Evaluation of the Impact of a Pharmacist‐Led Telehealth Clinic on Diabetes‐Related Goals of Therapy in a Veteran Population

Maxwell, Lauralee G.; McFarland, M. Shawn; Baker, Jennifer W.; Cassidy, Regina

doi:10.1002/phar.1719

Cited by 65 publications

(98 citation statements)

References 26 publications

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“…Given that the percentage of Veterans living in rural areas is increasing and that not all clinics have access to clinical pharmacy services, Maxwell and colleagues explored the impact of CPS services on diabetes‐related measures of control utilizing a telehealth modality . This study evaluated the benefit of a real‐time, clinic‐based video telehealth (Clinical Video Telehealth [CVT]) program and the impact of a pharmacist‐led CVT clinic for chronic disease state management.…”

Section: Role Of Va Cps In Increasing Quality Of Carementioning

confidence: 99%

Optimizing the primary care clinical pharmacy specialist: Increasing patient access and quality of care within the Veterans Health Administration

McFarland

Nelson

Ourth

et al. 2019

J Am Coll Clin Pharm

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Background Access to high‐quality care is a US Department of Veterans Affairs (VA) top priority. The VA utilized the principles of the Patient Centered Medical Home model to design the Patient‐Aligned Care Team (PACT) to deliver primary care to our nation's Veterans. The PACT model was introduced in the VA in 2009 and was implemented across the health care system in 2010. Objective This review will highlight how the VA clinical pharmacy specialist (CPS) have been integrated throughout the VA to provide clinical care services in the primary care setting. CPSs in PACTs provide comprehensive medication management (CMM) in between typical PACT provider visits to initiate, modify, or discontinue medications, as well as providing disease management in foundational and high‐volume areas such as anticoagulation, pain management, diabetes, hypertension, anemia, chronic obstructive pulmonary disease, heart failure, hepatitis C, and hyperlipidemia. Conclusions Within the VA, CPSs work autonomously but collaboratively under a global or practice area‐based scope of practice (SOP) with prescriptive authority. VA CPS serving as a provider in primary care increase access and quality of care to veterans through the provision of CMM. This model has the opportunity to be leveraged in other health care systems.

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Section: Role Of Va Cps In Increasing Quality Of Carementioning

confidence: 99%

Optimizing the primary care clinical pharmacy specialist: Increasing patient access and quality of care within the Veterans Health Administration

McFarland

Nelson

Ourth

et al. 2019

J Am Coll Clin Pharm

View full text Add to dashboard Cite

show abstract

“…Few validated frameworks have been applied to CMM practices. Table provides definitions and examples of how these indicators have been measured for CMM practices . A comprehensive list of implementation frameworks together with the resources to support their use can be found at the Dissemination and Implementation Models website: https://dissemination-implementation.org/…”

Section: Introductionmentioning

confidence: 99%

Implementation and evaluation of comprehensive medication management in telehealth practices

Badowski

Wright

Bainbridge

et al. 2020

J Am Coll Clin Pharm

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The American College of Clinical Pharmacy (ACCP) endorses comprehensive medication management (CMM) as an essential element of team‐based care and advocates CMM inclusion in value‐based health care reform. Remote delivery of CMM through telehealth platforms is expanding and has the potential to become one of the most common clinical pharmacy services. Building on a previous ACCP publication, “Providing Comprehensive Medication Management in Telehealth,” the 2019 ACCP Clinical Practice Affairs A Committee provides insights and guidance on developing, implementing, evaluating, and improving CMM telehealth practices in this white paper.

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“…The mean time in therapeutic range was comparable before and after telehealth implementation. The mean score on a five-point Likert scale for the question, "I would rather use telehealth to receive this service than travel a long distance to see my provider," was 4.9 [17].…”

Section: Pharmacists and Telehealthmentioning

confidence: 99%

“…Clinical video telehealth (CVT) technology was used in a Veterans Affairs medical center for 151 patients in a community-based outpatient clinic a distance away [17]. A telehealth technician performed point-of-care International Normalized Ration testing, and the pharmacist conducted the medical history and evaluated warfarin outcomes via CVT.…”

Section: Pharmacists and Telehealthmentioning

confidence: 99%

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The Integral Role of the Clinical Pharmacist Practitioner in Primary Care

Scott

Heck

Wilson

2017

North Carolina Medical Journal

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Evaluation of the Impact of a Pharmacist‐Led Telehealth Clinic on Diabetes‐Related Goals of Therapy in a Veteran Population

Abstract: Six months of CVT clinic attendance significantly improved A1C values and the overall percentage of patients meeting their goal A1C values in this veteran population. In addition, patient satisfaction scores also indicated a high level of satisfaction with the pharmacist-led CVT service.

Cited by 65 publications

References 26 publications

Optimizing the primary care clinical pharmacy specialist: Increasing patient access and quality of care within the Veterans Health Administration

Optimizing the primary care clinical pharmacy specialist: Increasing patient access and quality of care within the Veterans Health Administration

Implementation and evaluation of comprehensive medication management in telehealth practices

The Integral Role of the Clinical Pharmacist Practitioner in Primary Care

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