Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic

Como, Madison; Carter, Chenita White; Larose-Pierre, Margareth; O’Dare, Kellie; Hall, Cynthia R; Mobley, Jason; Robertson, Gervin; Leonard, Jason M.; Tew, Lindsey

doi:10.5888/pcd17.200265

Cited by 18 publications

(9 citation statements)

References 9 publications

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“…24 In response to COVID-19, pharmacists collaborated with pharmacy students on advanced pharmacy practice experiences to provide CMM using telehealth modalities for the medically underserved rural populations in Florida. 25 Students gained experience interviewing patients, formulating care plans, and making recommendations to health care providers using telehealth, thereby reducing the need for personal protective equipment and minimizing COVID-19 exposure risk. Additionally, on-site training of pharmacy students and postgraduate trainees have been impacted, often resulting in the transition to remote learning.…”

Section: Resultsmentioning

confidence: 99%

Impact of a veterans affairs primary care collaboration to provide remote team‐based care and telehealth introductory pharmacy practice experiences

Carr-Lopez

Strohecker

Miyahara

et al. 2021

J Am Coll Clin Pharm

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Introduction: Developing remote team-based care and telehealth introductory pharmacy practice experiences (IPPEs) in primary care is desirable. The Department of Veterans Affairs (VA) endorses interdisciplinary teams to provide primary care services for Veterans and utilizes clinical dashboards to support population management. Pharmacy students, during IPPEs, can perform several patient care activities typically done by VA team members.Objective: The primary objective was to describe the economic impact of a collaboration between a VA health care system and a school of pharmacy to provide remote IPPEs. Methods: During Fall 2019, activities of second-year pharmacy students in a required VA population health IPPE were tracked. Select population management activities typically conducted by nurses, clinical pharmacy specialists (CPS), or primary care providers were assigned to pharmacy students. Students were granted remote access privileges to VA's electronic health record (EHR) and precepted by VA CPS at the university. Students performed prescription drug monitoring program (PDMP) activities, reviewed outside medical records for laboratory results, ordered laboratory tests, conducted telephone pain assessments, and documented progress notes. The average time to complete each function and the average salary for the team member who typically completed the function was used to perform a cost-benefit analysis. Results: During the semester, 58 students spent 2 hours per week in the IPPE. Students wrote 2118 PDMP progress notes, ordered 1723 laboratory tests for provider signature and sent patients laboratory reminder letters, entered 171 outside laboratory results into VA's EHR, and conducted 183 pain assessments.

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Section: Resultsmentioning

confidence: 99%

Impact of a veterans affairs primary care collaboration to provide remote team‐based care and telehealth introductory pharmacy practice experiences

Carr-Lopez

Strohecker

Miyahara

et al. 2021

J Am Coll Clin Pharm

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“…Since the onset of the coronavirus disease 2019 (COVID-19) pandemic, some institutions have found unique ways to engage students in ambulatory care practice by providing patient care via telehealth visits, answering drug information inquiries, and providing educational opportunities for staff. 29,30 The incorporation of student pharmacists into telehealth ensures their experiential training continues during the pandemic, while introducing them to a new approach to care that could remain postpandemic. Evidence is limited regarding patient outcomes when students are involved in telehealth; however, a previous study suggested that students who were involved in telehealth medication therapy management (MTM) programs were more confident in the provision of comprehensive medication reviews compared to students who provided MTM in the community and hospital settings.…”

Section: Strategies For Incorporating Student Pharmacists In Ambulatory Settingsmentioning

confidence: 99%

Student pharmacists’ role in enhancing ambulatory care pharmacy practice

Pamulapati

Hess

2020

Pharm Pract (Granada)

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With a primary care physician shortage, utilization of pharmacists in the ambulatory care setting has proven to have positive economic and clinical outcomes for the practice and for patients. To extend the reach of the pharmacists, students may assist with patient care activities, such as medication reconciliation, point-of-care testing, and counseling. Evidence has shown that students benefit in building confidence, as well as improved perceptions of interprofessional care, while positive patient outcomes are maintained. There are many methods for schools to integrate these experiences early into their curriculum, as well as for students to explore opportunities on their own.

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“…When the supply of family physician/nurse practitioner-delivered PHC cannot meet patients' needs, other PHC providers, such as community pharmacists, may ll gaps in care and serve as the PHC provider [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Community pharmacists are highly accessible healthcare professionals [16]. This has been particularly noticeable during periods of the COVID-19 pandemic restrictions, during which even attached patients were often unable to visit their regular provider for routine care [14]. Approximately 40% of Nova Scotians reside within walking distance of a community pharmacy and 79% within a 5 km drive [17].…”

Section: Introductionmentioning

confidence: 99%

Community Pharmacists’ Expanding Roles In Supporting Patients Before And During COVID-19: An Exploratory Qualitative Study

Isenor

Cossette

Murphy

et al. 2022

Preprint

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Background: Timely access and attachment to a primary healthcare provider is essential for population health outcomes. Patients without a family physician or nurse practitioner (“unattached”) or who cannot access their provider when needed may seek care from a community pharmacist. Community pharmacists are highly accessible in Canada and have a broad scope of practice. During the coronavirus disease 2019 (COVID-19) pandemic, community pharmacists took on additional roles. However, little is known about how community pharmacists managed the needs of unattached versus attached patients before and during the COVID-19 pandemic.Aim: To explore Nova Scotian community pharmacists’ roles in caring for patients before and during the COVID-19 pandemic and identifying barriers and facilitators to optimizing patient access.Method: Semi-structured interviews with community pharmacists across the province of Nova Scotia (Canada) were conducted. Data were analyzed using framework analysis.Results: Eleven community pharmacists were interviewed. Five key themes were noted: 1) rising pressure on pharmacists to meet unique health needs; 2) what pharmacists have to offer; 3) positioning pharmacists in the system; 4) pharmacist wellbeing; and 5) recommendations for practice post-pandemic.Conclusion: Before and during the pandemic, community pharmacists played a significant and increasing role in providing care to patients, especially unattached patients. With the growing number of unattached patients, it is vital community pharmacists are supported to provide additional services to care for the health needs of patients.

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Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic

Abstract: What is already known on this topic? Ambulatory care pharmacists play an important role in chronic care and medication therapy management. These pharmacists and student pharmacists work closely with health care providers to deliver medicationrelated recommendations.

Cited by 18 publications

References 9 publications

Impact of a veterans affairs primary care collaboration to provide remote team‐based care and telehealth introductory pharmacy practice experiences

Impact of a veterans affairs primary care collaboration to provide remote team‐based care and telehealth introductory pharmacy practice experiences

Student pharmacists’ role in enhancing ambulatory care pharmacy practice

Community Pharmacists’ Expanding Roles In Supporting Patients Before And During COVID-19: An Exploratory Qualitative Study

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