Introduction: Access to healthcare is a problem in the United States, exacerbated by inefficient system processes that warrant innovative reengineering solutions like centralized telehealth services.Objective: The aim of this study is to describe the genesis and evolution of a centralized pharmacy telehealth center ("TelePharmacy") at Geisinger, an integrated health delivery system.Methods: Descriptive statistics on the operations and impact of the TelePharmacy program were performed from inception in August 2017 to November 2020 using electronic health record data. In addition, a survey of clinic staff prior to and after initial TelePharmacy roll-out was conducted to assess the impact on time spent on medication-related activities and satisfaction with the service.Results: TelePharmacy completed over two million refills, resulting in a decreased workload for 40% of clinic staff. TelePharmacy pharmacists identified and rectified 3372 medication therapy problems over a 12-month period. Over the first 3.5 years, TelePharmacy expanded into other clinical areas such as anticoagulation, transitions of care, and urinary tract infection management. Conclusion:Geisinger was able to initiate and expand services offered by a centralized pharmacy telehealth center and positively impact care team burden.
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