Implementation of a pharmacist-supervised outpatient diabetes treatment clinic

Collier, Izabela A.; Baker, David

doi:10.2146/ajhp130200

Cited by 35 publications

(56 citation statements)

References 22 publications

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“…Thus, telehealth patients’ glycemic control before baseline visits and afterward may have been better than that of patients who receive care only from primary care providers ( 17 ). However, use of midlevel providers such as pharmacists and nurses is common across the VA health system, is an integral part of the VA-established Patient Aligned Care Team model, and may represent the patient-centered care model in use ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in the Management of Type 1 Diabetes

et al. 2018

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BackgroundVeterans with type 1 diabetes who live in rural Alabama and Georgia face barriers to receiving specialty diabetes care because of a lack of endocrinologists in the Central Alabama Veterans Health Care System. Telemedicine is a promising solution to help increase access to needed health care. We evaluated telemedicine’s effectiveness in delivering endocrinology care from Atlanta-based endocrinologists.MethodsWe conducted a retrospective chart review of patients who were enrolled in the Atlanta VAMC Endocrinology Telehealth Clinic from June 2014 to October 2016. Outcomes of interest were hemoglobin A1c levels, changes in glycemic control, time savings for patients, cost savings for the US Veterans Health Administration, appointment adherence rates, and patient satisfaction with telehealth.ResultsThirty-two patients with type 1 diabetes received telehealth care and in general received the recommended processes of diabetes care. Patients trended toward a decrease in mean hemoglobin A1c and glucose variability and a nonsignificant increase in hypoglycemic episodes. Patients saved 78 minutes of travel time (one way), and the VA saved $72.94 in travel reimbursements per patient visit. Patients adhered to 88% of scheduled telehealth appointments on average, and 100% of surveyed patients stated they would recommend telehealth to other veterans.ConclusionsSpecialty diabetes care delivered via telemedicine was safe and was associated with time savings, cost savings, high appointment adherence rates, and high patient satisfaction. Our findings support growing evidence that telemedicine is an effective alternative method of health care delivery.

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Section: Discussionmentioning

confidence: 99%

Telemedicine in the Management of Type 1 Diabetes

et al. 2018

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“…Pharmacists were able to serve a more active role in the management of diabetic medications through initiating and adjusting both oral and injectable medications in these studies. [6][7][8][9][10] This study demonstrates the impact that pharmacists can have through management of only injectable diabetic medications. HbA 1c reductions were obtained through close monitoring and follow-up of glucose readings, conservative dosing guidelines and protocols, and direct pharmacist to patient interactions.…”

Section: Resultsmentioning

confidence: 99%

“…It is evident that glycemic control in diabetics is very important for each patient. Several studies have demonstrated the benefit of glycemic control through pharmacist intervention [6][7][8][9][10]. This study originated as a way to justify pharmacist involvement with diabetes management.…”

mentioning

confidence: 99%

Impact of Pharmacist Insulin Management on Hemoglobin A1c in Outpatient Hospital Clinic Setting

Warner¹,

Willeke²,

Sturgeon³

2016

JPP

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“…Such communication has been shown to improve patient outcomes and ensure quality of care for patients with chronic disease, which could help pharmacists and physicians improve their delivery of chronic pain management. 15,16 Among our respondents, the objective data of the K-TRACS report seemed to help physicians and pharmacists more readily discuss any concerns they might have had with both the patient as well as with each other. These discussions have validated prescription decisions, identified the need for abuse and addiction treatment, and in some instances, decreased prescription abuse and overprescribing.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Assessment of Kansas Tracking and Reporting of Controlled Substances (K-TRACS)

Curry

Melhado²,

Chesser³

et al. 2015

kjm

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Introduction. This study assessed the Kansas Tracking and Reporting of Controlled Substances system (K-TRACS), the online controlled prescription medication monitoring website in Kansas. The specific aims were to determine if and when pharmacists and physicians in Kansas were using K-TRACS and to identify any perceived benefits or barriers to using K-TRACS. Methods. A non-randomized, convenience sample of Kansas pharmacists and family physicians were interviewed face to face using a guided semi-structured questionnaire. NVivo 10 (QSR International Pty Ltd.) was used to analyze data. Results. Ten physicians and sixteen pharmacists were interviewed. All pharmacists and 70% of physicians were using K-TRACS. Usage was prompted by encounters with new patients or unease with the patient interaction. The perceived benefits included increased communication with the patient and all providers, increased provider comfort with treating chronic pain, and altered prescriber habits. Barriers to the use of K-TRACS were identified as login, password, and operating system problems. Conclusions. Among study participants, K-TRACS is used regularly, is perceived to be a benefit to providers, patients and communities, and has become a useful new tool in the treatment of chronic pain. K-TRACS is perceived to facilitate increased communication between providers and with patients. KS J Med 2015;8(4):143-150.

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Implementation of a pharmacist-supervised outpatient diabetes treatment clinic

Cited by 35 publications

References 22 publications

Telemedicine in the Management of Type 1 Diabetes

Telemedicine in the Management of Type 1 Diabetes

Impact of Pharmacist Insulin Management on Hemoglobin A1c in Outpatient Hospital Clinic Setting

A Qualitative Assessment of Kansas Tracking and Reporting of Controlled Substances (K-TRACS)

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