the quality of their POs, beginning with their clinical documentation skills.
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J Am Pharm Assoc (2003) · Nov 2018
Description of pharmacist-led quality improvement huddles in the patient-centered medical home model.
This case study describes the implementation of pharmacist-led quality improvement team huddles in the patient-centered medical home clinic model. The purpose of these huddles is to have an impact on clinic-based quality metrics. ⋯ Pharmacist-led quality improvement team huddles can have a positive impact on quality metrics, population health, and reimbursement.
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J Am Pharm Assoc (2003) · Nov 2018
Randomized Controlled TrialKey components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists.
The Hyperlink trial tested a 12-month intervention of home blood pressure (BP) telemonitoring with pharmacist case management in adults with uncontrolled hypertension. The intervention resulted in improved BP control compared with usual care at both 6 (72% vs. 45%; P < 0.001) and 12 months (71% vs. 53%; P = 0.005). We sought to investigate factors contributing to intervention success. ⋯ Frequent adjustments to the antihypertensive treatment regimen based on home BP telemonitoring resulted in rapid lowering of BP. Our results suggest that an intensive telephone-based intervention with the key components of medication adjustments, a strong patient and pharmacist relationship, and individualized treatment plans can achieve BP control in only 3 months in many patients with uncontrolled hypertension.