Implementation and evaluation of a centralized pharmacy telehealth center within an integrated health delivery system

Abstract

Introduction: Access to healthcare is a problem in the United States, exacerbated by inefficient system processes that warrant innovative reengineering solutions like centralized telehealth services.Objective: The aim of this study is to describe the genesis and evolution of a centralized pharmacy telehealth center ("TelePharmacy") at Geisinger, an integrated health delivery system.Methods: Descriptive statistics on the operations and impact of the TelePharmacy program were performed from inception in August 2017 to November 2020 using electronic health record data. In addition, a survey of clinic staff prior to and after initial TelePharmacy roll-out was conducted to assess the impact on time spent on medication-related activities and satisfaction with the service.Results: TelePharmacy completed over two million refills, resulting in a decreased workload for 40% of clinic staff. TelePharmacy pharmacists identified and rectified 3372 medication therapy problems over a 12-month period. Over the first 3.5 years, TelePharmacy expanded into other clinical areas such as anticoagulation, transitions of care, and urinary tract infection management. Conclusion:Geisinger was able to initiate and expand services offered by a centralized pharmacy telehealth center and positively impact care team burden.

Implementation of Telepharmacy to Provide Medication Consultation Service for Patients: A Case Study From Thu Duc City Hospital, Ho Chi Minh City

“…Many countries have even included this activity in their health policy, such as the United States, China, Australia, Spain, Denmark, etc., to increase access to care services in special geographical areas. In addition, it can also reach some patients or facilities that do not have enough professional resources on-site [3,[9][10][11][12][13].…”