Patient-centered medical home: Developing, expanding, and sustaining a role for pharmacists

Choe, Hae Mi; Farris, Karen B.; Stevenson, James G.; Townsend, Kevin; Diez, Heidi L.; Remington, Tami L.; Rockafellow, Stuart; Shimp, Leslie A.; Sy, Annie; Wells, Trisha; Standiford, Connie J.

doi:10.2146/ajhp110470

Cited by 55 publications

(57 citation statements)

References 16 publications

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“…[5][6][7][8][9][10] This change in the scope of pharmacy practice has been fueled, in part, by healthcare reform (eg, the implementation of the "medical home"). [11][12][13][14][15] Given the present workforce environment, full-time pharmacist employment postgraduation will continue to be more competitive. The study conducted at the School of Pharmacy-Boston at Massachusetts College of Pharmacy and Health Sciences (MCPHS) University attempted to ascertain to what extent PharmD students understood this challenge and were preparing to meet it.…”

Section: Introductionmentioning

confidence: 99%

Educational and Career Goals of Pharmacy Students Upon Graduation

Migliore

Costantino

Campagna

et al. 2013

American Journal of Pharmaceutical Education

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Objective. To assess the doctor of pharmacy (PharmD) students' desire to obtain additional degrees after graduation. Methods. During the spring 2011 semester, an anonymous 14-question survey instrument was administered to students across all 6 years of the PharmD program to evaluate their interest in obtaining an additional degree after graduation. Demographic data was also collected and analyzed from this convenience sample.Results. Approximately 34% of the respondents (n51,239) indicated a desire to seek an additional degree. Of the additional degrees offered in the survey instrument, more than one-third of the students expressed interest in the master of business administration (MBA). Also, 79% of those respondents were willing to take summer courses to achieve a dual or additional degree. Conclusion. Pharmacy students are interested in obtaining an additional degree(s) after graduation and are willing to complete summer courses to achieve their career goals.

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Section: Introductionmentioning

confidence: 99%

Educational and Career Goals of Pharmacy Students Upon Graduation

Migliore

Costantino

Campagna

et al. 2013

American Journal of Pharmaceutical Education

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“…Seeking answers to this looming provider shortage, policymakers, healthcare administrators, and pharmacist advocates began to question whether pharmacists can assist with the projected primary care provider shortage [ 16 , 40 , 41 ]. While pharmacists have performed health-related duties for decades in institutional settings and defense-related healthcare systems (Veterans Administration Hospitals; Department of Defense health institutions), because of a lack of provider status in the Social Security Act (Title XVIII (Medicare) of the Social Security Act) pharmacists do not have the ability to autonomously bill for clinical services under Medicare Part B [ 42 ]. Therefore, without recognized provider status, third-party insurance payers also do not routinely reimburse pharmacists for performing clinical services.…”

Section: Role Of Interprofessional Patient Managementmentioning

confidence: 99%

Integration of a Team Approach to Hypertension Treatment

Sneed¹

2014

Hypertension in High Risk African Americans

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Hypertension is the most common chronic cardiovascular condition encountered in outpatient and ambulatory settings. According to the American Heart Association Heart Disease Statistics 2013 update, it is estimated that 33 % of US adults have hypertension [ 1 ]. This represents approximately 78 million American adults with hypertension [ 1 ]. Through signifi cant patient education and outreach, clinical management, and general greater self-awareness, the USA has seen a marked increase in the number of people that are aware of their condition. It is estimated that approximately 82 % of adult patients are aware of their hypertension condition, and approximately 75 % of adult patients are using antihypertensive medication [ 1 ]. Despite this enhanced awareness, only 53 % of patients diagnosed with hypertension are at or below their target blood pressure goals at current recommended levels. African American awareness of hypertension has signifi cantly improved, but the excess burden of elevated blood pressure and the subsequent consequences on health outcomes remain high [ 1 ]. Medication nonadherence is widely recognized as a major cause of patients not maintaining control of chronic cardiovascular conditions [ 2 -4 ]. Other causes for patients not attaining their blood pressure goals may include socioeconomic challenges, advanced atherosclerotic vascular changes from prolonged exposure to uncontrolled cardiovascular risks, and lack of positive response to medication therapy [ 5 ]. Despite the overall causes, the necessity to fi nd alternative and innovative methods to adequately control hypertension in Americans remains the goal of all healthcare clinicians.

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“…Integration of pharmacy services into the PCMH is occurring in clinics across the country, 3,4,5,6,7 however, little information is available regarding current medication management practices. Smith and colleagues draw on previous literature about successful models of comprehensive medication management in primary care to describe potential roles for pharmacists within the PCMH.…”

Section: Introductionmentioning

confidence: 99%

“…8 The integration of clinical pharmacists in eight Michigan PCMHs involved a systematic process for training pharmacists and standardizing work so the clinical process and target patient group at each clinic mirrored the others. 3 Interviews of physicians, clinic staff, pharmacists and patients in one study describe an overall positive reaction to the integration of a pharmacist within the PCMH with participants indicating that the pharmacist improved care and was a valuable resource for providers and staff. 4 In their recent article describing the pharmacist role on a collaborative team providing care to a homeless population, Moczygemba and colleagues acknowledge that additional research is needed to clarify and define the roles of pharmacists on interprofessional teams and within the PCMH.…”

Section: Introductionmentioning

confidence: 99%