2014
DOI: 10.18553/jmcp.2014.20.3.245
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Ambulatory Clinical Pharmacy Specialty Services: The Kaiser Permanente Colorado Experience

Abstract: H ealth care in the United States is increasingly being delivered during ambulatory care visits. 1 As new investment in health care shifts from the inpatient to outpatient setting, the role of ambulatory clinical pharmacists (CP) are expanding. While dispensing pharmacists provide clinical screening and patient education for potential drugrelated problems, CPs provide services that complement the care provided by dispensing pharmacists by directly advising and educating other health care providers and patients… Show more

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Cited by 9 publications
(5 citation statements)
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“…Usual care for noncancer, chronic pain management is provided by clinical pharmacy specialists (CPS) and a patient’s PCC. CPS are residency trained, board-certified pharmacists who complete pain management consults to PCC via the EHR 12. A PCC can self-select for PEP telementoring or provide usual care for any number of her/his patients.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…Usual care for noncancer, chronic pain management is provided by clinical pharmacy specialists (CPS) and a patient’s PCC. CPS are residency trained, board-certified pharmacists who complete pain management consults to PCC via the EHR 12. A PCC can self-select for PEP telementoring or provide usual care for any number of her/his patients.…”
Section: Methodsmentioning
confidence: 99%
“…CPS are residency trained, board-certified pharmacists who complete pain management consults to PCC via the EHR. 12 A PCC can self-select for PEP telementoring or provide usual care for any number of her/his patients. The PEP was promoted widely to PCC at KPCO, and the program's clinicians provided continuing education about the risks of opioid prescribing with several internal continuing education.…”
Section: Study Design and Settingmentioning
confidence: 99%
“…In addition to clinical pharmacists who provide outpatient dispensing services, KPCO has clinical pharmacy specialist (CPS) staff who provide primary care, anticoagulation, cardiovascular risk reduction, and medical specialty care in centralized and decentralized services. [18][19][20][21][22][23][24] Although CPS staff members' day-to-day practice activities are mainly focused on direct patient care activities, participation in research and scholarship, including precepting pharmacy residents and student pharmacists, is encouraged. Currently, KPCO accepts six trainees into its ASHP-accredited postgraduate year 2 ambulatory care specialty pharmacy residency program each year.…”
Section: Methodsmentioning
confidence: 99%
“…They see the clinical pharmacist performing roles such as participating in inpatient rounds as part of the team, managing anticoagulation therapy, or accepting referrals for outpatient management of uncontrolled diabetes or hypertension. Therefore, an increasing number of US physicians (and nurses) not only accept clinical pharmacists and their role [ 18 , 19 ], but frankly miss this role if they leave academic settings after residency and go to a community setting that does not have clinical pharmacy. It seems likely that in the future, their demand for clinical pharmacy to work with them will influence these settings as well.…”
Section: Introductionmentioning
confidence: 99%