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Pharmacy benefit management

Sara S McMillan, Michelle A King, Adem Sav, Amanda J Wheeler, Fiona Kelly
The feasibility of an individualised carer support service delivered in community pharmacies was assessed from the perspective of carer participants using a pre-post questionnaire and semistructured interviews. Eligible pharmacies were required to offer a medication management service relevant to carers and have a semiprivate space for conversations. Carers were required to self-identify as an unpaid support person for someone with a chronic condition or disability. Between September 2016 and March 2017, staff from 11 community pharmacies in South-East Queensland, Australia were trained, and provided with ongoing mentoring from a pharmacist and carer to support service implementation...
September 6, 2018: Health & Social Care in the Community
Hidetaka Suzuki, Shinya Suzuki, Hayato Kamata, Yuka Sugama, Ken Demachi, Kiwako Ikegawa, Takashi Igarashi, Masakazu Yamaguchi
Background Collaboration between pharmacists, doctors, and nurses in outpatient treatment is beneficial; however, such services are limited in Japan due to the lack of a healthcare reimbursement fee for outpatient pharmacy services at outpatient clinic. Objective We evaluated the impact of a service in which clinical pharmacists collaborated with an oncologist at an outpatient clinic in the treatment of adverse drug reactions in outpatient cancer chemotherapy. Methods We performed a retrospective cohort study using patients' medical records and treatment diaries...
September 4, 2018: Journal of Oncology Pharmacy Practice
Ann M Taylor, David Rhys Axon, Patrick Campbell, Miranda K Fair, Melissa Nelson, Kevin Boesen, Rose Martin, Terri L Warholak
BACKGROUND: Managing and treating patients with multiple chronic conditions presents challenges on many levels. Pharmacist-delivered medication therapy management (MTM) services, mandated as part of the Medicare Part D drug benefit, are designed to help patients manage their chronic conditions and medications. OBJECTIVE: To identify factors that influence patient understanding and use of MTM services and potential strategies to educate individuals about MTM. METHODS: Participants who had at least 2 chronic conditions, were taking 2 or more prescription medications, and were aged 18 years or older were recruited from community-based settings to participate in focus groups...
September 2018: Journal of Managed Care & Specialty Pharmacy
Carmen Matoses-Chirivella, Andrés Navarro-Ruíz, Blanca Lumbreras
BACKGROUND: Increased longevity and the prevalence of associated pathologies is leading to more hospital admissions involving chronic patients with multiple pathological problems. In orthopedic surgical patients, it is very important to individually evaluate the risk/benefit of maintaining or suppressing chronic medications. For certain medications, there are consensus recommendations, but for others, the available information may be limited or controversial. OBJECTIVE: To develop and validate a new guide for the continuity of care in perioperative medication management in older orthopedic surgical patients...
August 27, 2018: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
Comilla Sasson, Jason Smith, Chad Kessler, Jason Haukoos, Julianne Himstreet, Melissa Christopher, Thomas Emmendorfer
OBJECTIVE: The Veterans Health Administration (VHA) is the largest integrated health care system in the U.S., serving approximately 2.5 million Veterans in the Emergency Department/Urgent Care Centers (ED/UCC) each year. Variation in opioid prescribing by ED/UCC providers in the VHA is described. METHODS: This is an observational study using administrative data from the VHA Pharmacy Benefits Management Services database to assess ED/UCC providers' opioid prescribing rates between October 1st, 2014 to June 30th, 2017 in 121 U...
August 17, 2018: American Journal of Emergency Medicine
Tom Chynoweth, Ian Larmour
Objective The aim of this study was to describe the effect of a therapeutic equivalence program (TEP) in achieving financial sustainability from 2010-11 to 2014-15. Methods A TEP was introduced at Monash Health in 2006-07. Therapeutic medicine classes for inclusion were selected by stakeholder consensus and a preferred medicine for each class was chosen based upon therapeutic equivalence and cost considerations. New patients were commenced on a preferred medicine, but patients already prescribed another medicine from the same therapeutic class were not automatically switched to the preferred medicine...
August 27, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Carmen Guadalupe Rodriguez-Gonzalez, Ana Herranz-Alonso, Vicente Escudero-Vilaplana, Maria Aranzazu Ais-Larisgoitia, Irene Iglesias-Peinado, Maria Sanjurjo-Saez
RATIONALE, AIMS AND OBJECTIVES: Implementation of robotic systems in outpatient hospital pharmacies is uncommon. Other than cost, 1 of the barriers to widespread adoption is the lack of definitive evidence that this technology actually reduces dispensing errors and improves inventory management. OBJECTIVE: To identify the frequency of medication dispensing errors before and after the implementation of a robotic original pack dispensing system in an outpatient hospital pharmacy and to analyse the impact of this system on the quality of stock management and staff satisfaction...
August 22, 2018: Journal of Evaluation in Clinical Practice
J Wuyts, J Maesschalck, I De Wulf, K Foubert, K Boussery, J De Lepeleire, V Foulon
BACKGROUND: Aged polymedicated patients are particularly vulnerable for drug-related problems. A medication review aims to optimize the medication use of patients and improve health outcomes. In this study, the effect of a pharmacist-led medication use review is investigated for polymedicated ambulatory older patients with the aim of implementing this pharmaceutical care intervention across Belgium. METHODS: This article describes the study protocol of the SIMENON study and reports the results of the feasibility study, which aimed to test and optimize this study protocol...
August 8, 2018: BMC Health Services Research
Karen J Arthur, Deanna S Kania, Christina A White
Purpose: The purpose of this study was to utilize lean process improvement principles to enhance the health-system pharmacy administration learning experience within a postgraduate year 1 (PGY1) residency program. Summary: The Richard L. Roudebush VA Medical Center adopted the use of lean to improve customer service and workplace efficiency. The Residency Advisory Council, overseeing the 6 pharmacy residency programs, felt that training residents in a proven process improvement technique would benefit the service and assist in developing problem-solving skills...
July 2018: Hospital Pharmacy
Haruna Yamamoto, Hiroaki Ikesue, Mai Ikemura, Rieko Miura, Kazumi Fujita, Hobyung Chung, Yoshiki Suginoshita, Tetsuro Inokuma, Tohru Hashida
Background: Direct-acting antivirals (DAAs) are known to improve tolerability and have higher efficacy and shorter treatment durations compared with conventional interferon (IFN)-based treatments for hepatitis C virus (HCV) infection. Management of drug interactions and maintenance of patient adherence are important to achieve adequate therapeutic effects, sustained virological response (SVR). In order to maximize the benefits of oral DAA therapy, we established an ambulatory care pharmacy practice, a model of integrated collaboration between physicians and pharmacists, for patients receiving IFN-free DAA therapy...
2018: Journal of Pharmaceutical Health Care and Sciences
Nijole Bernaitis, Lyndsee Baumann-Birkbeck, Sean Alcorn, Michael Powell, Devinder Arora, Shailendra Anoopkumar-Dukie
BACKGROUND AND PURPOSE: Pharmacy education is continuously evolving and incorporation of technology is more prevalent. Computer-based patient cases are being utilised to illustrate complex concepts and develop clinical decision-making skills by enabling deliberate practice and continued feedback to scaffold student learning. Simulations are received positively by students but there is limited information on the benefit to student performance. The study aim was to determine the benefits of computer-based cases for oncology therapeutics in terms of student satisfaction and performance...
June 2018: Currents in Pharmacy Teaching & Learning
Cody L Clifton, Ashley R Branham, Harskin Hj Hayes, Joseph S Moose, Laura A Rhodes, Macary Weck Marciniak
OBJECTIVES: To determine the financial impact of attributed patients enrolled in a medication adherence program at Community Pharmacy Enhanced Services Network (CPESN) pharmacies. SETTING: Five independently owned Moose Pharmacy locations in rural North Carolina, which are CPESN pharmacies. PRACTICE DESCRIPTION: Moose Pharmacy has a longstanding history of innovative change. Each Moose Pharmacy location provides enhanced pharmacy services, including adherence packaging, medication synchronization programs, immunizations, home visits, home delivery, comprehensive medication review, disease state management programs, point-of-care testing, and compounding...
July 2018: Journal of the American Pharmacists Association: JAPhA
Hyungjin Myra Kim, Lauren B Gerlach, Matheos Yosef, Claire Stano, Deirdre A Conroy, Marcia Valenstein, Paul N Pfeiffer, Anne E Sales, Kara Zivin
STUDY OBJECTIVES: Sedative hypnotic medications are routinely prescribed for insomnia treatment, but have been associated with significant risks of morning-after impairment. We evaluated responsiveness in the Veterans Health Administration (VHA) facilities to two drug safety warnings recommending against high-dose zolpidem use-a 2007 Veterans Administration Pharmacy Benefits Management Service warning and a 2013 Food and Drug Administration (FDA) warning. METHODS: We used interrupted time-series design to assess how the two warnings influenced prescribing within the VHA in outpatients from 2005 to 2014...
July 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
(no author information available yet)
Precision medicine, the customization of health care to an individual's genetic profile while accounting for biomarkers and lifestyle, has increasingly been adopted by health care stakeholders to guide the development of treatment options, improve treatment decision making, provide more patient-centered care, and better inform coverage and reimbursement decisions. Despite these benefits, key challenges prevent its broader use and adoption. On December 7-8, 2017, the Academy of Managed Care Pharmacy convened a group of stakeholders to discuss these challenges and provide recommendations to facilitate broader adoption and use of precision medicine across health care settings...
July 2018: Journal of Managed Care & Specialty Pharmacy
Markus Messerli, Noortje Vriends, Kurt E Hersberger
Background: Since 2010, Swiss pharmacists have been offering their patients a Polymedication Check (PMC), a new cognitive pharmacy service in the form of a medication review for patients taking ≥4 prescribed medicines for a period >3 months. While a first publication of this project reported on the impact of the PMC on patients' adherence, the present paper focuses on humanistic outcomes. Methods: This randomized controlled trial was conducted in 54 Swiss community pharmacies...
2018: Patient Preference and Adherence
S S Kumar, H McManus, T Radovich, J R Greenfield, A Viardot, K M Williams, P Cronin, R O Day
PURPOSE: The management of type 2 diabetes mellitus (T2DM) is complex. The aim of this work is to explore factors that predict the need for add-on therapy in patients with T2DM in the community. METHODS: We accessed longitudinal, pharmacy payment claim records from the national Pharmaceutical Benefits Scheme (PBS) (Subsidises costs of medicines: government pays difference between patient co-payments, lower in concessional patients, and additional cost of drug.) for the period January 2006 to September 2014 (EREC/MI3127) from a 10% random sample of the Australian population validated to be representative of the population by the Australian Bureau of Statistics (ABS)...
June 24, 2018: European Journal of Clinical Pharmacology
Hamzah Alzubaidi, Ward Saidawi, Kevin Mc Namara
Background The benefits of professional pharmacy services in improving patient outcomes and reducing health expenditure are well documented. To a large extent, these services are not implemented in many developing countries. Objective To explore pharmacists' perceptions of and willingness to provide professional services in the United Arab Emirates (UAE) and the perceived barriers and facilitators. The current provision of pharmacy-based services and capacity for service delivery were also explored. Setting Community pharmacies in Sharjah and Dubai in the UAE...
June 20, 2018: International Journal of Clinical Pharmacy
Christopher S Russi, Alicia E Mattson, Peter A Smars, James S Newman, Alex J Beuning
We believe this is the first documented case of a critically ill patient managed by telepharmacy in a remote, rural critical access hospital. We outline the case and the benefits of telepharmacy in under-resourced, rural critical access emergency departments.
January 1, 2018: Journal of Telemedicine and Telecare
Richard K Shields, Shauna Dudley-Javoroski
QUESTIONS: What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? DESIGN: Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree...
July 2018: Journal of Physiotherapy
(no author information available yet)
No abstract text is available yet for this article.
June 19, 2018: Annals of Internal Medicine
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