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PCMH pharmacist

Ann M Annis, Marcelline Harris, Claire H Robinson, Sarah L Krein
Patient-Centered Medical Home (PCMH) evaluations have primarily focused on primary care providers and not on the primary care team. This systematic literature review examined the extent to which access and care coordination measures in PCMH reflect the involvement of associate care providers (ACPs), which include registered and licensed practical nurses, nursing and medical assistants, clerks, pharmacists, social workers, and dietitians. Among 42 studies, few measures specified ACP roles or linked ACP care to outcomes...
October 2016: Journal of Nursing Care Quality
Barbara J Arenz, Heidi L Diez, Jolene R Bostwick, Helen C Kales, Kara Zivin, Gregory W Dalack, Tom E Fluent, Connie J Standiford, Claire Stano, Hae Mi Choe
FDA medication alerts can be successfully implemented within patient centered medical home (PCMH) clinics utilizing clinical pharmacists. Targeted selection of high-risk patients from an electronic database allows PCMH pharmacists to prioritize assessments. Trusting relationships between PCMH clinical pharmacists and primary care providers facilitates high response rates to pharmacist recommendations. This health system approach led by PCMH pharmacists provides a framework for proactive responses to FDA safety alerts and medication related quality measure improvement...
March 2016: Healthcare
April Hinds, Debra Lopez, Karen Rascati, Jason Jokerst, Maaya Srinivasa
PURPOSE: The purpose of this study is to assess adherence to the 2013 blood cholesterol guideline in a population with diabetes based on the atherosclerotic cardiovascular (ASCVD) risk. METHODS: Patients with diabetes were assessed to see whether they received the appropriate intensity statin therapy via chart review. Patients seen by a physician or pharmacist at CommUnityCare, a PCMH, from December 2013 to October 2014 were included in this retrospective study...
April 2016: Diabetes Educator
Gene A Kallenberg
Medicine is no longer a single's game, it's a team sport. Long true in surgical specialties where the operative effort led by the chief surgeon is a carefully choreographed ballet of surgical assistants, surgical nurses, anesthesiologist, and other technical staff, now medical subspecialists are also assisted by teams composed of advanced practice nurses, physician assistants, social workers, and pharmacists. In primary care, the new vehicle for care teams is the Patient Centered Medical Home (PCMH; Kellerman & Kirk, 2007), which is designed to serve 85%-90% of patients' needs with the broadest "basket of services" possible...
September 2015: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Kristen D Lamb, Jennifer W Baker, M Shawn McFarland
OBJECTIVE: Evaluate the impact a post graduate year 2 (PGY-2) pharmacy resident run clinic incorporated into the patient centered medical home (PCMH) model may have on achieving reduction in glycosylated hemoglobin (A1c), low density lipoprotein (LDL), and systolic and diastolic blood pressures (SBP and DBP) over six months in type 2 diabetics within the Veterans Health Administration (VHA). METHODS: This was a prospective, quasi-experimental study enrolling type 2 diabetics referred to the pharmacist-run clinic not meeting American Diabetes Association (ADA) treatment goals for A1c less than 7%, and/or LDL less than 100 mg/dL, and/or blood pressure (BP) less than 130/80 mmHg...
September 1, 2015: American Journal of Health-system Pharmacy: AJHP
Alicia A Bergman, Heather A Jaynes, Jasmine D Gonzalvo, Karen Suchanek Hudmon, Richard M Frankel, Amanda L Kobylinski, Alan J Zillich
Expanded clinical pharmacist professional roles in the team-based patient-centered medical home (PCMH) primary care environment require cooperative and collaborative relationships among pharmacists and primary care physicians (PCPs), but many PCPs have not previously worked in such a direct fashion with pharmacists. Additional roles, including formulary control, add further elements of complexity to the clinical pharmacist-PCP relationship that are not well described. Our objective was to characterize the nature of clinical pharmacist-PCP interprofessional collaboration across seven federally funded hospitals and associated primary care clinics, following pharmacist placement in primary care clinics and incorporation of expanded pharmacist roles...
2016: Health Communication
Jamie L McConaha, Gary W Tedesco, Louis Civitarese, Michele F Hebda
OBJECTIVES: To evaluate the impact of a pharmacist embedded in a primary care physician (PCP) group practice to assist in achieving patient-centered medical home (PCMH) accreditation by increasing chronic care measures through the use of angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) medications in patients with concomitant diabetes mellitus (DM) and hypertension (HTN). SETTING: PCP practice in Pittsburgh, PA. PRACTICE DESCRIPTION: 16 decentralized PCPs linked by electronic health record system...
May 2015: Journal of the American Pharmacists Association: JAPhA
Madhavi Gavini, Amelia S Gennari, Christine M Ruby
OBJECTIVE: A survey was conducted by the pharmacy team to identify improvement areas in the delivery of care in high-risk patients at a patient-centered medical home (PCMH) at the University of Pittsburgh Medical Center (UPMC). DESIGN: This survey was a quality improvement project. SETTING: The survey was conducted at UPMC Senior Care, a level-three accredited PCMH. PATIENTS: The survey was conducted in a sample of preidentified high-risk patients...
March 2015: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Kelli D Barnes, Neeraj H Tayal, Amy M Lehman, Stuart J Beatty
PURPOSE: The purposes of this population management intervention were to identify patients with stage 3, 4, or 5 chronic kidney disease (CKD) and to improve care in a patient-centered medical home (PCMH). Objectives of the intervention were to (i) increase the identification of CKD, (ii) increase the use of aspirin and angiotensin-converting enzyme inhibitors (ACE-Is) or angiotensin II receptor blockers (ARBs) in patients with CKD, and (iii) ensure that all medications prescribed to patients with CKD were dosed appropriately based on renal function...
December 2014: Pharmacotherapy
Brandon J Patterson, Samantha L Solimeo, Kenda R Stewart, Gary E Rosenthal, Peter J Kaboli, Brian C Lund
BACKGROUND: Patient-centered medical homes (PCMHs) are a newer paradigm of health care service delivery. Team-based care that includes pharmacists has been implemented in several countries. Subsequently studies have successfully identified challenges and barriers with team-based care. Research on pharmacists' integration into PCMH is warranted to help bridge knowledge from earlier studies exploring team-based care. In 2010, the Department of Veteran Affairs (VA) began a national PCMH implementation, operationalized as "Patient-Aligned Care Teams" (PACTs)...
January 2015: Research in Social & Administrative Pharmacy: RSAP
Becky L Armor, Christina F Bulkley, Teresa Truong, Sandra M Carter
OBJECTIVE: To quantify, describe, and categorize patient drug-related problems (DRPs) and recommendations identified by fourth-year (P4) student pharmacists during a live medication reconciliation activity within a patient-centered medical home (PCMH). METHODS: Fourth-year student pharmacists conducted chart reviews, identified and documented DRPs, obtained live medication histories, and immediately provided findings and recommendations to the attending physicians...
February 12, 2014: American Journal of Pharmaceutical Education
Evan S Schnur, Alex J Adams, Donald G Klepser, William R Doucette, David M Scott
The Patient Protection and Affordable Care Act has greatly accelerated the formation of team-based models of care delivery, primarily accountable care organizations (ACOs) and patient-centered medical homes (PCMHs).  Many have written about the need to incorporate medication management services into these systems in order to improve care and reduce total health care costs. Two primary ways of doing so have emerged: (1) an embedded model, whereby pharmacists are employed directly by a physician practice, or (2) a "virtual care team" model, whereby a PCMH or ACO develops an arrangement with external pharmacists in community settings to provide coordinated services...
February 2014: Journal of Managed Care Pharmacy: JMCP
M Shawn McFarland, Juliet P Wallace, Jessica Parra, Jennifer Baker
STUDY OBJECTIVE: The patient-centered medical home (PCMH) model is a multidisciplinary, team-based approach to healthcare that focuses on actively involving the patient in clinical decision making. Multiple studies have demonstrated improved clinical outcomes from utilizing clinical pharmacists in the primary care setting, particularly in management of diabetes. No study has evaluated patient satisfaction with pharmacist in the PCMH model. Our objective was to evaluate patient satisfaction of care received in pharmacist-managed primary care clinics among patients with diabetes mellitus within the PCMH...
2014: Patient
Stefanie C Nigro, Candice L Garwood, Helen Berlie, Brian Irons, Daniel Longyhore, Michael S McFarland, Joseph J Saseen, Coralynn B Trewet
The American College of Clinical Pharmacy (ACCP) Ambulatory Care Practice Research Network (PRN) considers the role of clinical pharmacists to be fundamental to the success of the Patient-Centered Medical Home (PCMH) model. Within the PCMH, pharmacists can improve the health of populations by participating in activities that optimize medication management. Multiple published articles support clinical pharmacist involvement in the PCMH with regard to promotion of team-based care, enhanced access, care coordination, and improved quality and safety of care...
January 2014: Pharmacotherapy
Michael A Clay, Andrea L Sikon, Monica L Lypson, Arthur Gomez, Laurie Kennedy-Malone, Jada Bussey-Jones, Judith L Bowen
Soaring costs of health care, patients living longer with chronic illnesses, and continued attrition of interest in primary care contribute to the urgency of developing an improved model of health care delivery. Out of this need, the concept of the team-based, patient-centered medical home (PCMH) has developed. Amidst implementation in academic settings, clinical teachers face complex challenges not previously encountered: teaching while simultaneously learning about the PCMH model, redesigning clinical delivery systems while simultaneously delivering care within them, and working more closely in expanded interprofessional teams...
September 2013: Academic Medicine: Journal of the Association of American Medical Colleges
Michael D Hogue, Carol Bugdalski-Stutrud, Marie Smith, Margaret Tomecki, Anne Burns, Mary Ann Kliethermes, Stuart Beatty, Mike Beiergrohslein, Troy Trygstad, Coralynn Trewet
OBJECTIVES: To identify factors that have led to successful involvement of pharmacists in patient-centered medical home (PCMH) practices, identify challenges and suggested solutions for pharmacists involved in medical home practices, and disseminate findings. DATA SOURCES: In July 2011, the American Pharmacists Association Academy of Pharmacy Practice & Management convened a workgroup of pharmacists currently practicing or conducting research in National Committee for Quality Assurance-accredited PCMH practices...
March 2013: Journal of the American Pharmacists Association: JAPhA
Lauren Odum, Adam Whaley-Connell
The number of patients with cardiovascular and kidney disease in the United States continues to grow as the population ages, increasing the demand on the health care system and its providers. Many patients develop chronic conditions in which optimization of care is labor intensive, specifically hypertension, hyperlipidemia, diabetes, heart failure, and chronic kidney disease. Therefore, innovative and collaborative approaches to health care are warranted. Several team-based health care models have evolved and are gaining popularity, including the Patient-Centered Medical Home (PCMH) and Medication Therapy Management (MTM)...
December 2012: Cardiorenal Medicine
Hildegarde J Berdine, Monica L Skomo
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...
September 2012: Journal of the American Pharmacists Association: JAPhA
Heather D Edwards, Ryan D Webb, Dewey C Scheid, Mark L Britton, Becky L Armor
Many patients with diabetes do not receive recommended standards of care. Diabetes patients were seen by a pharmacist in a diabetes assessment service (DAS) 1 week prior to a physician appointment to complete diabetes standards. Completion rates of American Diabetes Association (ADA) standards were compared between patients of 5 physicians offered the DAS intervention and a concurrent cohort of randomly selected patients of nonparticipating physicians. A total of 94 patients were seen by DAS; 210 patients comprised the controls...
November 2012: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Hae Mi Choe, Karen B Farris, James G Stevenson, Kevin Townsend, Heidi L Diez, Tami L Remington, Stuart Rockafellow, Leslie A Shimp, Annie Sy, Trisha Wells, Connie J Standiford
PURPOSE: The development of a patient-centered medical home (PCMH) health care model and the role of pharmacists in PCMHs at the University of Michigan are described. SUMMARY: In 2009, Blue Cross Blue Shield of Michigan (BCBSM) provided financial incentives to physician groups to implement PCMH principles. A partnership was formed among the department of pharmacy, college of pharmacy, and faculty group practice at the University of Michigan Health System (UMHS) to integrate clinical pharmacists into the PCMH model at eight general medicine practices...
June 15, 2012: American Journal of Health-system Pharmacy: AJHP
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