Development and integration of pharmacist clinical services into the patient-centered medical home.

Authors, Primary Berdine,H. J.;Skomo,M. L.
Title Primary Development and integration of pharmacist clinical services into the patient-centered medical home.
Periodical Full Journal of the American Pharmacists Association: JAPhA
Pub Year 2012
Volume 52
issue 5
Start Page 661-667
Abstract OBJECTIVES: To describe the development of pharmacist clinical services within a primary care physician practice using a standardized business plan, the extent of clinical pharmacy service integration into the patient-centered medical home (PCMH), and the clinical changes in the pharmacist's patient cohort. SETTING: A two-physician primary care/occupational care practice in Pittsburgh, PA, from May 2007 to December 2011. PRACTICE DESCRIPTION: Pharmacist-led clinic receives physician referrals for medication management, adherence, and disease management services. PRACTICE INNOVATION: Pharmacist practice in a primary care setting with emphasis on integration of clinical services into the medical home model designed by the American Academy of Family Physicians. MAIN OUTCOME MEASURES: Characterization of the patient's pharmacist and services provided by the pharmacist. Glycosylated hemoglobin (A1C), body mass index (BMI), low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, total cholesterol, triglycerides, and blood pressure. RESULTS: The top five primary referral reasons were diabetes self-management, weight management, medication adherence, hypertension, and dyslipidemia management. Improvements in clinical parameters were demonstrated for lipids and A1C at 1 and 2 years after baseline. Statistically significant improvements in BMI also were observed. CONCLUSION: The pharmacist developed and integrated clinical services into a primary care practice, became an integral member of the clinical team in the two-physician PCMH, and improved patient outcomes.
Publisher Not Available
Place of Publication United States
Author/Address Mylan School of Pharmacy, Duquesne University, Pittsburgh, PA, USA.
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Outcomes;Implementation;Team Based Health Care
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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