Mortality Reduction Benefits of a Comprehensive Cardiac Care Program for Patients with Occlusive Coronary Artery Disease

Abstract

Compared with those not enrolled in the CCC program, patients enrolled in the early CCC were 89% less likely to die. The earlier the program is started after a coronary event, the better the mortality reduction benefit.

Characteristics of Patients with Primary Non-adherence to Medications for Hypertension, Diabetes, and Lipid Disorders

“…Insurance products characterized as "others" are high deductible or triple option in our system; this association could reflect a particular patient-employer subset. At KPCO, antihyperlipidemic therapy is often instituted by a centralized pharmacist managed, physician monitored service, 32,33 and at primary care medical offices, clinical pharmacy specialists conduct lipid management. These services likely in part explain the association between prescribing by a non-primary care department and the antihyperlipidemic subgroup.…”

Impact of a Clinical Pharmacy Anemia Management Service on Adherence to Monitoring Guidelines, Clinical Outcomes, and Medication Utilization

“…4,5 The complexity of management, risks associated with inappropriate treatment, and high cost of ESA therapy make patients on these medications excellent candidates for pharmacist-based management. While anemia management services have demonstrated favorable impact on clinical and economic outcomes and patient satisfaction, [6][7][8][9][10][11] these have primarily used pre/post study designs, wherein the same patient population had its ESA therapy managed by a physician and then managed by a pharmacist and compared outcomes at different points in a patient's ESA therapy course.…”

Ambulatory Treatment Gaps in Patients with Ischemic Stroke or Transient Ischemic Attack

“…At KPCO, a clinical pharmacy specialistmanaged service dedicated to patients with CAD has demonstrated improved outcomes for the patients enrolled and could be applied to patients with ischemic stroke. [29][30][31] Our study has some limitations. This was a retrospective, cross-sectional study; thus, temporal trends in the data were not assessed.…”

“…Patients had to have either a validated NCIS or TIA between January 1, 2001, and December, 31,2009. Patients age 18 years or older with at least 1 inpatient stay or outpatient medical office visit with an International Classification of Diseases, Ninth Revision (ICD-9) diagnostic code between 430.xx and 438. xx and/or status code V12.54 (Personal History of Stroke) in the primary or secondary position recorded between January 1, 2001, and December 31, 2009, were identified administratively from inpatient hospital claims and outpatient visit records.…”