Enhancing pharmacy services in a primary care setting to help providers improve quality performance measures

Moore, Raechel; Nickerson-Troy, Julia; Morse, Kristin; Finley, Kimberly

doi:10.1093/ajhp/zxz159

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…These activities transition workload from providers, and can be directly associated with improving measurable patient health outcomes. As health systems transition to value-based payment models, pharmacists can positively impact quality measures for chronic disease states where medication optimization is key for disease control and prevention of poor outcomes, such as cardiovascular disease [ 35 , 36 , 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Expansion and Evaluation of Pharmacist Services in Primary Care

et al. 2020

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Challenges with primary care access and overextended providers present opportunities for pharmacists as patient care extenders for chronic disease management. The primary objective was to align primary care pharmacist services with organizational priorities and improve patient clinical outcomes. The secondary objective was to develop a technological strategy for service evaluation. An interdisciplinary workgroup developed primary care pharmacist services focused on improving performance measures and supporting the care team in alignment with ongoing population health initiatives. Pharmacist collaborative practice agreements (CPAs) were developed and implemented. An electronic dashboard was developed to capture service outcome measures. Blood pressure control to <140/90 mmHg was achieved in 74.15% of patients who engaged with primary care pharmacists versus 41.53% of eligible patients electing to follow usual care pathways. Appropriate statin use was higher in patients engaged with primary care pharmacists than in eligible patients electing to follow usual care pathways both for diabetes and ischemic vascular disease (12.4% and 2.2% higher, respectively). Seventeen of 54 possible process and outcome measures were identified and incorporated into an electronic dashboard. Primary care pharmacist services improve hypertension control and statin use. Service outcomes can be measured with discrete data from the electronic health record (EHR), and should align with organizational priorities.

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